dc.creator | García Díaz, Lutgardo | es |
dc.creator | Agustín, Juan Carlos de | es |
dc.creator | Ontanilla, Antonio | es |
dc.creator | Marenco, María Luisa | es |
dc.creator | Pavón, Antonio | es |
dc.creator | Losada, Antonio | es |
dc.creator | Antiñolo Gil, Guillermo | es |
dc.date.accessioned | 2021-06-18T08:51:36Z | |
dc.date.available | 2021-06-18T08:51:36Z | |
dc.date.issued | 2014-07-30 | |
dc.identifier.citation | García Díaz, L., Agustín, J.C.d., Ontanilla, A., Marenco, M.L., Pavón, A., Losada, A. y Antiñolo Gil, G. (2014). EXIT procedure in twin pregnancy: a series of three cases from a single center. BMC Pregnancy And Childbirth, 14 (252) | |
dc.identifier.issn | 1471-2393 (electrónico) | es |
dc.identifier.uri | https://hdl.handle.net/11441/111879 | |
dc.description.abstract | Background: Indications for the ex utero intrapartum therapy (EXIT) procedure have evolved and nowadays in
addition to secure the airway, obtain vascular access, administer surfactant and other resuscitation medications, EXIT
is used to resect cervical or thoracic masses, for extracorporeal membrane circulation (ECMO) cannulation, as well as
to rescue maximum intra-thoracic space for ventilation of the remaining functional lung tissue or in cases in which
resuscitation of the neonate may be compromised. EXIT procedure in twin pregnancy has been rarely reported and
some doubts have been raised about its strategy and safety in such cases.
Methods: We reviewed the medical records of 3 twin pregnancy cases where the EXIT procedure have been
performed in our center.
Results: The mean gestational age at EXIT procedure was 34 + 4 weeks. In two out the three EXIT procedures, the
affected twin was delivered first. The average time on placental bypass was 9 minutes. There were no fetal or
maternal complications related to the EXIT procedure. All newborns are currently doing well.
Conclusion: In twin pregnancies, prenatal diagnosis combined with the EXIT procedure permits the formulation of
a controlled delivery strategy to secure both newborns outcome. In those pregnancies, if intervention can be
accomplished without compromise of the normal twin, EXIT can be considered. Our results support that EXIT
procedure, if properly planned, safely provides a good outcome for both the fetuses as well as the mother. | es |
dc.format | application/pdf | es |
dc.format.extent | 4 p. | es |
dc.language.iso | eng | es |
dc.publisher | BMC | es |
dc.relation.ispartof | BMC Pregnancy And Childbirth, 14 (252) | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Prenatal diagnosis | es |
dc.subject | Fetal medicine | es |
dc.subject | Fetal intervention | es |
dc.subject | Twin pregnancy | es |
dc.subject | Ex utero intrapartum therapy | es |
dc.subject | EXIT procedure | es |
dc.title | EXIT procedure in twin pregnancy: a series of three cases from a single center | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-252 | es |
dc.identifier.doi | 10.1186/1471-2393-14-252 | es |
dc.journaltitle | BMC Pregnancy And Childbirth | es |
dc.publication.volumen | 14 | es |
dc.publication.issue | 252 | es |