Evidence map›Paper›PMID 41024316›Full record

SynthesisPrenatal diagnosis2025

Fetoscopic Laser Ablation of Type II Vasa Previa-Case Report and Systematic Review.

Rodrigo Ruano, Olivia Mihulka, Aishu Hombal, Natalia Ravelo, Lara Slesnick, Ugo Maria Pierucci

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Prenatal diagnosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Rodrigo RuanoUniversity of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0000-0002-3642-5858
Olivia MihulkaUniversity of Miami Miller School of Medicine, Miami, Florida, USA.
Aishu HombalUniversity of Miami Miller School of Medicine, Miami, Florida, USA.ORCID 0009-0006-1210-0916
Natalia RaveloUniversity of Miami Miller School of Medicine, Miami, Florida, USA.
Lara SlesnickUniversity of Miami Miller School of Medicine, Miami, Florida, USA.
Ugo Maria PierucciDepartment of Pediatric Surgery, Ospedale Dei Bambini Vittore Buzzi, Milan, Italy.ORCID 0000-0001-7370-5122

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vasa previa is a rare but potentially fatal obstetric condition in which fetal vessels traverse the internal cervical os without the protection of placental tissue or Wharton's jelly, making them highly vulnerable to rupture during labor or spontaneous membrane rupture. This can result in rapid fetal exsanguination and death. While current management involves planned cesarean delivery before the onset of labor, fetoscopic laser ablation (FLA) has recently emerged as a minimally invasive alternative for selected cases, particularly type II and III vasa previa, allowing for pregnancy prolongation and potential vaginal delivery. We report the case of a 40-year-old gravida 3 para 0 woman diagnosed with type II vasa previa at 22 + 5 weeks. FLA was performed successfully at 31 + 5 weeks without complications. At 36 + 5 weeks, she experienced spontaneous rupture of membranes and delivered a healthy male neonate via cesarean section at maternal request. To contextualize this case, we conducted a systematic review of 54 cases from the literature. FLA was associated with a 98.1% technical success rate, 50% vaginal delivery rate, and 100% neonatal survival, with no major maternal complications reported. These findings suggest that FLA may offer a safe and effective alternative to preterm cesarean delivery in selected patients.

Indexed as

FetoscopyLaser TherapyVasa PreviaAdultCesarean SectionFemaleHumansInfant, NewbornMalePregnancyfetal surgeryfetoscopic laser ablationpregnancy prolongationprenatal diagnosisvaginal deliveryvasa previa

Identifiers

PMID41024316
PMCPMC12611538

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Registered trials

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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.