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The Journal of Maternal-Fetal & Neonatal Medicine Volume 35, 2022 - Issue 25
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Short Report

Fetoscopy-guided bipolar cord coagulation in selective fetal reduction with complicated monochorionic diamniotic twins: a prospective cohort study

Hui R. TangDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Chen Y. DaiDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Jie LiDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Yi M. DaiDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaORCID Iconhttps://orcid.org/0000-0002-5266-1797View further author information
ORCID Icon,
Tong RuDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Ya L. LiDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Xian XiaoDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Zhong T. FanDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
,
Ya L. HuDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaView further author information
&
Ming M. ZhengDepartment of Obstetrics and Gynecology, the Affiliated Drum and Tower Hospital of Medical School of Nanjing University, Nanjing, ChinaCorrespondence[email protected]
View further author information
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Pages 7744-7747 | Received 29 Dec 2020, Accepted 26 Jul 2021, Published online: 01 Sep 2021
 
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Abstract

Objective

To assess the feasibility of fetoscopy-guided bipolar umbilical cord coagulation for selective fetal reduction in complicated monochorionic diamniotic (MCDA) twin pregnancies.

Methods

MCDA twins undergoing fetoscopy-guided bipolar cord coagulation (BCC) were enrolled prospectively between December 2015 to March 2020 in a fetal medicine center.

Results

Twenty-three cases undergoing fetoscopy-guided BCC were finally analyzed, including 11 cases for type 2 selective intrauterine growth restriction, 4 cases for twin–twin transfusion syndrome, and 8 cases for a severe discordant anomaly. The overall survival rate was 78.3% (18/23).

Conclusions

Fetoscopy‐guided BCC is effective for selective fetal reduction in complicated monochorionic twin pregnancies.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was financially supported by grants from Six Talent Peaks Project in Jiangsu Province [WSN-141], Nanjing Youth Medical Innovation Personnel Training Project [QRX17014], the National Natural Science Foundation of China [81571463].

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