Are commercial warming kits interchangeable for vitrified human blastocysts? Further evidence for the adoption of a Universal Warming protocol

Purpose To study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts. Methods This is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified usi...

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Veröffentlicht in:Journal of assisted reproduction and genetics 2022-01, Vol.39 (1), p.67-73
Hauptverfasser: Canosa, Stefano, Parmegiani, Lodovico, Charrier, Lorena, Gennarelli, Gianluca, Garello, Cristina, Granella, Francesca, Evangelista, Francesca, Monelli, Giuseppe, Guidetti, Daniela, Revelli, Alberto, Filicori, Marco, Bongioanni, Francesca
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container_end_page 73
container_issue 1
container_start_page 67
container_title Journal of assisted reproduction and genetics
container_volume 39
creator Canosa, Stefano
Parmegiani, Lodovico
Charrier, Lorena
Gennarelli, Gianluca
Garello, Cristina
Granella, Francesca
Evangelista, Francesca
Monelli, Giuseppe
Guidetti, Daniela
Revelli, Alberto
Filicori, Marco
Bongioanni, Francesca
description Purpose To study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts. Methods This is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified using only one brand of ready-to-use kits (Kitazato), whereas the warming procedure was performed with three of the most widely used vitrification/warming kits (Kitazato, Sage and Irvine) after patient stratification for oocyte source. The primary endpoint was survival rate, while the secondary endpoints were clinical pregnancy, live birth and miscarriage rates. Results We observed a comparable survival rate across all groups of 100% (47/47) in KK, 97.6% (49/50) in KS, 97.6% (41/42) in KI, 100% (38/38) in dKK, 100% (35/35) in dKS and 100% (43/43) in dKI. Clinical pregnancy rates were also comparable: 38.3% (18/47) in KK, 49% (24/49) in KS, 56.1% (23/ 41) in KI, 47.4% (18/38) in dKK, 31.4% (11/35) in dKS and 48.8% (21/ 43) in dKI. Finally, live birth rates were 29.8% (14/47) in KK, 36.7% (18/49) in KS, 46.3% (19/41) in KI, 36.8% (14/38) in dKK, 25.7% (9/35) in dKS and 41.9% (18/43) in dKI, showing no significant differences. Conclusion This study confirmed the efficacy of applying a single warming protocol, despite what the “industry” has led us to believe, supporting the idea that it is time to proceed in the cryopreservation field and encouraging embryologists worldwide to come out and reveal that such a procedure is possible and safe.
doi_str_mv 10.1007/s10815-021-02364-1
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Further evidence for the adoption of a Universal Warming protocol</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Canosa, Stefano ; Parmegiani, Lodovico ; Charrier, Lorena ; Gennarelli, Gianluca ; Garello, Cristina ; Granella, Francesca ; Evangelista, Francesca ; Monelli, Giuseppe ; Guidetti, Daniela ; Revelli, Alberto ; Filicori, Marco ; Bongioanni, Francesca</creator><creatorcontrib>Canosa, Stefano ; Parmegiani, Lodovico ; Charrier, Lorena ; Gennarelli, Gianluca ; Garello, Cristina ; Granella, Francesca ; Evangelista, Francesca ; Monelli, Giuseppe ; Guidetti, Daniela ; Revelli, Alberto ; Filicori, Marco ; Bongioanni, Francesca</creatorcontrib><description>Purpose To study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts. Methods This is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified using only one brand of ready-to-use kits (Kitazato), whereas the warming procedure was performed with three of the most widely used vitrification/warming kits (Kitazato, Sage and Irvine) after patient stratification for oocyte source. The primary endpoint was survival rate, while the secondary endpoints were clinical pregnancy, live birth and miscarriage rates. Results We observed a comparable survival rate across all groups of 100% (47/47) in KK, 97.6% (49/50) in KS, 97.6% (41/42) in KI, 100% (38/38) in dKK, 100% (35/35) in dKS and 100% (43/43) in dKI. Clinical pregnancy rates were also comparable: 38.3% (18/47) in KK, 49% (24/49) in KS, 56.1% (23/ 41) in KI, 47.4% (18/38) in dKK, 31.4% (11/35) in dKS and 48.8% (21/ 43) in dKI. Finally, live birth rates were 29.8% (14/47) in KK, 36.7% (18/49) in KS, 46.3% (19/41) in KI, 36.8% (14/38) in dKK, 25.7% (9/35) in dKS and 41.9% (18/43) in dKI, showing no significant differences. Conclusion This study confirmed the efficacy of applying a single warming protocol, despite what the “industry” has led us to believe, supporting the idea that it is time to proceed in the cryopreservation field and encouraging embryologists worldwide to come out and reveal that such a procedure is possible and safe.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-021-02364-1</identifier><identifier>PMID: 34845576</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Birth rate ; Blastocysts ; Blastomeres - cytology ; Blastomeres - physiology ; Cohort Studies ; Cryopreservation ; Embryo Transfer - methods ; Embryology ; Embryos ; Female ; Gynecology ; Hot Temperature - therapeutic use ; Human Genetics ; Humans ; In vitro fertilization ; Laboratories ; Longitudinal Studies ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oocytes - cytology ; Oocytes - parasitology ; Opinion ; Ovaries ; Pregnancy ; Reproductive Medicine ; Sperm ; Survival ; Vitrification</subject><ispartof>Journal of assisted reproduction and genetics, 2022-01, Vol.39 (1), p.67-73</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. 