Neodymium: yttrium-aluminum-garnet laser occlusion of rhesus placental vasculature via fetoscopy
We tested the feasibility of photocoagulating placental vascular communications with a fetoscopically delivered neodymium:yttrium-aluminum-garnet laser in 12 pregnant monkeys in the second trimester. The technique was successful in eight cases. One ended in spontaneous labor 2 weeks after occlusion...
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Veröffentlicht in: | American journal of obstetrics and gynecology 1989-02, Vol.160 (2), p.485-489 |
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container_title | American journal of obstetrics and gynecology |
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creator | Delia, Julian E. Cukierski, Mark A. Lundergan, Dan K. Kochenour, Neil K. |
description | We tested the feasibility of photocoagulating placental vascular communications with a fetoscopically delivered neodymium:yttrium-aluminum-garnet laser in 12 pregnant monkeys in the second trimester. The technique was successful in eight cases. One ended in spontaneous labor 2 weeks after occlusion and one stillbirth occurred at term. Six live fetuses were delivered at term, with all treated vessels demonstrating occlusion. There was minimal placental damage at the laser impact sites, and no fetal abnormalities were detected. Long-term occlusion of placental vasculature can be accomplished by fetoscopically delivered laser energy. (Am J Obstet Gynecol 1989;160:485-9.) |
doi_str_mv | 10.1016/0002-9378(89)90477-8 |
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The technique was successful in eight cases. One ended in spontaneous labor 2 weeks after occlusion and one stillbirth occurred at term. Six live fetuses were delivered at term, with all treated vessels demonstrating occlusion. There was minimal placental damage at the laser impact sites, and no fetal abnormalities were detected. Long-term occlusion of placental vasculature can be accomplished by fetoscopically delivered laser energy. (Am J Obstet Gynecol 1989;160:485-9.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(89)90477-8</identifier><identifier>PMID: 2916637</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Animals ; Biological and medical sciences ; Blood Vessels - pathology ; Diseases of mother, fetus and pregnancy ; Female ; Fetoscopy ; Gynecology. Andrology. Obstetrics ; Lasers ; Light Coagulation - methods ; Macaca mulatta ; Medical sciences ; neodymium: yttrium-aluminum-garnet laser ; Placenta - blood supply ; Placenta - pathology ; placental vasculature ; Pregnancy ; Pregnancy. Fetus. 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The technique was successful in eight cases. One ended in spontaneous labor 2 weeks after occlusion and one stillbirth occurred at term. Six live fetuses were delivered at term, with all treated vessels demonstrating occlusion. There was minimal placental damage at the laser impact sites, and no fetal abnormalities were detected. Long-term occlusion of placental vasculature can be accomplished by fetoscopically delivered laser energy. (Am J Obstet Gynecol 1989;160:485-9.)</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood Vessels - pathology</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetoscopy</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Lasers</subject><subject>Light Coagulation - methods</subject><subject>Macaca mulatta</subject><subject>Medical sciences</subject><subject>neodymium: yttrium-aluminum-garnet laser</subject><subject>Placenta - blood supply</subject><subject>Placenta - pathology</subject><subject>placental vasculature</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prenatal Diagnosis</subject><subject>Vascular Surgical Procedures - methods</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhq0K1C6l_6CVfEAIDqG2k_ijByRU8SVV9AJn4zhjMHLixR8r7b8n6a72yGlmNM-8Gj0IXVPyjhLKbwkhrFGtkG-keqtIJ0Qjz9CGEiUaLrl8hjYn5AK9yPnPOjLFztE5U5TzVmzQz28Qx_3k63SH96WkpWlMqJOfl-aXSTMUHEyGhKO1oWYfZxwdTr8h14y3wViYiwl4Z7KtwZSaAO-8wQ5KzDZu9y_Rc2dChqtjvUQ_Pn38fv-leXj8_PX-w0NjW8lLMzroDRBrTCtby-wg6SAF6QVzpOt64VzHWiEGS2Q7iKGzXPRcMUaBE8fk2F6i14fcbYp_K-SiJ58thGBmiDVrIWXfKU4WsDuANsWcEzi9TX4yaa8p0atYvWrSqzUtlX4Sq-VydnPMr8ME4-noaHLZvzruFxMmuGRm6_MJ470gtFtj3h8wWFzsPCSdrYfZwugT2KLH6P__xz8jtpYO</recordid><startdate>19890201</startdate><enddate>19890201</enddate><creator>Delia, Julian E.</creator><creator>Cukierski, Mark A.</creator><creator>Lundergan, Dan K.</creator><creator>Kochenour, Neil K.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890201</creationdate><title>Neodymium: yttrium-aluminum-garnet laser occlusion of rhesus placental vasculature via fetoscopy</title><author>Delia, Julian E. ; Cukierski, Mark A. ; Lundergan, Dan K. ; Kochenour, Neil K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-dfe5ae0caa383c2cb81b870572f04457ff42377bc083b7b4c67569221e60f28d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blood Vessels - pathology</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetoscopy</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Lasers</topic><topic>Light Coagulation - methods</topic><topic>Macaca mulatta</topic><topic>Medical sciences</topic><topic>neodymium: yttrium-aluminum-garnet laser</topic><topic>Placenta - blood supply</topic><topic>Placenta - pathology</topic><topic>placental vasculature</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prenatal Diagnosis</topic><topic>Vascular Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delia, Julian E.</creatorcontrib><creatorcontrib>Cukierski, Mark A.</creatorcontrib><creatorcontrib>Lundergan, Dan K.</creatorcontrib><creatorcontrib>Kochenour, Neil K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delia, Julian E.</au><au>Cukierski, Mark A.</au><au>Lundergan, Dan K.</au><au>Kochenour, Neil K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neodymium: yttrium-aluminum-garnet laser occlusion of rhesus placental vasculature via fetoscopy</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1989-02-01</date><risdate>1989</risdate><volume>160</volume><issue>2</issue><spage>485</spage><epage>489</epage><pages>485-489</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>We tested the feasibility of photocoagulating placental vascular communications with a fetoscopically delivered neodymium:yttrium-aluminum-garnet laser in 12 pregnant monkeys in the second trimester. The technique was successful in eight cases. One ended in spontaneous labor 2 weeks after occlusion and one stillbirth occurred at term. Six live fetuses were delivered at term, with all treated vessels demonstrating occlusion. There was minimal placental damage at the laser impact sites, and no fetal abnormalities were detected. Long-term occlusion of placental vasculature can be accomplished by fetoscopically delivered laser energy. (Am J Obstet Gynecol 1989;160:485-9.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>2916637</pmid><doi>10.1016/0002-9378(89)90477-8</doi><tpages>5</tpages></addata></record> |
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language | eng |
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subjects | Animals Biological and medical sciences Blood Vessels - pathology Diseases of mother, fetus and pregnancy Female Fetoscopy Gynecology. Andrology. Obstetrics Lasers Light Coagulation - methods Macaca mulatta Medical sciences neodymium: yttrium-aluminum-garnet laser Placenta - blood supply Placenta - pathology placental vasculature Pregnancy Pregnancy. Fetus. Placenta Prenatal Diagnosis Vascular Surgical Procedures - methods |
title | Neodymium: yttrium-aluminum-garnet laser occlusion of rhesus placental vasculature via fetoscopy |
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