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Re: Amniocentesis in Twins!! From: art fougner, md (evsono@pipeline.com) Fri Apr 24 06:19:37 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Ligating without clamping first vag hyst pedicles" Previous message: jay kulkin: "Re: Ligating without clamping first vag hyst pedicles" In reply to: Chas Dow, MD: "Amniocentesis in Twins!!" hi this came up on the ultrasound list. we do many amnios for patients with multiple pregnancy. we use NO dye. we ultrasound monitoring throughout the entire procedure and use the membrane as the marker for each sac. we've not had a problem in this regard. if you must use a dye, indigo carmine would be the one. methylene blue has been linked with intestinal atresia. also, there is the risk of methemoglobinemia. but see if the procedure can't be done without dye. hey, you can always come see us in queens, ny. :) art At Thu, 23 Apr 1998, Chas Dow, MD wrote: > >Dear Forum Members; > >My wife is carrying twins and is 39 years old and scheduled to undergo >an amniocentesis soon - about 15 weeks. I am a Cardiac Surgeon with >obviously little experience in this field. I have a few questions? Is >it safe to instill dye in the amniotic sac to differentiate between sacs >during the procedure? What is the best choice of dye? Is there any >evidence to suggest that the dye may cause fetal problems or loss? Is >selective reduction safe in the event that one fetus is affected with a >chromosomal anomaly? We have tried many years for this pregnany and are >obviously concerned. I appreciate your comments. > >-- >C. Dow, MD > -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: art fougner, md: "Re: Ligating without clamping first vag hyst pedicles" Previous message: jay kulkin: "Re: Ligating without clamping first vag hyst pedicles" In reply to: Chas Dow, MD: "Amniocentesis in Twins!!"

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