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publicado em 30/01/2013 às 19h38:00
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Fernandes Figueira Institute begins treatment for type fetal syndrome

Associated ultrasound, fetoscopy is characterized by being a minimally invasive intervention on pregnancy

 
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Foto: Instituto Fernandes Figueira/Fiocruz
Fernandes Figueira Institute, affiliated with the Oswaldo Cruz Foundation (IFF / Fiocruz) in the South Zone of Rio de Janeiro
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Fernandes Figueira Institute, affiliated with the Oswaldo Cruz Foundation (IFF / Fiocruz) in the South Zone of Rio de Janeiro

The Instituto Fernandes Figueira (IFF), the Oswaldo Cruz Foundation (IFF / Fiocruz), starts a new treatment proposal Transfusion Syndrome Feto-Fetal (TTTS): a fetoscopy for laser coagulation of vascular anastomoses. The fetoscopy is characterized by being a minimally invasive intervention on pregnancy, usually associated with ultrasound.

During the procedure, which lasts an average of half an hour, the identification is performed (via fetoscopy) of blood vessels that are responsible for the coagulation syndrome and promoted thereof, preventing larger imbalance in the circulation of both fetuses. The laser ablation vascular anastomoses prevents a fetuses (called receiver) receives blood diverted from another fetus (donor). To get an idea of ​​the severity of this condition, if no treatment is performed, the mortality rate can reach 85% in both fetuses, warns expert Fetal Medicine, Department of IFF, Paul Nassar.

"This procedure has come to complement the work already carried out, so that the assistance is extended in fetal complications, especially the twins, explains Renato Sá, a professor at Universidade Federal Fluminense (UFF), which along with another teacher, Eduardo Fonseca, the Federal University of Paraíba (UFPB), are responsible for the project at the IFF.

Understand <b> disease </ b>

The Transfusion Syndrome Feto-Fetal is rare and is present in monochorionic twin pregnancies / diamnióticas, which have a single placenta to nourish two fetuses in separate amniotic bags. According to Paul Nassar, the chance of survival of both babies can reach 65% if the diagnosis is made early and treatment early in the disease.

Apart from TTTS, the fetoscopy is also indicated for other complications of twin pregnancy and a single fetus as urinary disorders, pulmonary malformations, among others. In this first phase, the institute will work only with the treatment of TTTS, based on studies showing that fetoscopy is the action used in the treatment of Fetus Fetal Transfusion Syndrome, explains the Head of Midwifery at IFF, Fernando Maia. The doctor emphasizes that no provision for expansion of the method, we are committed to the future to expand this service to other cases of pregnancy risk in view, the broad potential utility of the procedure, concludes the work.

The Fetal Medicine Clinic makes tests to confirm the diagnosis of fetal malformations and monitoring of this framework.

Source: AGÊNCIA SAÚDE
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