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The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome

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The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome. / Petersen, Scott G; Gibbons, Kristen S; Luks, Francois I; Lewi, Liesbeth; Diemert, Anke; Hecher, Kurt; Dickinson, Jan E; Stirnemann, Julien J; Ville, Yves; Devlieger, Roland; Gardener, Glenn; Deprest, Jan A.

in: FETAL DIAGN THER, Jahrgang 40, Nr. 2, 2016, S. 100-9.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Petersen, SG, Gibbons, KS, Luks, FI, Lewi, L, Diemert, A, Hecher, K, Dickinson, JE, Stirnemann, JJ, Ville, Y, Devlieger, R, Gardener, G & Deprest, JA 2016, 'The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome', FETAL DIAGN THER, Jg. 40, Nr. 2, S. 100-9. https://doi.org/10.1159/000441915

APA

Petersen, S. G., Gibbons, K. S., Luks, F. I., Lewi, L., Diemert, A., Hecher, K., Dickinson, J. E., Stirnemann, J. J., Ville, Y., Devlieger, R., Gardener, G., & Deprest, J. A. (2016). The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome. FETAL DIAGN THER, 40(2), 100-9. https://doi.org/10.1159/000441915

Vancouver

Petersen SG, Gibbons KS, Luks FI, Lewi L, Diemert A, Hecher K et al. The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome. FETAL DIAGN THER. 2016;40(2):100-9. https://doi.org/10.1159/000441915

Bibtex

@article{5fdf8f1696fa40238a5c1b047cddd92d,
title = "The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome",
abstract = "OBJECTIVE: To evaluate the impact of entry method and access diameter at fetoscopic surgery for twin-twin transfusion syndrome in twin pregnancies with at least one survivor. The outcomes evaluated were prelabour rupture of membranes (PROM) and birth <4 weeks, preterm birth (PTB) <28 weeks, and latency to birth.METHODS: A retrospective analysis of prospectively collected data of consecutive laser procedures from 6 centers was performed. Three entry methods (sheath + trocar; cannula + trocar; cannula + Seldinger) and 6 access diameters (2.3, 3.0, 3.3, 3.5, 3.8, 4.0 mm) were used. Exclusion criteria were subsequent invasive interventions, termination of pregnancy or double fetal death after laser. Multivariate analysis was performed to determine risk factors for the study outcomes.RESULTS: Six hundred seventy three fetoscopic laser cases were analyzed. The use of different entry methods and access diameters did not affect PROM or birth <4 weeks, or latency from laser to birth. Access diameter was associated with PTB <28 weeks. Cervical length was associated with PROM and birth <4 weeks, and latency from laser to birth.CONCLUSION: Instrument choice at fetoscopic laser procedures did not affect outcomes <4 weeks. Access diameter may affect the likelihood for PTB <28 weeks. Cervical length is critically associated with obstetrical outcomes following laser surgery.",
keywords = "Journal Article",
author = "Petersen, {Scott G} and Gibbons, {Kristen S} and Luks, {Francois I} and Liesbeth Lewi and Anke Diemert and Kurt Hecher and Dickinson, {Jan E} and Stirnemann, {Julien J} and Yves Ville and Roland Devlieger and Glenn Gardener and Deprest, {Jan A}",
note = "{\textcopyright} 2016 S. Karger AG, Basel.",
year = "2016",
doi = "10.1159/000441915",
language = "English",
volume = "40",
pages = "100--9",
journal = "FETAL DIAGN THER",
issn = "1015-3837",
publisher = "S. Karger AG",
number = "2",

}

RIS

TY - JOUR

T1 - The Impact of Entry Technique and Access Diameter on Prelabour Rupture of Membranes Following Primary Fetoscopic Laser Treatment for Twin-Twin Transfusion Syndrome

AU - Petersen, Scott G

AU - Gibbons, Kristen S

AU - Luks, Francois I

AU - Lewi, Liesbeth

AU - Diemert, Anke

AU - Hecher, Kurt

AU - Dickinson, Jan E

AU - Stirnemann, Julien J

AU - Ville, Yves

AU - Devlieger, Roland

AU - Gardener, Glenn

AU - Deprest, Jan A

N1 - © 2016 S. Karger AG, Basel.

PY - 2016

Y1 - 2016

N2 - OBJECTIVE: To evaluate the impact of entry method and access diameter at fetoscopic surgery for twin-twin transfusion syndrome in twin pregnancies with at least one survivor. The outcomes evaluated were prelabour rupture of membranes (PROM) and birth <4 weeks, preterm birth (PTB) <28 weeks, and latency to birth.METHODS: A retrospective analysis of prospectively collected data of consecutive laser procedures from 6 centers was performed. Three entry methods (sheath + trocar; cannula + trocar; cannula + Seldinger) and 6 access diameters (2.3, 3.0, 3.3, 3.5, 3.8, 4.0 mm) were used. Exclusion criteria were subsequent invasive interventions, termination of pregnancy or double fetal death after laser. Multivariate analysis was performed to determine risk factors for the study outcomes.RESULTS: Six hundred seventy three fetoscopic laser cases were analyzed. The use of different entry methods and access diameters did not affect PROM or birth <4 weeks, or latency from laser to birth. Access diameter was associated with PTB <28 weeks. Cervical length was associated with PROM and birth <4 weeks, and latency from laser to birth.CONCLUSION: Instrument choice at fetoscopic laser procedures did not affect outcomes <4 weeks. Access diameter may affect the likelihood for PTB <28 weeks. Cervical length is critically associated with obstetrical outcomes following laser surgery.

AB - OBJECTIVE: To evaluate the impact of entry method and access diameter at fetoscopic surgery for twin-twin transfusion syndrome in twin pregnancies with at least one survivor. The outcomes evaluated were prelabour rupture of membranes (PROM) and birth <4 weeks, preterm birth (PTB) <28 weeks, and latency to birth.METHODS: A retrospective analysis of prospectively collected data of consecutive laser procedures from 6 centers was performed. Three entry methods (sheath + trocar; cannula + trocar; cannula + Seldinger) and 6 access diameters (2.3, 3.0, 3.3, 3.5, 3.8, 4.0 mm) were used. Exclusion criteria were subsequent invasive interventions, termination of pregnancy or double fetal death after laser. Multivariate analysis was performed to determine risk factors for the study outcomes.RESULTS: Six hundred seventy three fetoscopic laser cases were analyzed. The use of different entry methods and access diameters did not affect PROM or birth <4 weeks, or latency from laser to birth. Access diameter was associated with PTB <28 weeks. Cervical length was associated with PROM and birth <4 weeks, and latency from laser to birth.CONCLUSION: Instrument choice at fetoscopic laser procedures did not affect outcomes <4 weeks. Access diameter may affect the likelihood for PTB <28 weeks. Cervical length is critically associated with obstetrical outcomes following laser surgery.

KW - Journal Article

U2 - 10.1159/000441915

DO - 10.1159/000441915

M3 - SCORING: Journal article

C2 - 27073886

VL - 40

SP - 100

EP - 109

JO - FETAL DIAGN THER

JF - FETAL DIAGN THER

SN - 1015-3837

IS - 2

ER -