In utero laser treatment of type II vasa previa

Rubén A. Quintero, Eftichia V. Kontopoulos, Patricia W. Bornick, Mary H. Allen

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Vasa previa, defined as fetal vessels coursing within the membranes between the presenting part and the cervix, occurs in approximately 1:2500-5000 pregnancies. Type II vasa previa consists of fetal vessels crossing over the internal os connecting a bilobed placenta or a succenturiate lobe with the main placental mass. These vessels are prone to compression during labor or may tear when membranes rupture potentially resulting in fetal exsanguination and neonatal death. This complication could be avoided altogether if the vessels could be obliterated in utero. The purpose of this communication is to report the successful in utero laser ablation of type II vasa previa at 22.5 weeks of gestation. Subsequent ruptured membranes did not result in untoward fetal consequences. Risks and benefits of this novel procedure are discussed.

Original languageEnglish (US)
Pages (from-to)847-851
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume20
Issue number12
DOIs
StatePublished - Dec 10 2007

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Keywords

  • Doppler
  • Fetal therapy
  • Operative fetoscopy
  • Ultrasound
  • Vasa previa

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Quintero, R. A., Kontopoulos, E. V., Bornick, P. W., & Allen, M. H. (2007). In utero laser treatment of type II vasa previa. Journal of Maternal-Fetal and Neonatal Medicine, 20(12), 847-851. https://doi.org/10.1080/14767050701731605