{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T21:10:58Z","timestamp":1788469858270,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify predictors of outcomes in severe twin oligo\u2010polyhydramnios sequence (TOPS) with or without twin anemia\u2010polycythemia sequence (TAPS) and\/or selective fetal growth restriction (SFGR) treated by laser ablation of placental vessels (LAPV).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Analysis of cases treated from 2011 to 2022. Variables evaluated Prenatal predictors: stages of TOPS, presence of TAPS and\/or SFGR; pre\u2010LAPV fetal ultrasound parameters; peri\u2010LAPV variables. Perinatal predictors: GA at birth; birthweight; Apgar scores; transfontanellar ultrasonography (TFUS). Outcome variables: fetal death, neonatal survival, infant's neurodevelopment. Binary logistic regression analyses were performed to detect predictors of outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>265 cases were included. Predictors of post\u2010LAPV donor fetus' death were delta EFW (<jats:italic>p<\/jats:italic>:0.045) and absent\/reverse end\u2010diastolic flow in the umbilical artery (AREDF\u2010UA) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). The predictor of post\u2010LAPV recipient fetus' death was hydrops (<jats:italic>p<\/jats:italic>:0.009). Predictors of neonatal survival were GA at birth and Apgar scores. Predictors of infant's neurodevelopment were TFUS and pre\u2010LAPV middle cerebral artery Doppler (MCAD) for the donor twin; and pre\u2010LAPV ductus venosus' flow and MCAD for the recipient twin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Prediction of fetal death, neonatal survival and infant's neurodevelopment is possible in cases of TOPS associated or not with SFGR and\/or TAPS that were treated by LAPV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6523","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T06:39:30Z","timestamp":1705732770000},"page":"325-335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Predictors of fetal death, neonatal survival and neurological outcomes in severe twin\u2010twin transfusion syndrome treated by laser ablation of placental vessels"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7279-5311","authenticated-orcid":false,"given":"Cleisson F\u00e1bio","family":"Andrioli Peralta","sequence":"first","affiliation":[{"name":"Fetal Medicine Unit Heart Hospital (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Fetal Medicine and Surgery Center (Gestar)  S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Jorge Rodrigues da Costa","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit Heart Hospital (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Fetal Medicine and Surgery Center (Gestar)  S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Clara","family":"Peneluppi Horak","sequence":"additional","affiliation":[{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samara","family":"Pinheiro do Carmo Gomes","sequence":"additional","affiliation":[{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elton","family":"Sousa Santos","sequence":"additional","affiliation":[{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Let\u00edcia","family":"Galv\u00e3o Barbante","sequence":"additional","affiliation":[{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Hideo Nakagawa Santos","sequence":"additional","affiliation":[{"name":"Research Institute (HCor)  S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200292"},{"key":"e_1_2_9_3_1","first-page":"107","article-title":"Twin\u2010to\u2010twin transfusion syndrome (TTTS)","volume":"39","author":"Baschat A","year":"2011","journal-title":"J Perinat Med"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100029\u20101241884"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000304512"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12641"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/thg.2016.18"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101376391"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14925"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4046"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.292"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa032597"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.09.043"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5328"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(13)62419\u20108"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/thg.2016.25"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474086.2016.1200968"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2010.07.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5362"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14913"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000365919"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000374109"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(07)61602\u2010x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469\u20100705.2001.00369.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.04.015"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354898"},{"key":"e_1_2_9_27_1","volume-title":"Ages and Stages Questionnaires [R], Third Edition (ASQ\u20103 [TM]): A Parent\u2010Completed Child\u2010Monitoring System","author":"Squire J","year":"2009"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103476(78)80282\u20100"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651\u20102227.2010.01830.x"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26089"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2022.100055"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.11.031"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26252"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1159\/000528774"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4449"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1590\/0004\u2010282x20140237"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1590\/0004\u2010282x20160032"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.6523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T02:05:52Z","timestamp":1710468352000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.6523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/pd.6523"],"URL":"https:\/\/doi.org\/10.1002\/pd.6523","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]},"assertion":[{"value":"2023-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}