Experience in Laser Coagulation of Placentary Anastomoses in Selective Foetal Growth Retardation
https://doi.org/10.31550/1727-2378-2022-21-5-43-46
Abstract
Objective of the Paper: To describe the course and outcome of a pregnancy with monochorionic-diamniotic twins with marked selective foetal growth retardation (sFGR) after laser coagulation of placentary anastomoses.
Key points. Fetoscopy-guided laser coagulation of placentary anastomoses at week 21–22 of gestation made it possible to prolong the pregnancy to the term and eliminate the risks of intrauterine foetal death, preterm delivery, and neurological complications in a larger foetus.
Conclusion. In sFGR with umbilical artery blood flow type II or III (E. Grtacós), it is possible to use placentary anastomosis or umbilical vessels coagulation in a smaller foetus. Further studies are needed with unified diagnostic criteria and outcome analysis; and pregnancy management approach needs to be developed.
About the Authors
N. V. Kosovtsova
Ural Research Institute for Mother and Infant Welfare (a Federal Government-funded Institution), Russian Federation Ministry of Health
Russian Federation
Russian Federation
1 Repin St., Yekaterinburg, 620028
T. V. Markova
Ural Research Institute for Mother and Infant Welfare (a Federal Government-funded Institution), Russian Federation Ministry of Health
Russian Federation
Russian Federation
1 Repin St., Yekaterinburg, 620028
Ya. Yu. Pospelova
Ural Research Institute for Mother and Infant Welfare (a Federal Government-funded Institution), Russian Federation Ministry of Health
Russian Federation
Russian Federation
1 Repin St., Yekaterinburg, 620028
A. V. Yuminova
Ural Research Institute for Mother and Infant Welfare (a Federal Government-funded Institution), Russian Federation Ministry of Health
Russian Federation
Russian Federation
1 Repin St., Yekaterinburg, 620028
A. E. Aytov
Ural Research Institute for Mother and Infant Welfare (a Federal Government-funded Institution), Russian Federation Ministry of Health
Russian Federation
Russian Federation
1 Repin St., Yekaterinburg, 620028
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Review
For citations:
Kosovtsova N.V., Markova T.V., Pospelova Ya.Yu., Yuminova A.V., Aytov A.E. Experience in Laser Coagulation of Placentary Anastomoses in Selective Foetal Growth Retardation. Title. 2022;21(5):43-46. (In Russ.) https://doi.org/10.31550/1727-2378-2022-21-5-43-46
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