{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:03:02Z","timestamp":1792602182479,"version":"4.5.0"},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2002,12,23]],"date-time":"2002-12-23T00:00:00Z","timestamp":1040601600000},"content-version":"vor","delay-in-days":843,"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":[[2000,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We have recently described a surgical technique for the treatment of twin\u2010to\u2010twin transfusion syndrome (TTTS) that allows precise identification of vascular anastomoses (selective laser photocoagulation of communicating vessels, or S\u2010LPCV). The purpose of this study was to compare S\u2010LPCV with the previous non\u2010selective technique (NS\u2010LPCV) that targeted all vessels crossing the dividing membrane.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Patients with TTTS were treated with NS\u2010LPCV from May 1994 to June 1997 and with S\u2010LPCV from July 1997 to December 1999. TTTS was defined as polyhydramnios of \u22658 cm maximum vertical pocket (MVP) in the recipient twin and oligohydramnios of \u22642 cm MVP in the donor twin. Outcome was measured as survival per number of pregnancies and per number of fetuses together with limited morbidity data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>NS\u2010LPCV was used in 18 patients and 74 were treated with S\u2010LPCV. Three patients interrupted their pregnancies electively after surgery (S\u2010LPCV) and were removed from further analysis. Survival of at least one fetus was higher in S\u2010LPCV (83.1%) than in NS\u2010LPCV (61.1%) (<jats:italic>P<\/jats:italic> = 0.04), mostly due to a lower rate of dual intra\u2010uterine fetal demise in S\u2010LPCV (5.6%) than in NS\u2010LPCV (22%) (<jats:italic>P<\/jats:italic> = 0.05). There were more hydropic fetuses in the NS\u2010LPCV group (27%) than in the S\u2010LPCV group (5.4%), but this difference did not account for the results. There was no difference in the survival per number of fetuses between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>S\u2010LPCV represents an important evolution in the surgical treatment of TTTS. The use of this technique by all centers should allow better comparison of fetal survival and morbidity rates. S\u2010LPCV should be the standard technique in trials comparing amniocentesis versus laser for the treatment of severe TTTS. Copyright \u00a9 2000 International Society of Ultrasound in Obstetrics and Gynecology<\/jats:p><\/jats:sec>","DOI":"10.1046\/j.1469-0705.2000.00265.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T23:13:29Z","timestamp":1047510809000},"page":"230-236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":182,"title":["Selective versus non\u2010selective laser photocoagulation of placental vessels in twin\u2010to\u2010twin transfusion syndrome"],"prefix":"10.1002","volume":"16","author":[{"given":"R. A.","family":"Quintero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Comas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. W.","family":"Bornick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H.","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kruger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2002,12,23]]},"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1469-0705.2000.00265.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1469-0705.2000.00265.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1046\/j.1469-0705.2000.00265.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T18:41:38Z","timestamp":1698604898000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1046\/j.1469-0705.2000.00265.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,9]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2000,9]]}},"alternative-id":["10.1046\/j.1469-0705.2000.00265.x"],"URL":"https:\/\/doi.org\/10.1046\/j.1469-0705.2000.00265.x","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,9]]},"assertion":[{"value":"2000-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-09-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2002-12-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}