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Publication Date:
December 2005
ISSN:
1619-3997
DOI:
10.1515/JPM.2005.094

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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Aslam, Muhammad / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Brezinka, Christoph / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / Dimitrou, G. / Foulon, Walter / Grunebaum, G. E. / Harding, Jane / Hentschel, Roland / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Nishida, Hiroshi / Papp, Zoltán / Makatsariya, Alexander / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Geijn, Herman P. / Vetter, Klaus / Young, Bruce K. / Zimmermann, Roland / Köpcke, W.

6 Issues per year

IMPACT FACTOR 2011: 1.702
5-year IMPACT FACTOR: 1.779
Rank 36 out of 79 in category Obstretics and Gynecology and 45 out of 113 in category Pediatrics in the 2011 Thomson Reuters Journal Citation Report/Science Edition

VolumeIssuePage

Issues

Combined sonographic and endoscopic umbilical cord occlusion in twin and triplet gestations

Bruce K. Young1 / Courtney D. Stephenson2 / Andrew P. Mackenzie3 / Ashley S. Roman4 / Andrei Rebarber5 / Victoria K. Minior6 / Patricia Mayberry7 / Ilan E. Timor-Tritsch8

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Corresponding author: Bruce K. Young, MD NYU School of Medicine 530 First Avenue Suite 5G, New York NY 10016 Tel.: +1-212-263-6359

Citation Information: Journal of Perinatal Medicine. Volume 33, Issue 6, Pages 530–533, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2005.094, December 2005

Publication History:
Received:
July 15, 2005
Accepted:
August 9, 2005
Published Online:
2005-12-01

Abstract

Objective: To review our experience with a minimally invasive technique for umbilical cord occlusion as a method of selective feticide in monochorionic sets.

Study design: Umbilical cord occlusion was completed using 3 mm bipolar cautery under ultrasound guidance (3D/4D, n=6; 2D, n=6) with pre and post ligation endoscopic evaluation.

Results: 12 cases of monochorionic sets where selective feticide was performed were identified during the period 2000 to present. There were four triplet and eight twin gestations in the study cohort. Median interval from intervention to delivery was 16 weeks (range, 5–19). All co-twins survived the procedure and 15 of 16 were delivered after 33 weeks.

Conclusions: Umbilical cord occlusion in monochorionic sets can be accomplished in a minimally invasive manner with combined endoscopic and ultrasound guidance in both twin and triplet pregnancies.

Keywords: Endoscopic; feticide; triplets; twin-twin transfusion; ultrasound; umbilical cord occlusion

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