Human Reproduction, Vol 12, 1554-1560, Copyright © 1997 by Oxford University Press
E Van den Abbeel, M Camus, L Van Waesberghe, P Devroey and AC Van Steirteghem
We conducted a randomized prospective study of the cryopreservation of
one-cell human embryos, comparing a slow controlled-rate freezing procedure
with a rapid cooling procedure by direct plunging into liquid nitrogen. We
analysed the numbers of embryos that were recovered immediately after
thawing (= recovery), the number of embryos morphologically intact after
thawing and subsequent dilution of the cryoprotectants (= survival), the
numbers of embryos undergoing further cleavage after 24 h of in-vitro
culture (= cleavage) and the implantation of transferred embryos (=
children born per frozen-thawed embryo transferred). We demonstrated that
the recovery of embryos was greater after slow controlled-rate freezing.
Survival was greater after rapid cooling and the number of embryos
undergoing further cleavage was higher after slow controlled-rate freezing.
Although the birth rate was twice as high after slow controlled-rate
freezing as after rapid cooling, this difference was not statistically
significant. In conclusion, our results show clearly that for the freezing
of one-cell human embryos, slow controlled-rate freezing is more efficient
than rapid cooling. Before rapid cooling is used routinely in clinical in-
vitro fertilization programmes, its safety and reproducibility must be
convincingly demonstrated.
ARTICLES
A randomized comparison of the cryopreservation of one-cell human embryos with a slow controlled-rate cooling procedure or a rapid cooling procedure by direct plunging into liquid nitrogen
Centre for Reproductive Medicine, University Hospital and Medical School, Dutch-speaking Brussels Free University (Vrije Universiteit Brussel), Belgium.
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