Evidence map›Paper›PMID 39776389›Full record

ArticleJournal of assisted reproduction and genetics2025

Embryoscopy and targeted embryo biopsy for the management of early abortion.

Jean Paul Rouleau, Jairo Hernández, Manuela Costa, Tony Gordon, Leoni Xanthopoulou, Pablo Martín-Vasallo, Frederick Naftolin, Angela Palumbo

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jean Paul RouleauCentro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0000-0002-4467-1012
Jairo HernándezCentro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0000-0002-0035-4058
Manuela CostaCentro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.
Tony GordonCooperSurgical, Translation and Innovation Hub, 84 Wood Lane, London, W12 0BZ, UK.ORCID http://orcid.org/0000-0003-2756-1943
Leoni XanthopoulouCooperSurgical, Translation and Innovation Hub, 84 Wood Lane, London, W12 0BZ, UK.ORCID http://orcid.org/0000-0003-3405-8473
Pablo Martín-VasalloUD de Bioquímica y Biología Molecular and Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de La Laguna, La Laguna, 38206, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0000-0002-2220-5774
Frederick NaftolinCentro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0000-0002-9447-6266
Angela PalumboCentro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain. apalumbo1960@gmail.com.ORCID http://orcid.org/0000-0002-2983-2965

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the safety, accuracy, and effectiveness of embryoscopy for the management of early abortion and to test the hypothesis that targeted embryo and chorionic villi sampling avoids maternal cell contamination (MCC) for genetic testing of products of conception (POC).

methodsThis ambispective study included 74 consecutive patients presenting with early abortion. Gestations between 5 and 9 weeks, obtained either spontaneously or through assisted reproductive technologies were included. Embryoscopies were performed under transabdominal ultrasound guidance using a 5-mm hysteroscope and forceps and scissors for sampling and resection of the gestational sac. Primary outcomes were the feasibility of the technique, the diagnostic accuracy as measured by absence of maternal cell contamination and the complication rate. The secondary outcome was the comparison between array-comparative genomic hybridization (aCGH) and next-generation sequencing (NGS) in a subgroup of 20 patients.

resultsSeventy-four consecutive procedures were performed, with no cases of maternal contamination and no complications. In 60 patients, a follow-up sonohysterography was performed which showed a normal cavity. The remaining 14 patients had a normal transvaginal ultrasound 1 month after the embryoscopy. In the subgroup of 20 patients analyzed by both aCGH and NGS, we had one case of MCC with aCGH and none with NGS. Differences were found in the detection of mosaicism and triploidy.

conclusionEmbryoscopy for uterine evacuation minimizes maternal contamination and post-operative complications. Safe and rapid embryoscopy furnishes prompt and reliable genetic analysis of POC that is of great importance in clinical management of early pregnancy failure.

Indexed as

Abortion, SpontaneousEmbryo, MammalianPreimplantation DiagnosisAdultBiopsyChorionic Villi SamplingComparative Genomic HybridizationEmbryo TransferFemaleFertilization in VitroGenetic TestingHigh-Throughput Nucleotide SequencingHumansPregnancyACGHChromosomeEmbryoscopyGenetic analysisNGSPOCsPregnancy loss

Identifiers

PMID39776389
PMCPMC11871267

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.