Explanipedia

Preoperative factors associated with donor twin demise in 1602 pregnancies complicated by twin–twin transfusion syndrome Open

Jimmy Espinoza, Felicia V. LeMoine, Sami Backley, Ramesha Papanna, Amber Johnson , et al. · 2025

Objective To identify preoperative risk factors associated with postlaser fetal death of the donor twin in a large cohort of pregnancies complicated by twin–twin transfusion syndrome (TTTS). Methods This retrospective cohort study of prosp…

Consensus update on twin‐twin transfusion syndrome staging: An international Delphi study Open

Bettina Paek, Martin Walker, Liesbeth Lewi, Femke Slaghekke, Sarah Običan , et al. · 2025

Introduction Twin‐twin transfusion syndrome (TTTS) affects approximately 15% of monochorionic pregnancies and results in poor outcomes without treatment. The Quintero staging system has been used to characterize the severity of the syndrom…

Morphometric analysis of spina bifida after fetal repair shows new subtypes with associated outcomes Open

Lovepreet K. Mann, Shreya Pandiri, Nisha Rani Agarwal, Hope Northrup, Kit Sing Au , et al. · 2025

Objectives The binary classification of spina bifida lesions as myelomeningocele (with sac) or myeloschisis (without sac) belies a spectrum of morphologies. This study aimed to characterize types of spina bifida lesion and correlate them w…

Repurposing <span>Advanix</span> pancreatic stent for failed treatment of lower urinary tract obstruction Open

Sami Backley, Ramesha Papanna, Shreya Pandiri, Lars J. Cisek, A. Salazar , et al. · 2025

Vasa Previa: Prenatal Diagnosis and the Rationale Behind Using a 5 cm Distance from Internal Os Open

Claudio V. Schenone, Faezeh Aghajani, Ali Javinani, Eyal Krispin, Yinka Oyelese , et al. · 2025

In pregnancies with vasa previa, prenatal diagnosis and pre-labor cesarean delivery are associated with significantly improved perinatal outcomes compared to undetected cases. However, a universally accepted ultrasonographic definition of …

Selective termination: a life-saving procedure for complicated monochorionic gestations Open

Ali Javinani, Ramesha Papanna, Tim Van Mieghem, Julie S. Moldenhauer, Anthony Johnson , et al. · 2024

Monochorionic twin pregnancies are a subset of twin pregnancies that face potential complications related to a shared circulation between the fetuses. These complications are related to anastomotic placental vessels connecting the cardiova…

Evaluation of fetal growth and birth weight in pregnancies with placenta previa with and without placenta accreta spectrum Open

Neha Agarwal, Ramesha Papanna, Baha M. Sibai, Alexandra Garcia, Dejian Lai , et al. · 2024

Objectives We evaluated fetal growth and birthweight in pregnancies with placenta previa with and without placenta accreta spectrum (PAS). Methods We retrospectively studied pregnant patients with placenta previa with or without PAS diagno…

Use of Web-Based Surveys to Collect Long-Term Pediatric Outcomes in Patients With Twin-Twin Transfusion Syndrome Treated With Fetoscopic Laser Photocoagulation: Observational Study Open

Eric P. Bergh, Kimberly Rennie, Jimmy Espinoza, Anthony Johnson, Ramesha Papanna · 2024

Background In the United States, patients with monochorionic diamniotic twins who undergo in utero fetoscopic laser photocoagulation (FLP) for twin-twin transfusion syndrome (TTTS) may travel great distances for care. After delivery, many …

Morphometric Analysis of Spina Bifida after Fetal Repair Shows New Subtypes with Associated Outcomes Open

Lovepreet K. Mann, Shreya Pandiri, Neha Agarwal, Hope Northrup, Kit Sing Au , et al. · 2024

Importance The binary classification of spina bifida lesions as myelomeningocele (with sac) or myeloschisis (without sac) belies a spectrum of morphologies, which have not been correlated to clinical characteristics and outcomes. Objective…

Use of internet-based surveys to collect long-term pediatric outcomes in patients with twin-twin transfusion syndrome treated with fetoscopic laser photocoagulation: A Prospective Observational Study (Preprint) Open

Eric P. Bergh, Kimberly Rennie, Jimmy Espinoza, Anthony Johnson, Ramesha Papanna · 2024

BACKGROUND In the U.S., patients with monochorionic diamniotic (MCDA) twins who undergo in-utero fetoscopic laser photocoagulation (FLP) for twin-twin transfusion syndrome (TTTS) may travel great distances for care. After delivery, many p…

651 Lung size and doppler velocimetry after serial amnioinfusions in fetuses with renal agenesis/dysplastic kidneys Open

Edgar Hernández Andrade, Eric P. Bergh, Ramesha Papanna, Jimmy Espinoza, Suzanne M. Lopez , et al. · 2024

1032 The volume of fluid corresponding to each centimeter of amniotic fluid index changes throughout pregnancy Open

Edgar Hernández Andrade, Kevin Magee, Paxton Alexander, Ramesha Papanna, Eric P. Bergh , et al. · 2024

550 Fetoscopic Spina Bifida (fSB) repair with Human Umbilical Cord (HUC) Compared with Open In-Utero SB Repair (oSB) Open

Ramesha Papanna, Stephen A. Fletcher, Lovepreet Mann, Jeannine Garnett, Neha Agarwal , et al. · 2024

726 Outcomes of fetoscopic laser surgery for twin-twin transfusion syndrome according to the presenting twin Open

Eric P. Bergh, Jimmy Espinoza, Sami Backley, Ramesha Papanna, Anthony Johnson · 2024

