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Texas Fetal Center: Research And Education

Ongoing Research Projects

  • Ramesha Papanna, M.D., a visiting fellow from Yale School of Medicine, is completing a swine project at the UTHealth Medical School to study various methods for sealing iatrogenic defects at fetoscopy. Results to date using a decellularized amniotic membrane patch look favorable. Further work is planned in collaboration with Russell Stewart, Ph.D., from the University of Utah to investigate the role of underwater glue in securing the patch.
  • Kenneth Moise Jr., M.D., is collaborating with Kuojen Tsao, M.D., UTHealth department of Pediatric Surgery, Stephen Fletcher, D.O., and David Sandberg, M.D., UTHealth department of Pediatric Neurosurgery, and Russell Stewart, Ph.D., of the University of Utah, to study the use of underwater glue to patch fetal myelomeningocele (MMC). Recently, successful creation of the MMC has been accomplished in the animal model.
  • Pedro Argoti, M.D., a first-year fetal intervention fellow at UTHealth Medical School, is working in collaboration with Judith Smith, Pharm.D., to study the maternal pharmacokinetics of a remifentanil infusion in pregnant women undergoing fetal intervention procedures.
  •  Dr. Argoti is also prospectively studying the ultrasound measurement of thigh volume in fetuses with myelomeningocele to determine if ambulation can be predicted later in the life of these children.

In Print and Publication

  • Lee H, Bebbington M, Crombleholme TM. The North American Fetal Therapy Network Registry data on outcomes of radiofrequency ablation for twin-reversed arterial perfusion sequence. Fetal Diagn Ther (Epub 4/9/2013).
  • Argoti PS, Bebbington M, Johnson A, Moise KJ Jr. Sonographic capture of acute exsanguination in a case of developing monochorionic co-twin demise. Ultrasound Obstet Gynecol (Epub 4/10/2013).
  • Moise KJ Jr, Bebbington MW, Johnson A, Walker M, Johnson M. The benefit of laser therapy for severe twin-twin transfusion: which meta-analysis do you pick? Am J Obstet Gynecol (Epub 3/21/2013).
  • Papanna R, Mann LK, Moise KY, Johnson A, Moise KJ Jr.. Prevention of iatrogenic preterm premature rupture of membranes using absorbable gelatin sponge after fetoscopic laser surgery for twin-twin transfusion syndrome. Ultrasound Obstet Gynecol. (Epub 4/18/2013).
  • Skupski DW, Luks FI, Papanna R, Walker M, Bebbington M, Ryan G, O’Shaughnessy R, Moldenhauer J, Bahtiyar O; North American Fetal Therapy Network (NAFTNet). Laser ablation of placental anastomoses in twin-to-twin transfusion syndrome: preoperative predictors of death by recursive partitioning. Prenat Diagn. 2013;33:279-83.
  • Papanna R, Bebbington M, Moise KJ Jr. Novel findings of an iatrogenic fetal membrane defect after previous fetoscopy for twin-twin transfusion. Ultrasound Obstet Gynecol (Epub 1/17/2013).
  • Argoti PS, Bebbington M, Adler M, Johnson A, Moise KJ Jr. Serial intrauterine transfusions for a hydropic fetus with severe anemia and thrombocytopenia caused by parvovirus: Lessons learned. Am J Perinatol (in press).
  • Hui L, Wick HC, Moise KJ Jr, Johnson A, Luks F, Haeri S, Johnson KL, Bianchi DW. Global gene expression analysis of amniotic fluid cell-free RNA from recipient twins with twin-twin transfusion syndrome. Prenat Diagn (in press).
  • Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits. eds. Kilby MD, Oepkes D, Johnson A. Cambridge University Press; New York, NY, 2013.
  • Moise KJ. The rationale for fetal therapy. IN: Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits. eds. Kilby MD, Oepkes D, Johnson A. Cambridge University Press; New York, NY, 2013.
  • Papanna R, Moise KJ. Twin-to-twin transfusion syndrome: management of stage I disease. IN: Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits. eds. Kilby MD, Oepkes D, Johnson A. Cambridge University Press; New York, NY, 2013.
  • Ruano R, Johnson A, Kilby MD. Fetal urinary obstruction: fetal cystoscopy. IN: Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits. eds. Kilby MD, Oepkes D, Johnson A. Cambridge University Press; New York, NY, 2013.

Presentations

Several members of the Texas Fetal Center presented at the 32nd Annual Meeting of the International Fetal Medicine and Surgery Society (IFMSS) held in May 2013 in Jerusalem, Israel.

  • Papanna R, Block-Abraham D, Buhimschi I, Bebbington MW, Garcia EI, Khalek N, Harman CR, Moise KJ Jr., Baschat A, Johnson A. Predictors of preterm delivery after fetoscopic laser surgery for twin-twin transfusion syndrome.
  • Papanna R, Mann LK, Moise KJ Jr., Kyriakides T, Zhao G, Argoti P, Buhimschi CS, Buhimschi IA. Amniochorion apoptosis and autophagy: novel insights into the mechanisms of PPROM after fetoscopic laser surgery for twin-twin transfusion syndrome.
  • Papanna R, Mann LK, Johnson A, Moise K, Moise KJ Jr. Chorioamnion plugging with absorbable gelatin sponge to prevent iatrogenic preterm premature rupture of membranes after fetoscopic laser surgery for twin-twin transfusion syndrome.
  • Papanna, R, Mann LK, Tseng SCG, Swindle M, Stewart RJ, Argoti P, Garcia E, Kyriakides T, Johnson A,Tatevian N, Buhimschi IA, Moise KJ Jr. Cryopreserved human amniotic membrane (hAM) to promote healing of iatrogenic fetal membrane defect in a swine model.
  • Argoti P, Papanna R, Bebbington MW, Khalek N, Baschat A, Johnson A, Moise KJ Jr. Outcomes of laser photocoagulation for feto-fetal transfusion syndrome in dichorionic-triamniotic triplet gestations as compared to monochorionic-diamniotic twins.

Invitations

  • Michael Bebbington, M.D., has been invited to write the accompanying editorial for the July issue of Ultrasound Obstetrics and Gynecology.
  • Kenneth Moise Jr., M.D., has been invited to be the guest editor for an upcoming special edition on fetal intervention to be published in the American Journal of Perinatology.