PMID- 15300749 OWN - NLM STAT- MEDLINE DCOM- 20050414 LR - 20220311 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 24 IP - 7 DP - 2004 Jul TI - Efficacy and clinical outcome of preimplantation genetic diagnosis using FISH for couples of reciprocal and Robertsonian translocations: the Korean experience. PG - 556-61 AB - OBJECTIVE: To evaluate the efficacy and clinical outcome of preimplantation genetic diagnosis (PGD) using fluorescence in situ hybridization (FISH) for couples with chromosomal translocations. METHODS: PGD using FISH was performed in 59 cycles of 43 couples with reciprocal translocations, and 11 cycles of 6 couples with Robertsonian translocations. The diagnostic and clinical data were reviewed in a series of 70 treatment cycles of 49 couples from January 2001 to June 2002 at Samsung Cheil Hospital, Korea. RESULTS: A total of 1408 oocytes were retrieved, and 938 (81.7%) out of 1148 matured oocytes were fertilized by intracytoplasmic sperm injection (ICSI). Single blastomere biopsy and FISH analysis were successfully carried out in 99.3% (890/896) and 94.4% (840/890), respectively. Among 193 normal or balanced embryos, 169 embryos were transferred in 64 cycles (91.4% per started cycle). Twenty clinical pregnancies including two ectopic pregnancies and three spontaneous miscarriages (28.6% per started cycle, 31.3% per transfer cycle, 40.8% per couple) were established. Of the three spontaneous miscarriages, one was karyotyped as normal, one had an unbalanced arrangement and one was tetraploid. One case of preterm twin delivery occurred and 16 healthy babies were delivered in 12 single and 2 twin pregnancies. CONCLUSION: The clinical outcome was successful in 28.6% (14/49) of the treated couples with translocations after PGD. The spontaneous abortion rate was significantly reduced from 95.8% (69/72) to 16.7% (3/18) in these couples. CI - Copyright 2004 John Wiley and Sons, Ltd. FAU - Kyu Lim, Chun AU - Kyu Lim C AD - Laboratory of Reproductive Biology and Infertility, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Hyun Jun, Jin AU - Hyun Jun J FAU - Mi Min, Dong AU - Mi Min D FAU - Lee, Hyoung-Song AU - Lee HS FAU - Young Kim, Jin AU - Young Kim J FAU - Koong, Mi Kyoung AU - Koong MK FAU - Kang, Inn Soo AU - Kang IS LA - eng PT - Journal Article PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 SB - IM CIN - Prenat Diagn. 2004 Jul;24(7):552. PMID: 15300747 CIN - Prenat Diagn. 2004 Jul;24(7):553-5. PMID: 15300748 MH - Abortion, Spontaneous/*prevention & control MH - Biopsy MH - Blastomeres MH - Chromosome Disorders/*diagnosis/embryology MH - Embryo Culture Techniques MH - Evaluation Studies as Topic MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence/methods MH - Korea MH - Lymphocytes/ultrastructure MH - Male MH - Ovulation Induction MH - Pregnancy MH - Pregnancy Outcome MH - *Preimplantation Diagnosis/methods MH - Translocation, Genetic/*genetics EDAT- 2004/08/10 05:00 MHDA- 2005/04/15 09:00 CRDT- 2004/08/10 05:00 PHST- 2004/08/10 05:00 [pubmed] PHST- 2005/04/15 09:00 [medline] PHST- 2004/08/10 05:00 [entrez] AID - 10.1002/pd.923 [doi] PST - ppublish SO - Prenat Diagn. 2004 Jul;24(7):556-61. doi: 10.1002/pd.923.