Successful fetoscopic laser coagulation for twin-to-twin transfusion syndrome under local anaesthesia.

Hdl Handle:
http://hdl.handle.net/10147/217189
Title:
Successful fetoscopic laser coagulation for twin-to-twin transfusion syndrome under local anaesthesia.
Authors:
Cooley, S; Walsh, J; Mahony, R; Carroll, S; Higgins, S; McParland, P; McAuliffe, F
Affiliation:
National Maternity Hospital, Holles St, Dublin 2. smcooley@hotmail.com
Citation:
Successful fetoscopic laser coagulation for twin-to-twin transfusion syndrome under local anaesthesia. 2011, 104 (6):187-90 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jun-2011
URI:
http://hdl.handle.net/10147/217189
PubMed ID:
22111398
Abstract:
A review of the efficacy and outcome of fifteen fetoscopic laser ablations under local anaesthesia for twin to twin transfusion syndrome (TTTS) in the National Maternity Hospital Dublin was undertaken. The mean gestation at laser was 19.7 weeks (range 16-25 weeks) with a mean gestation at delivery of 29.1 weeks (range 20-35 weeks). The overall liveborn birth rate was 79% (22 infants) and one pregnancy was still ongoing. There were four neonatal deaths secondary to complications of prematurity. The surviving eighteen infants (64%) undergo regular paediatric review. The procedure was performed successfully in all cases with local anaesthesia. In no case was there maternal discomfort that warranted the procedure to be abandoned and good visual access of the vascular anastamoses was obtained in all cases. Local anaesthesia therefore offers a safe effective anaesthetic option for fetoscopic laser coagulation in monochorionic pregnancies complicated by TTTS.
Language:
en
MeSH:
Anesthesia, Local; Female; Fetofetal Transfusion; Fetoscopy; Gestational Age; Humans; Infant, Newborn; Ireland; Laser Coagulation; Pregnancy; Pregnancy Outcome; Pregnancy, Multiple; Prospective Studies; Time Factors
ISSN:
0332-3102
Ethical Approval:
N/A

Full metadata record

DC FieldValue Language
dc.contributor.authorCooley, S-
dc.contributor.authorWalsh, J-
dc.contributor.authorMahony, R-
dc.contributor.authorCarroll, S-
dc.contributor.authorHiggins, S-
dc.contributor.authorMcParland, P-
dc.contributor.authorMcAuliffe, F-
dc.date.accessioned2012-03-30T13:35:47Z-
dc.date.available2012-03-30T13:35:47Z-
dc.date.issued2011-06-
dc.identifier.citationSuccessful fetoscopic laser coagulation for twin-to-twin transfusion syndrome under local anaesthesia. 2011, 104 (6):187-90 Ir Med J-
dc.identifier.issn0332-3102-
dc.identifier.pmid22111398-
dc.identifier.urihttp://hdl.handle.net/10147/217189-
dc.description.abstractA review of the efficacy and outcome of fifteen fetoscopic laser ablations under local anaesthesia for twin to twin transfusion syndrome (TTTS) in the National Maternity Hospital Dublin was undertaken. The mean gestation at laser was 19.7 weeks (range 16-25 weeks) with a mean gestation at delivery of 29.1 weeks (range 20-35 weeks). The overall liveborn birth rate was 79% (22 infants) and one pregnancy was still ongoing. There were four neonatal deaths secondary to complications of prematurity. The surviving eighteen infants (64%) undergo regular paediatric review. The procedure was performed successfully in all cases with local anaesthesia. In no case was there maternal discomfort that warranted the procedure to be abandoned and good visual access of the vascular anastamoses was obtained in all cases. Local anaesthesia therefore offers a safe effective anaesthetic option for fetoscopic laser coagulation in monochorionic pregnancies complicated by TTTS.-
dc.language.isoen-
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.meshAnesthesia, Local-
dc.subject.meshFemale-
dc.subject.meshFetofetal Transfusion-
dc.subject.meshFetoscopy-
dc.subject.meshGestational Age-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshIreland-
dc.subject.meshLaser Coagulation-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Outcome-
dc.subject.meshPregnancy, Multiple-
dc.subject.meshProspective Studies-
dc.subject.meshTime Factors-
dc.titleSuccessful fetoscopic laser coagulation for twin-to-twin transfusion syndrome under local anaesthesia.en_GB
dc.contributor.departmentNational Maternity Hospital, Holles St, Dublin 2. smcooley@hotmail.com-
dc.identifier.journalIrish medical journal-
dc.type.qualificationlevelN/Aen
cr.approval.ethicalN/Aen
dc.description.provinceLeinsteren
dc.description.provinceLeinster-

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