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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2023; 10(04): 167-171
DOI: 10.1055/s-0044-1779009
SFM Practice Guidelines

SFM Fetal Therapy Practice Guidelines: Bipolar Cord Coagulation

Adinarayan Makam
1   Adi Advanced Center for Fetal Care, Bengaluru, Karnataka, India
,
Aparna Sharma 
2   Department of obstetrics and Gynecology, All India Institute of Medical Sciences, Delhi, India
,
Reema Bhatt 
3   Department of Fetal Medicine and Perinatology, Amrita Hospital and Research Institute, Faridabad, Haryana, India
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Abstract

Bipolar cord coagulation is modality available for the treatment of monochorionic diamniotic twins with any one of the following indications: discordant anomalous fetus, severe selective Intrauterine growth restriction (IUGR) (type 2 and type 3) in very preterm and premature fetuses, and selected cases of twin-twin transfusion syndrome when LASER photocoagulation is not feasible. Twin reversed arterial perfusion sequence with polyhydramnios and cardiac overload in pump twin, Multifetal reduction involving MCDA pair.

Keywords

discordant anomalous fetus - bipolar cord coagulation - selective FGR - TRAP sequence - TTTS


Publication History

Article published online:
21 March 2024

© 2024. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • 1 Weber EC, Strizek B, Recker F. et al. Outcome of monochorionic pregnancies after selective feticide with bipolar cord coagulation: a German single center experience. J Clin Med 2022; 11 (06) 1516
    CrossrefPubMedGoogle Scholar
  • 2 Shinar S, Xing W, Pruthi V. et al. Outcome of monochorionic twin pregnancy complicated by Type-III selective intrauterine growth restriction. Ultrasound Obstet Gynecol 2021; 57 (01) 126-133
    CrossrefPubMedGoogle Scholar
  • 3 Deprest JA, Audibert F, Van Schoubroeck D, Hecher K, Mahieu-Caputo D. Bipolar coagulation of the umbilical cord in complicated monochorionic twin pregnancy. Am J Obstet Gynecol 2000; 182 (02) 340-345
    CrossrefPubMedGoogle Scholar
  • 4 Rossi AC, D'Addario V. Umbilical cord occlusion for selective feticide in complicated monochorionic twins: a systematic review of literature. Am J Obstet Gynecol 2009; 200 (02) 123-129
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  • 5 Zhao ZQ, Zhai J. A meta-analysis of prognosis after bipolar umbilical cord coagulation or radiofrequency ablation to reduce complicated monochorionic multiple pregnancies. Zhonghua Yi Xue Za Zhi 2018; 98 (35) 2832-2837
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