Optimization of a Dilution Method for Human Expanded Blastocysts Vitrified Using EM Grids After Artificial Shrinkage
Overview
Reproductive Medicine
Authors
Affiliations
Purpose: To verify a more effective dilution method that can be applied to human expanded blastocysts that are vitrified after artificial shrinkage.
Methods: Surplus expanded blastocysts that remained after embryo transfer (ET) in in vitro fertilization (IVF) cycles, were cryopreserved. The blastocysts were vitrified on EM grids following artificial shrinkage. After thawing the blastocysts, cryoprotectants were diluted using either a 6- or 2-step method. We examined the survival rate and clinical outcome of blastocysts of 151 patients in our ET program after thawing.
Results: The survival rate of blastocysts that were thawed using a 2-step method (91.6%, 239/261) was comparable with that of the 6-step method (89%, 186/209). The clinical pregnancy rate (45.9%, 39/85) and implantation rate (24.1%, 53/220) were slightly higher in the 2-step method than in the 6-step method (40.9%, 27/66; 19.4%, 33/170).
Conclusions: Our data indicate that the 2-step dilution method could be a simpler and more effective protocol for human expanded blastocysts that are vitrified using EM-grid following artificial shrinkage.
Pooyanfar F, Foroutan T, Dashtizad M Vet Res Forum. 2018; 9(1):87-92.
PMID: 29719669 PMC: 5913566.
Short-term storage of tripronucleated human embryos.
Grau N, Aparicio B, Escrich L, Mercader A, Delgado A, Remohi J J Assist Reprod Genet. 2013; 30(8):1043-7.
PMID: 23820799 PMC: 3790122. DOI: 10.1007/s10815-013-0036-8.
Vitrification of mouse embryos using the thin plastic strip method.
Ryu E, Hur Y, Ann J, Maeng J, Park M, Park J Clin Exp Reprod Med. 2013; 39(4):153-60.
PMID: 23346525 PMC: 3548073. DOI: 10.5653/cerm.2012.39.4.153.
Yoon J, Yoon H, Juhn K, Ko J, Yoon S, Ko Y Clin Exp Reprod Med. 2012; 38(4):186-92.
PMID: 22384441 PMC: 3283082. DOI: 10.5653/cerm.2011.38.4.186.