Author/Authors :
Brunetti, Xavier Orriols The Centre for Reproductive and Genetic Health, London, United Kingdom , Cawood, Suzanne The Centre for Reproductive and Genetic Health, London, United Kingdom , Gaunt, Matthew The Centre for Reproductive and Genetic Health, London, United Kingdom , Saab, Wael The Centre for Reproductive and Genetic Health, London, United Kingdom , Serhal, Paul The Centre for Reproductive and Genetic Health, London, United Kingdom , Seshadri, Srividya The Centre for Reproductive and Genetic Health, London, United Kingdom
Abstract :
Background: The first successful livebirth using warmed oocytes (vitrified by the
GAVITM system) is reported in this paper. Embryologists throughout the world have
vitrified oocytes using a manual technique which is susceptible to error and variation.
In this era of automated laboratory procedures, vitrification was made semiautomatic
by using the GAVITM system.
Case Presentation: Donor oocytes were initially vitrified using the GAVITM system.
They remained in the clinic’s oocyte bank until they were allocated to the patient.
Donor oocytes were warmed as per Genea BIOMEDX protocol and inseminated to
create embryos. Resulting embryos for the 42-year-old patient were cultured to the
blastocyst stage, biopsied to perform PGT-A, using next generation sequencing and
subsequently vitrified. The patient underwent a single euploid transfer in a frozen
embryo transfer cycle which resulted in a healthy livebirth.
Conclusion: The introduction of a semi-automated system should minimize the risk
to the oocytes, standardize the procedure worldwide and potentially reduce the laboratory
time taken by the embryologists. This case report demonstrates the safety of
the technology used for vitrification, but larger randomized studies need to be performed
to demonstrate the safety and efficacy of newer technologies like the
GAVITM system before adopting it as a standard laboratory procedure.
Keywords :
Cryopreservation , GAVITM , Oocytes , PGT-A , Semi-automated vitrification system , Vitrification