Fetal Genetic Diagnosis by Chorionic Villus Sampling: Evaluation of the Five-Year Experience from a Single Center

被引:5
作者
Ozturk, Filiz Halici [1 ]
Ocal, Fatma Doga [1 ]
Erol, Seyit Ahmet [1 ]
Yakut, Kadriye [1 ]
Ozturk, Merve [1 ]
Oguz, Yuksel [1 ]
Cakar, Esra Sukran [2 ]
Celen, Sevki [1 ]
Caglar, Ali Turhan [1 ]
机构
[1] Ankara City Hosp, Minist Hlth, Dept Obstet & Gynecol, TR-06105 Ankara, Turkey
[2] Ankara City Hosp, Minist Hlth, Dept Med Genet, Ankara, Turkey
关键词
Chorionic villus sampling (CVS); genetic diagnosis; chromosomal abnormalities; fetal loss; indications; PRENATAL-DIAGNOSIS; MATERNAL AGE; TRISOMIES; 21; ABNORMALITIES; AMNIOCENTESIS;
D O I
10.1080/15513815.2019.1707919
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Objective: We summarized our five-year chorionic villus sampling (CVS) experience with indications, detected chromosomal abnormalities and pregnancy outcomes. Materials and Methods: This retrospective study examined 552 patients underwent CVS for prenatal diagnosis between 2014 and 2018. Results: The most frequent patients undergoing CVS indications were abnormal aneuploidy screening results, increased nuchal translucency, and cystic hygroma/edema. Of 552 CVS, 385 were normal, 141 abnormal. Eight were contaminated with maternal cells, 4 were mosaics, in 12 the culture failed, and in 2 there was inadequate sampling. The most frequent chromosomal abnormalities were trisomy 21, trisomy 18 and 45,X. Of 246 followed pregnancies, there were 165 live-births (67,1%), 58 pregnancy terminations (23,6%), and 23 pregnancy losses (9,3%). There were 5 procedure-related losses (2%), 3 of which were chromosomally normal. Conclusion: Although significant advances have been made in noninvasive methods such as NIPT, CVS is still a reliable technique for cytogenetic diagnosis in early gestation.
引用
收藏
页码:281 / 289
页数:9
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