{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:17:18Z","timestamp":1792531038291,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,6,27]],"date-time":"2016-06-27T00:00:00Z","timestamp":1466985600000},"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":["BJOG"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To describe the incidence and nature of prenatal brain damage following fetoscopic laser selective coagulation (\n                      <jats:styled-content style=\"fixed-case\">FLSC<\/jats:styled-content>\n                      ) of placental vessels for twin\u2010to\u2010twin transfusion syndrome (\n                      <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single center cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>\n                      All consecutive cases referred for\n                      <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>\n                      treated by\n                      <jats:styled-content style=\"fixed-case\">FLSC<\/jats:styled-content>\n                      between 2003 and 2015.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      After the\n                      <jats:styled-content style=\"fixed-case\">FLSC<\/jats:styled-content>\n                      , patients were followed weekly by ultrasound. Fetal magnetic resonance imaging (\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      ) scans were systematically planned at 30\u201332 weeks of gestation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>\n                      Brain damage diagnosed prenatally by ultrasound or\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 1023 cases were reviewed. Brain damage was diagnosed prenatally in 22\/1023 (2.1%) cases. Diagnosis was performed by ultrasound prior to\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      in 18 (82%) cases. All lesions were within the spectrum of ischaemic haemorrhagic lesions. Postoperative twin anaemia polycythaemia sequence and recurrence of\n                      <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>\n                      were significantly associated with brain damage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The incidence of prenatal brain damage is low following\n                      <jats:styled-content style=\"fixed-case\">FSLC<\/jats:styled-content>\n                      , and is strongly associated with incomplete surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Tweetable abstract<\/jats:title>\n                    <jats:p>\n                      Following\n                      <jats:styled-content style=\"fixed-case\">FSLC<\/jats:styled-content>\n                      for\n                      <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>\n                      , prenatal brain damage occurs in 2% of cases and is associated with incomplete surgery.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.14162","type":"journal-article","created":{"date-parts":[[2016,6,27]],"date-time":"2016-06-27T11:00:14Z","timestamp":1467025214000},"page":"1186-1191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Fetal brain imaging following laser surgery in twin\u2010to\u2010twin surgery"],"prefix":"10.1111","volume":"125","author":[{"given":"J","family":"Stirnemann","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Universit\u00e9 Paris Descartes Paris Sorbonne\u2010Cit\u00e9 Paris France"},{"name":"EA7328 Universit\u00e9 Paris Descartes Paris Sorbonne\u2010Cit\u00e9 Paris France"},{"name":"H\u00f4pital Necker\u2010Enfants Malades Assistance Publique\u2010H\u00f4pitaux de Paris Paris France"},{"name":"Centre National de R\u00e9f\u00e9rence des Grossesses Monochoriales Compliqu\u00e9es Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Chalouhi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Universit\u00e9 Paris Descartes Paris Sorbonne\u2010Cit\u00e9 Paris France"},{"name":"EA7328 Universit\u00e9 Paris Descartes Paris Sorbonne\u2010Cit\u00e9 Paris France"},{"name":"H\u00f4pital Necker\u2010Enfants Malades Assistance Publique\u2010H\u00f4pitaux de Paris Paris France"},{"name":"Centre National de R\u00e9f\u00e9rence des Grossesses Monochoriales Compliqu\u00e9es Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Essaoui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Universit\u00e9 Paris 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