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Substandard application of preimplantation genetic screening may interfere with its clinical success
Authors:Munné Santiago  Gianaroli Luca  Tur-Kaspa Ilan  Magli Cristina  Sandalinas Mireia  Grifo Jamie  Cram David  Kahraman Semra  Verlinsky Yury  Simpson Joe L
Affiliation:a Reprogenetics, Livingston, New Jersey
b S.I.S.Me.R., Bologna, Italy
c Reproductive Genetics Institute, Chicago, Illinois
d Reprogenetics-Spain, Barcelona, Spain
e New York University, New York, New York
f Monash IVF, Clayton, Victoria, Australia
g Istanbul Memorial Hospital, Istanbul, Turkey
h Florida International University College of Medicine, Miami, Florida
Abstract:The intent of this study was to evaluate a recent randomized clinical trial evaluating the effect of preimplantation genetic screening (PGS) that reports a negative effect on pregnancy outcome. This article reviews appropriate PGS techniques and how they differ from the trial in question. A closer look at the clinical trial in question reveals significant lack of expertise in biopsy, cell fixation, genetic analysis, and patient selection. At most, this trial demonstrates that in inexperienced hands, PGS can be detrimental. No other conclusions concerning the effect of PGS on pregnancy results can be drawn from the trial.
Keywords:Preimplantation genetic diagnosis   PGD   recurrent miscarriage   recurrent pregnancy loss   aneuploidy
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