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Further evidence for the adoption of a Universal Warming protocol</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Purpose To study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts. Methods This is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified using only one brand of ready-to-use kits (Kitazato), whereas the warming procedure was performed with three of the most widely used vitrification/warming kits (Kitazato, Sage and Irvine) after patient stratification for oocyte source. The primary endpoint was survival rate, while the secondary endpoints were clinical pregnancy, live birth and miscarriage rates. Results We observed a comparable survival rate across all groups of 100% (47/47) in KK, 97.6% (49/50) in KS, 97.6% (41/42) in KI, 100% (38/38) in dKK, 100% (35/35) in dKS and 100% (43/43) in dKI. Clinical pregnancy rates were also comparable: 38.3% (18/47) in KK, 49% (24/49) in KS, 56.1% (23/ 41) in KI, 47.4% (18/38) in dKK, 31.4% (11/35) in dKS and 48.8% (21/ 43) in dKI. Finally, live birth rates were 29.8% (14/47) in KK, 36.7% (18/49) in KS, 46.3% (19/41) in KI, 36.8% (14/38) in dKK, 25.7% (9/35) in dKS and 41.9% (18/43) in dKI, showing no significant differences. 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Further evidence for the adoption of a Universal Warming protocol</title><author>Canosa, Stefano ; Parmegiani, Lodovico ; Charrier, Lorena ; Gennarelli, Gianluca ; Garello, Cristina ; Granella, Francesca ; Evangelista, Francesca ; Monelli, Giuseppe ; Guidetti, Daniela ; Revelli, Alberto ; Filicori, Marco ; Bongioanni, Francesca</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-77772b4d8d345180c47d54f721a56f601656cdbe72f3bdee688c65ebebd8e7883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Birth rate</topic><topic>Blastocysts</topic><topic>Blastomeres - cytology</topic><topic>Blastomeres - physiology</topic><topic>Cohort Studies</topic><topic>Cryopreservation</topic><topic>Embryo Transfer - methods</topic><topic>Embryology</topic><topic>Embryos</topic><topic>Female</topic><topic>Gynecology</topic><topic>Hot Temperature - therapeutic use</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>In vitro fertilization</topic><topic>Laboratories</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; 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Further evidence for the adoption of a Universal Warming protocol</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><stitle>J Assist Reprod Genet</stitle><addtitle>J Assist Reprod Genet</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>39</volume><issue>1</issue><spage>67</spage><epage>73</epage><pages>67-73</pages><issn>1058-0468</issn><eissn>1573-7330</eissn><abstract>Purpose To study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts. Methods This is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified using only one brand of ready-to-use kits (Kitazato), whereas the warming procedure was performed with three of the most widely used vitrification/warming kits (Kitazato, Sage and Irvine) after patient stratification for oocyte source. The primary endpoint was survival rate, while the secondary endpoints were clinical pregnancy, live birth and miscarriage rates. Results We observed a comparable survival rate across all groups of 100% (47/47) in KK, 97.6% (49/50) in KS, 97.6% (41/42) in KI, 100% (38/38) in dKK, 100% (35/35) in dKS and 100% (43/43) in dKI. Clinical pregnancy rates were also comparable: 38.3% (18/47) in KK, 49% (24/49) in KS, 56.1% (23/ 41) in KI, 47.4% (18/38) in dKK, 31.4% (11/35) in dKS and 48.8% (21/ 43) in dKI. Finally, live birth rates were 29.8% (14/47) in KK, 36.7% (18/49) in KS, 46.3% (19/41) in KI, 36.8% (14/38) in dKK, 25.7% (9/35) in dKS and 41.9% (18/43) in dKI, showing no significant differences. Conclusion This study confirmed the efficacy of applying a single warming protocol, despite what the “industry” has led us to believe, supporting the idea that it is time to proceed in the cryopreservation field and encouraging embryologists worldwide to come out and reveal that such a procedure is possible and safe.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34845576</pmid><doi>10.1007/s10815-021-02364-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4390-9428</orcidid><orcidid>https://orcid.org/0000-0001-6402-6750</orcidid><orcidid>https://orcid.org/0000-0002-1300-4508</orcidid><orcidid>https://orcid.org/0000-0002-5797-3722</orcidid><orcidid>https://orcid.org/0000-0003-4995-0317</orcidid><orcidid>https://orcid.org/0000-0003-3901-885X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Birth rate
Blastocysts
Blastomeres - cytology
Blastomeres - physiology
Cohort Studies
Cryopreservation
Embryo Transfer - methods
Embryology
Embryos
Female
Gynecology
Hot Temperature - therapeutic use
Human Genetics
Humans
In vitro fertilization
Laboratories
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Middle Aged
Oocytes - cytology
Oocytes - parasitology
Opinion
Ovaries
Pregnancy
Reproductive Medicine
Sperm
Survival
Vitrification
title Are commercial warming kits interchangeable for vitrified human blastocysts? Further evidence for the adoption of a Universal Warming protocol
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