{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T05:24:04Z","timestamp":1738041844873,"version":"3.33.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,2]],"date-time":"2024-06-02T00:00:00Z","timestamp":1717286400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine infant outcomes at 3\u2009years of age in monochorionic twin pregnancies with Type\u2010II or \u2010III selective fetal growth restriction (sFGR) and isolated oligohydramnios who underwent fetoscopic laser photocoagulation (FLP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This multicenter prospective cohort study included monochorionic diamniotic twins that underwent FLP for sFGR between 16 and 25\u2009weeks' gestation. The indication for performing FLP was Type\u2010II or \u2010III sFGR with oligohydramnios of the growth\u2010restricted (FGR) twin in which the maximum vertical pocket of amniotic fluid was \u2264\u20092\u2009cm. This was done in the absence of a typical diagnosis of twin\u2013twin transfusion syndrome. The primary outcome was intact survival rate of both infants at the corrected gestational age of 40\u2009weeks and at 3\u2009years of age. Intact survival at the corrected age of 40\u2009weeks was defined as survival without Grade\u2010III or \u2010IV intraventricular hemorrhage or cystic periventricular leukomalacia. Intact survival at 3\u2009years of age was defined as survival without neurodevelopmental morbidity, which included cerebral palsy, neurodevelopmental impairment with a total developmental quotient of &lt;\u200970, bilateral deafness or bilateral blindness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 45 patients with sFGR, 30 (66.7%) were classified as having Type\u2010II and 15 (33.3%) as Type\u2010III sFGR. The prevalence of intact survival at the corrected age of 40\u2009weeks was 51.1% (<jats:italic>n<\/jats:italic>\u2009=\u200923) in FGR twins and 95.5% (<jats:italic>n<\/jats:italic>\u2009=\u200942) in larger twins. The prevalence of intact survival at 3\u2009years of age was 46.7% (<jats:italic>n<\/jats:italic>\u2009=\u200921) in FGR twins and 86.4% (<jats:italic>n<\/jats:italic>\u2009=\u200938) in larger twins. There was one case of miscarriage. Among the 24 FGR twins who were not classified as having intact survival at 3\u2009years of age, 22 (91.7%) cases suffered fetal or infant demise (other than miscarriage), and there was one case of neurodevelopmental impairment. All larger twins who were not diagnosed with intact survival at 3\u2009years of age (<jats:italic>n<\/jats:italic>\u2009=\u20096 (13.6%)) had neurological morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FGR twins and their larger cotwins, when subjected to FLP owing to sFGR coupled with umbilical artery Doppler abnormalities and isolated oligohydramnios, exhibit low rates of neurological morbidity and low mortality, respectively. Therefore, FLP for Type\u2010II or \u2010III sFGR with oligohydramnios may be a feasible management option and one that is preferable to expectant management. \u00a9 2023 International Society of Ultrasound in Obstetrics and Gynecology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.27551","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T04:24:25Z","timestamp":1701318265000},"page":"758-763","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Infant outcome at 3 years of age of monochorionic twins with <scp>Type\u2010II<\/scp> or \u2010<scp>III<\/scp> selective fetal growth restriction and isolated oligohydramnios that underwent fetoscopic laser photocoagulation"],"prefix":"10.1002","volume":"63","author":[{"given":"R.","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Maternal Fetal Medicine Osaka Women's and Children's Hospital  Izumi 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