Blastocyst culture selects for euploid embryos: comparison of blastomere and trophectoderm biopsies.

Abstract:

:Preimplantation genetic diagnosis and screening improves the chances of achieving a viable pregnancy, not only free of undesired single-gene defects but also aneuploidy. In addition, improvements in vitrification provide an efficient means of preserving embryos (blastocysts). By combining trophectoderm biopsy with recent improvements in vitrification methods, only those embryos that have proved themselves viable and potentially more competent are tested. Using array comparative genomic hybridization (aCGH) to assess all 24 chromosomes, aneuploidy rates were compared between day-3 blastomere biopsy and day-5 trophectoderm biopsy. Of those 1603 embryos, 31% were euploid, 62% were aneuploid and 7% not analysable. A significantly larger proportion of embryos were euploid on day-5 biopsy (42%) compared with day-3 biopsy (24%, P<0.0001). The number of euploid embryos per patient was not significantly different. Combining extended culture, trophectoderm biopsy and aneuploidy assessment by aCGH and subsequent vitrification can provide a more efficient means of achieving euploid pregnancies in IVF.

journal_name

Reprod Biomed Online

authors

Adler A,Lee HL,McCulloh DH,Ampeloquio E,Clarke-Williams M,Wertz BH,Grifo J

doi

10.1016/j.rbmo.2013.11.018

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

485-91

issue

4

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(13)00636-6

journal_volume

28

pub_type

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