PMID- 23260857 OWN - NLM STAT- MEDLINE DCOM- 20130628 LR - 20220408 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 99 IP - 5 DP - 2013 Apr TI - Preimplantation genetic screening using fluorescence in situ hybridization in patients with repetitive implantation failure and advanced maternal age: two randomized trials. PG - 1400-7 LID - S0015-0282(12)02453-3 [pii] LID - 10.1016/j.fertnstert.2012.11.041 [doi] AB - OBJECTIVE: To evaluate the usefulness of preimplantation genetic screening (PGS) using fluorescence in situ hybridization (FISH) for two different indications: repetitive implantation failure (RIF) and advanced maternal age (AMA). DESIGN: Two prospective, randomized controlled trials with patients allocated in two arms: blastocyst transfer on day 5 (group A) or PGS with transfer on day 5 (group B). SETTING: University-affiliated private clinics. PATIENT(S): The RIF study included women <40 years with three or more failed IVF cycles without other known causal factors (91 patients). The AMA study included intracytoplasmic sperm injection patients aged between 41 and 44 (183 patients). INTERVENTION(S): In the PGS group, single-cell day 3 biopsy was performed with aneuploidy screening for chromosomes 13, 15, 16, 17, 18, 21, 22, X, and Y. In both the blastocyst transfer group and the PGS group, ET was performed on day 5. MAIN OUTCOME MEASURE(S): Live-birth rate per patient and per started cycle. RESULT(S): A significant increase in live-birth rates per patient was found in the PGS group compared with the blastocyst group for the AMA study (30/93 patients [32.3%] vs. 14/90 patients [15.5%]; odds ratio, 2.585; confidence interval, [1.262-5.295]). In the RIF study no significant differences were observed (23/48 patients [47.9%] vs. 12/43 patients [27.9%]). CONCLUSION(S): PGS with FISH was shown to be beneficial for the AMA group. CI - Copyright (c) 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Rubio, Carmen AU - Rubio C AD - Instituto Valenciano de Infertilidad (IVI), Instituto Universitario IVI, Valencia University, INCLIVA, Valencia, Spain. carmen.rubio@iviomics.com FAU - Bellver, Jose AU - Bellver J FAU - Rodrigo, Lorena AU - Rodrigo L FAU - Bosch, Ernesto AU - Bosch E FAU - Mercader, Amparo AU - Mercader A FAU - Vidal, Carmen AU - Vidal C FAU - De los Santos, Maria Jose AU - De los Santos MJ FAU - Giles, Juan AU - Giles J FAU - Labarta, Elena AU - Labarta E FAU - Domingo, Javier AU - Domingo J FAU - Crespo, Juana AU - Crespo J FAU - Remohi, Jose AU - Remohi J FAU - Pellicer, Antonio AU - Pellicer A FAU - Simon, Carlos AU - Simon C LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20121220 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM CIN - Fertil Steril. 2013 Apr;99(5):1205-6. PMID: 23415971 MH - Adult MH - Aneuploidy MH - Embryo Culture Techniques MH - *Embryo Implantation MH - Embryo Transfer/*methods MH - Female MH - Genetic Testing/methods MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Infertility, Female/*therapy MH - *Maternal Age MH - Pregnancy MH - Pregnancy Rate MH - Preimplantation Diagnosis/*methods MH - Prospective Studies MH - Treatment Failure EDAT- 2012/12/25 06:00 MHDA- 2013/07/03 06:00 CRDT- 2012/12/25 06:00 PHST- 2012/06/04 00:00 [received] PHST- 2012/11/14 00:00 [revised] PHST- 2012/11/20 00:00 [accepted] PHST- 2012/12/25 06:00 [entrez] PHST- 2012/12/25 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] AID - S0015-0282(12)02453-3 [pii] AID - 10.1016/j.fertnstert.2012.11.041 [doi] PST - ppublish SO - Fertil Steril. 2013 Apr;99(5):1400-7. doi: 10.1016/j.fertnstert.2012.11.041. Epub 2012 Dec 20.