1031 Premature rupture of membranes after serial amnioinfusions in fetuses with anhydramnios due to renal agenesis/dysplasia Open

Edgar Hernández Andrade, Kevin Magee, Paxton Alexander, Eric P. Bergh, Ramesha Papanna , et al. · 2024

70 Management Approaches for Placenta Accreta Spectrum – Not a one size fits all approach Open

Farah H. Amro, Michal Fishel Bartal, Edgar Hernández Andrade, Elizabeth Nugent, Lavanya Palvalli Parsons , et al. · 2024

838 Transvaginal/Transvesical Ultrasound (TVUS) to Diagnose Placenta Accreta Spectrum (PAS), its Severity & to Predict Blood Loss Open

Neha Agarwal, Michal Fishel Bartal, Jennie Coselli, Eleazar E. Soto Torres, Edgar Hernández Andrade , et al. · 2024

OP08.02: Rates of pre‐eclampsia and gestational hypertension in placenta accreta versus gestational age and BMI matched controls: a case control study Open

Neha Agarwal, E. Hernandez‐Andrade, Sami Backley, Eric P. Bergh, Jimmy Espinoza , et al. · 2023

Results: A total of 149 cases were included in our analysis, at mean age of 48.1+16.3months.Cognitive function was preserved in 95% of the infants evaluated (77/81).Only 2.7% (4/149) presented tethered cord, and 61.7% (92/149) did not need…

OP05.09: Patients with placenta accreta spectrum have increased estimated fetal and birthweight Open

Neha Agarwal, Edgar Hernández‐Andrade, Dejian Lai, Sami Backley, Eric P. Bergh , et al. · 2023

We aim to compare the fetal growth and birthweight between women with and without placenta accreta spectrum (PAS) and uncomplicated pregnancies. Estimated fetal weight (EFW) and birthweight (BW) were evaluated in 155 women with PAS, in 154…

Fetal metabolic adaptations to cardiovascular stress in twin-twin transfusion syndrome Open

Jacqueline G. Parchem, Huihui Fan, Lovepreet K. Mann, Qiuying Chen, Jong Hak Won , et al. · 2023

Fetal Metabolic Adaptations to Cardiovascular Stress in Twin-Twin Transfusion Syndrome Open

Jacqueline G. Parchem, Huihui Fan, Lovepreet K. Mann, Quiying Chen, Jong Hak Won , et al. · 2023

Human M1 macrophages express unique innate immune response genes after mycobacterial infection to defend against tuberculosis Open

Arshad Khan, Kangling Zhang, Vipul K. Singh, Abhishek Mishra, Priyanka Kachroo , et al. · 2022

The Delphi definition for selective fetal growth restriction may not improve detection of pathologic growth discordance in monochorionic twins Open

Clifton O. Brock, Eric P. Bergh, Anthony Johnson, Rodrigo Ruano, Edgar Hernandez-Andrade , et al. · 2022

Supplementary Material for: Current Status of the Workforce and Training at Fetal Therapy Centers in the North America Open

Moise K.J., Vlastos E.J., Ramesha Papanna, Chmait R.H., Baschat A.A. , et al. · 2022

An anonymous electronic survey was developed to query the 34 centers in the North American Fetal Treatment Network (NAFTNet) regarding the demographics and training of their faculty. Telephone surveys were conducted with directors of known…

Prediction of fetal complications in monochorionic-diamniotic twins using sonographic characteristics Open

Clifton O. Brock, Eric P. Bergh, Dejian Lai, Anthony Johnson, Rodrigo Ruano , et al. · 2021

Preterm birth after in-utero spina bifida repair: outcomes and risk factors Open

Sami Backley, Jeannine Garnett, Samantha Hentosh, Michal Fishel Bartal, Stephen A. Fletcher , et al. · 2021

Allografts for Skin Closure during In Utero Spina Bifida Repair in a Sheep Model Open

Lovepreet K. Mann, Jong Hak Won, Rajan Patel, Eric P. Bergh, Jeannine Garnett , et al. · 2021

Objectives: Use of off-label tissue graft materials, such as acellular dermal matrix (ADM), for in utero repair of severe spina bifida (SB), where primary skin layer closure is not possible, is associated with poor neurological outcomes. T…

OC17.05: Risk factors and outcomes associated with intraoperative septotomy during laser surgery for Twin–twin transfusion syndrome Open

Clifton O. Brock, Eric P. Bergh, Edgar Hernández‐Andrade, Anthony Johnson, Rodrigo Ruano , et al. · 2021

To identify risk factors and outcomes associated with intraoperative septostomy (IOS) during fetoscopic laser surgery (FLS) for Twin–twin transfusion syndrome (TTTS). This is an analysis of a consecutive prospective cohort of patients that…

Cervical ectopic pregnancy Open

Olivia Dziadek, Asha Bhalwal, Ramesha Papanna, Kenneth J. Moise, John Hardy , et al. · 2021

We performed dilation and curettage and cervical balloon placement in a cervical ectopic pregnancy after treatment with Methotrexate, KCI and bilateral uterine artery embolization. A minimally invasive approach was used in the case as the …

Risk Factors and Outcomes Following Septostomy during Fetoscopic Surgery for Twin-to-Twin Transfusion Syndrome Open

Clifton O. Brock, Eric P. Bergh, Edgar Hernández‐Andrade, Rodrigo Ruano, Anthony Johnson , et al. · 2021

Fetoscopic laser photocoagulation (FLP) of placental anastomoses is the preferred treatment for twin-to-twin transfusion syndrome (TTTS). Iatrogenic septostomy (IOS) during FLP is associated with increased risk of neonatal morbidity and mo…

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