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Titolo:
MULTIFETAL PREGNANCY REDUCTION OF BOTH FETUSES OF A MONOCHORIONIC PAIR BY INTRATHORACIC POTASSIUM-CHLORIDE INJECTION OF ONE FETUS
Autore:
BENSON CB; DOUBILET PM; ACKER D; HEFFNER LJ;
Indirizzi:
HARVARD UNIV,BRIGHAM & WOMENS HOSP,SCH MED,DEPT RADIOL,75 FRANCIS ST BOSTON MA 02115 HARVARD UNIV,BRIGHAM & WOMENS HOSP,SCH MED,DEPT OBSTET & GYNECOL BOSTON MA 02115
Titolo Testata:
Journal of ultrasound in medicine
fascicolo: 7, volume: 17, anno: 1998,
pagine: 447 - 449
SICI:
0278-4297(1998)17:7<447:MPROBF>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNATIONAL COLLABORATIVE EXPERIENCE; SELECTIVE TERMINATION; MULTIPLE GESTATIONS; TWINS; RISKS;
Keywords:
MULTIPLE PREGNANCY; FIRST TRIMESTER; GESTATION, MULTIPLE; TWIN, MONOCHORIONIC;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
C.B. Benson et al., "MULTIFETAL PREGNANCY REDUCTION OF BOTH FETUSES OF A MONOCHORIONIC PAIR BY INTRATHORACIC POTASSIUM-CHLORIDE INJECTION OF ONE FETUS", Journal of ultrasound in medicine, 17(7), 1998, pp. 447-449

Abstract

The purpose of this study was to determine if a monochorionic pair offetuses in a higher-order multiple gestation can be reduced by injecting only one fetus with potassium chloride. Three quadruplet and two quintuplet gestations, each with a monochorionic pair of fetuses, were referred for pregnancy rejecting-injecting one of the monochorionic pair with potassium chloride. Patients returned for a follow-up sonogramwithin 1 week of the procedure. The reductions were performed at an average 12.1 weeks' gestation, with a range of 10.7 to 14.0 weeks. Follow-up scans 4 to 7 days after the procedure showed that both monochorionic fetuses were dead and all other fetuses were alive. One quintuplet pregnancy underwent a second reduction procedure to twins. One quintuplet and two quadruplet pregnancies that were reduced to twins resulted in the birth of live twins between 30.8 weeks and 36.8 weeks' gestations. The third quadruplet pregnancy reduced to twins is still ongoing; the mother is pregnant with twins at 20 weeks' gestation. The quintuplet pregnancy reduced to triplets resulted in delivery of Live triplets at 24.1 weeks' gestation, but two of the neonates died in the first few days of life. Reduction of both fetuses of a monochorionic pair in a higher-order multiple gestation can be accomplished by intrathoracic injection of potassium chloride into only one of the pair.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 16:19:33