SavedAdd your journal

Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2018 / Cilt: 24 - Sayı: 1

Fetoscopic Laser Coagulation in Twin-Twin Transfusion Syndrome: Case Series

Aykan YÜCEL
Dilek UYGUR
Pages
52–55
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Zekai Tahir Burak Health Practice Research Center, Perinatology Clinics.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Twin-to-twin transfusion syndrome is a fatal complication and twins with monochorionic/diamniotic placentas are affected due to placental vascular anastomoses, producing volume transfer of blood from one twin to the other.
📊
Key Findings & Data:Twin-to-twin transfusion syndrome is associated with increased perinatal morbidity and mortality and expresses longstanding health hazards.
💡
Conclusion & Impact:Zekai Tahir Burak Health Practice Research Center, Perinatology Clinics.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Twin-to-twin transfusion syndrome is a fatal complication and twins with monochorionic/diamniotic placentas are affected due to placental vascular anastomoses, producing volume transfer of blood from one twin to the other. The donor twin becomes hypovolemic with oligohydramnios and the recipient becomes hypervolemic with polyhydramnios. Twin-to-twin transfusion syndrome is associated with increased perinatal morbidity and mortality and expresses longstanding health hazards. Serial amnioreduction and fetoscopic laser photocoagulation of the vascular anastomoses are the main therapeutic approaches for twin-to-twin transfusion syndrome. Higher survival rates after fetoscopic laser ablation of the anastomotic vessels in comparison to serial amnioreduction have been reported in multicenter randomized clinical trials. We report the fetoscopic laser coagulation of three twin-to-twin transfusion syndrome cases at Ankara Dr. Zekai Tahir Burak Health Practice Research Center, Perinatology Clinics.

🔖

Cite This Article

YÜCEL, A., UYGUR, D. (2018). Fetoscopic Laser Coagulation in Twin-Twin Transfusion Syndrome: Case Series. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 24 - Sayı: 1, 52–55. https://ajindex.com/articles/166072

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Blickstein I. Monochorionicity in perspective. Ultrasound Obstet Gynecol 2006;27(3):235-8
  2. Diehl W, Diemert A, Hecher K. Twin-twin transfusion syndrome: treatment and outcome. Best Pract Res Clin Obstet Gynaecol 2014;28(2):227-38
  3. Lewi L, Jani J, Blickstein I, Huber A, Gucciardo L, Van Mieghem T, et al. The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study. Am J Obstet Gynecol 2008;199(5):514 e1-8
  4. Quintero RA, Morales WJ, Allen MH, Bornick PW, Johnson PK, Kruger M. Staging of twin-twin transfusion syndrome. J Perinatol 1999;19(8 Pt 1):550-5
  5. Hillman SC, Morris RK, Kilby MD. Co-twin prognosis after single fetal death: a systematic review and metaanalysis. Obstet Gynecol 2011;118(4):928-40
  6. Senat MV, Deprest J, Boulvain M, Paupe A, Winer N, Ville Y. Endoscopic laser surgery versus serial amnioreduction for severe twin-to-twin transfusion syndrome. N Engl J Med 2004;351(2):136-44
  7. Ruano R, Rodo C, Peiro JL, Shamshirsaz AA, Haeri S, Nomura ML, et al. Fetoscopic laser ablation of placental anastomoses in twin-twin transfusion syndrome using 'Solomon technique'. Ultrasound Obstet Gynecol. 2013;42 (4):434-9
  8. Saunders NJ, Snijders RJ, Nicolaides KH. Twin-twin transfusion syndrome during the 2nd trimester is associated with small intertwin hemoglobin differences. Fetal Diagn Ther 1991;6(1-2):34-6
  9. Urig MA, Clewell WH, Elliott JP. Twin-twin transfusion syndrome. Am J Obstet Gynecol 1990;163(5 Pt 1):1522-6
  10. Fusi L, Gordon H. Twin pregnancy complicated by single intrauterine death. Problems and outcome with conservative management. Br J Obstet Gynaecol 1990;97(6):511-6. 11. van Heteren CF, Nijhuis JG, Semmekrot BA, Mulders LG, van den Berg PP. Risk for surviving twin after fetal death of co-twin in twin-twin transfusion syndrome. Obstet Gynecol 1998;92(2):215-9
  11. Roberts D, Neilson JP, Kilby MD, Gates S. Interventions for the treatment of twin-twin transfusion syndrome. Cochrane Database Syst Rev 2014(1):CD002073
  12. De Lia JE, Cruikshank DP, Keye WR, Jr. Fetoscopic neodymium:YAG laser occlusion of placental vessels in severe twin-twin transfusion syndrome. Obstet Gynecol 1990;75(6):1046-53
  13. Akkermans J, Peeters SH, Klumper FJ, Lopriore E, Middeldorp JM, Oepkes D. Twenty-Five Years of Fetoscopic Laser Coagulation in Twin-Twin Transfusion Syndrome: A Systematic Review. Fetal Diagn Ther 2015; 38(4):241-53
  14. Slaghekke F, Oepkes D. Solomon Technique Versus Selecti