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Interstitial laser: a new surgical technique for twin reversed arterial perfusion sequence in early pregnancy

Authors
Journal
British Journal of Obstetrics and Gynaecology
0306-5456
Publisher
Elsevier
Publication Date
Volume
108
Issue
10
Identifiers
DOI: 10.1016/s0306-5456(01)00250-9

Abstract

Abstract Current treatments for twin reversed arterial perfusion sequence are associated with significant morbidity and most are not feasible in early gestation. We report the use of an interstitial laser in two pregnancies complicated by this sequence at 14 and 15 weeks, respectively. A 600μm laser fibre was introduced via a 17 gauge needle into the abdomen of the perfused twin close to the vitelline artery and umbilical vein, which were occluded by neodymium:yttrium aluminium garnet (Nd:YAG) laser. Both pregnancies continued uneventfully and each resulted in the birth of a healthy baby at term.

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