{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:01:23Z","timestamp":1791262883834,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,9,2]],"date-time":"2013-09-02T00:00:00Z","timestamp":1378080000000},"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":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To document perinatal outcomes following use of the \u2018Solomon technique\u2019 in the selective photocoagulation of placental anastomoses for severe twin\u2013twin transfusion syndrome (TTTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2010 and July 2012, data were collected from 102 consecutive monochorionic twin pregnancies complicated by severe TTTS that underwent fetoscopic laser ablation at four different centers. We compared outcomes between subjects that underwent selective laser coagulation using the Solomon technique (cases) and those that underwent selective laser coagulation without this procedure (controls).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 102 pregnancies examined, 26 (25.5%) underwent the Solomon technique and 76 (74.5%) did not. Of the 204 fetuses, 139 (68.1%) survived up to 30 days of age. At least one twin survived in 82 (80.4%) pregnancies and both twins survived in 57 (55.9%) pregnancies. When compared with the control group, the Solomon\u2010technique group had a significantly higher survival rate for both twins (84.6\n                      <jats:italic>vs<\/jats:italic>\n                      46.1%;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01) and a higher overall neonatal survival rate (45\/52 (86.5%)\n                      <jats:italic>vs<\/jats:italic>\n                      94\/152 (61.8%);\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01). Use of the Solomon technique remained independently associated with dual twin survival (adjusted odds ratio (aOR), 11.35 (95% CI, 3.11\u201353.14);\n                      <jats:italic>P<\/jats:italic>\n                      = 0.0007) and overall neonatal survival rate (aOR, 4.65 (95% CI, 1.59\u201313.62);\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005) on multivariable analysis. There were no cases of recurrent TTTS or twin anemia\u2013polycythemia sequence (TAPS) in the Solomon\u2010technique group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Use of the Solomon technique following selective laser coagulation of placental anastomoses appears to improve twin survival and may reduce the risk of recurrent TTTS and TAPS. Our data support the idea of performing a randomized controlled trial to evaluate the effectiveness of the Solomon technique. Copyright \u00a9 2013 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/uog.12492","type":"journal-article","created":{"date-parts":[[2013,4,24]],"date-time":"2013-04-24T13:37:12Z","timestamp":1366810632000},"page":"434-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":102,"title":["Fetoscopic laser ablation of placental anastomoses in twin\u2013twin transfusion syndrome using \u2018Solomon technique\u2019"],"prefix":"10.1002","volume":"42","author":[{"given":"R.","family":"Ruano","sequence":"first","affiliation":[{"name":"Baylor College of Medicine and Texas Children's Hospital Department of Obstetics and Gynecology, Division of Maternal\u2010Fetal Medicine Houston TX USA"},{"name":"Faculdade de Medicina da Universidade de Sao Paulo Department of Obstetrics and Gynecology Sao Paulo, SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Rodo","sequence":"additional","affiliation":[{"name":"Hospital Universitari Vall d'Hebron and University Autonoma de Barcelona Fetal Surgery Program Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. L.","family":"Peiro","sequence":"additional","affiliation":[{"name":"Hospital Universitari Vall d'Hebron and University Autonoma de Barcelona Fetal Surgery Program Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. A.","family":"Shamshirsaz","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine and Texas Children's Hospital Department of Obstetics and Gynecology, Division of Maternal\u2010Fetal Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Haeri","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine and Texas Children's Hospital Department of Obstetics and Gynecology, Division of Maternal\u2010Fetal Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. L.","family":"Nomura","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Institute in Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. M. A.","family":"Salustiano","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de Sao Paulo Department of Obstetrics and Gynecology Sao Paulo, SP Brazil"},{"name":"Maternal\u2010Fetal Institute in Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. K.","family":"de Andrade","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Institute in Campinas Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Sangi\u2010Haghpeykar","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine and Texas Children's Hospital Department of Obstetics and Gynecology, Division of Maternal\u2010Fetal Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Carreras","sequence":"additional","affiliation":[{"name":"Hospital Universitari Vall d'Hebron and University Autonoma de Barcelona Fetal Surgery Program Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Belfort","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine and Texas Children's Hospital Department of Obstetics and Gynecology, Division of Maternal\u2010Fetal Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211405"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0095-5108(03)00051-4"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032597"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2009.39"},{"issue":"444","key":"e_1_2_5_6_1","first-page":"e1","article-title":"Long\u2010term developmental follow\u2010up of infants who participated in a randomized clinical trial of amniocentesis vs laser photocoagulation for the treatment of twin\u2010to\u2010twin transfusion syndrome","volume":"203","author":"Salomon LJ","year":"2010","journal-title":"Am J Obstet Gynecol"},{"issue":"291","key":"e_1_2_5_7_1","first-page":"e1","article-title":"Neurodevelopmental outcome at 2 years in children born preterm treated by amnioreduction or fetoscopic laser surgery for twin\u2010to\u2010twin transfusion syndrome: comparison with dichorionic twins","volume":"201","author":"Lenclen R","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7748"},{"issue":"393","key":"e_1_2_5_9_1","first-page":"e1","article-title":"Stage\u2010based outcomes of 682 consecutive cases of twin\u2013twin transfusion syndrome treated with laser surgery: the USFetus experience","volume":"204","author":"Chmait RH","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2803"},{"key":"e_1_2_5_11_1","first-page":"1046","article-title":"Fetoscopic neodymium:YAG laser occlusion of placental vessels in severe twin\u2013twin transfusion syndrome","volume":"75","author":"De Lia JE","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199501263320404"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01172-8"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2011.05.009"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2010.09.003"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000304512"},{"key":"e_1_2_5_17_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_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91480-3"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199812010-00001"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2453"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1241884"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000336227"},{"key":"e_1_2_5_23_1","first-page":"e3208","article-title":"Accurate and simple evaluation of vascular anastomoses in monochorionic placenta using colored dye","volume":"5","author":"Lopriore E","year":"2011","journal-title":"J Vis Exp"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.12492","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.12492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T15:43:48Z","timestamp":1696347828000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.12492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,2]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1002\/uog.12492"],"URL":"https:\/\/doi.org\/10.1002\/uog.12492","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,2]]},"assertion":[{"value":"2013-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-09-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}