{
    "abstract": "Selective reduction of the fetus is one of the therapeutic methods in complicated monochorionic twins. The present study aimed to investigate the success rate and perinatal outcomes of selective reduction using radiofrequency ablation (RFA) in monochorionic multiple pregnancies with a hydropic fetus.\nThis prospective interventional single-arm study was conducted in a referral hospital from 2017 to 2019. Totally, 27 complicated monochorionic twin and triplet pregnancies underwent RFA to occlude the umbilical vein of the hydropic fetus. The participants were followed until 2 months post-delivery. Procedure success rate, survival rate, gestational age at delivery, and neonatal outcome were evaluated.\nThe umbilical cord in 26 (96.2%) cases was successfully occluded by RFA with no maternal complications. Live birth was within 75%. The mean\u00b1SD age at delivery was 34.4\u00b13.83 weeks. The gestational age at delivery in TTTS (twin-to-twin transfusion syndrome)-induced hydrops was significantly lower than the non-TTTS hydrops group (\nSelective reduction by RFA in complicated monochorionic pregnancies with a hydropic fetus may be a safe method with a high success rate and 100% neonatal survival. This method may be optimal for feticide in non-TTTS hydropic twins.",
    "authors": [
        {
            "affiliation": "Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Fatemeh",
            "initials": "F",
            "lastname": "Rahimi Sharbaf"
        },
        {
            "affiliation": "Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Mahboobeh",
            "initials": "M",
            "lastname": "Shirazi"
        },
        {
            "affiliation": "Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Mansooreh",
            "initials": "M",
            "lastname": "Haghiri"
        },
        {
            "affiliation": "Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Mamak",
            "initials": "M",
            "lastname": "Shariat"
        },
        {
            "affiliation": "Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Shirin",
            "initials": "S",
            "lastname": "Niroomanesh"
        },
        {
            "affiliation": "Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.",
            "firstname": "Marjan",
            "initials": "M",
            "lastname": "Ghaemi"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.",
            "firstname": "Sakineh",
            "initials": "S",
            "lastname": "Mirzaei Khalilabadi"
        }
    ],
    "conclusions": "Selective reduction by RFA in complicated monochorionic pregnancies with a hydropic fetus may be a safe method with a high success rate and 100% neonatal survival. This method may be optimal for feticide in non-TTTS hydropic twins.",
    "copyrights": "2022 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons. org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.",
    "doi": "10.34172/aim.2022.02",
    "journal": "Archives of Iranian medicine",
    "keywords": [
        "Hydropic fetus",
        "Monochorionic multiple pregnancy",
        "Perinatal Outcome",
        "Radiofrequency ablation",
        "Successful rate"
    ],
    "methods": null,
    "publication_date": "2022-02-08",
    "pubmed_id": "35128906",
    "results": "The umbilical cord in 26 (96.2%) cases was successfully occluded by RFA with no maternal complications. Live birth was within 75%. The mean\u00b1SD age at delivery was 34.4\u00b13.83 weeks. The gestational age at delivery in TTTS (twin-to-twin transfusion syndrome)-induced hydrops was significantly lower than the non-TTTS hydrops group (",
    "title": "Success Rate and Perinatal Outcomes of Selective Reduction by Radiofrequency Ablation in Monochorionic Multiple Pregnancies with a Hydropic Fetus; A Prospective Interventional Single-Arm Study.",
    "xml": "<Element 'PubmedArticle' at 0x788503ffbc40>"
}