title: Fetal umbilical cord ligation under ultrasound guidance.
abstract: In a patient with severe twin-to-twin transfusion syndrome, ultrasound-guided umbilical cord ligation of the hydropic recipient twin was performed at 27 weeks' gestation. The procedure was successful in arresting the blood flow and was associated with improvement in the condition of the severely compromised donor fetus. At 29 weeks' gestation, premature onset of labor occurred and a healthy baby was delivered by emergency Cesarean section. This report demonstrates the feasibility of ultrasound-guided cord ligation for selective feticide in a case of severe twin-to-twin transfusion syndrome.
authors.affiliation: Maternal Fetal Medicine Division, Maternité de l'Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: D J
authors.initials: DJ
authors.lastname: Lemery
authors.affiliation: Maternal Fetal Medicine Division, Maternité de l'Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: P
authors.initials: P
authors.lastname: Vanlieferinghen
authors.affiliation: Maternal Fetal Medicine Division, Maternité de l'Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: M
authors.initials: M
authors.lastname: Gasq
authors.affiliation: Maternal Fetal Medicine Division, Maternité de l'Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: F
authors.initials: F
authors.lastname: Finkeltin
authors.affiliation: Department of Pathology (Fetopathology unit), Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: A M
authors.initials: AM
authors.lastname: Beaufrere
authors.affiliation: Maternal Fetal Medicine Division, Maternité de l'Hôtel-Dieu, Université d'Auvergne, Clermont-Ferrand, France.
authors.forename: M
authors.initials: M
authors.lastname: Beytout