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Related Experiment Video

Updated: Feb 4, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas

Published on: September 5, 2011

Selective fetal reduction in monochorionic twins: Preliminary experience

Vatsla Dadhwal¹, Aparna K. Sharma¹, Dipika Deka¹

¹Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India

Journal of the Turkish German Gynecological Association

|October 10, 2018

Summary

Selective fetal reduction in complicated twin pregnancies using bipolar cord coagulation (BPCC), radiofrequency ablation (RFA), and interstitial laser ablation (ILA) showed technical success but high adverse perinatal outcomes.

Keywords:

Monochorionic selective fetal reduction bipolar cord coagulation interstitial laser radiofrequency ablation

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Published on: March 21, 2018

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Last Updated: Feb 4, 2026

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Published on: September 5, 2011

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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Area of Science:

Maternal-Fetal Medicine
Reproductive Surgery
Perinatology

Background:

Complicated mono-chorionic twin pregnancies pose significant risks.
Selective fetal reduction is a proposed intervention for severe cases.
Vaso-occlusive techniques are commonly employed for fetal reduction.

Purpose of the Study:

To present preliminary data on selective fetal reduction procedures.
To evaluate outcomes of bipolar cord coagulation (BPCC), radiofrequency ablation (RFA), and interstitial laser ablation (ILA).
To assess feasibility and perinatal outcomes at a tertiary care center in India.

Main Methods:

Prospective observational study of 31 patients.
Interventions included ILA, RFA, and BPCC for selective feticide.
Outcome measures: co-twin survival, miscarriage, and fetal death rates.

Main Results:

Technical success rate of 96.8% (30/31 pregnancies).
Overall take-home baby rate was 63.3%.
Live birth rates varied: 50% (ILA), 71.4% (RFA), and 75% (BPCC).

Conclusions:

Selective fetal reduction procedures are feasible in complicated mono-chorionic twins.
These interventions are associated with a high rate of adverse perinatal outcomes.
Further research is needed to optimize outcomes and minimize risks.