Fetofetal transfusion in triplets.

Rehan, Virender K.; Menticoglou, S. M.; Seshia, Mmk; Bowman, John M.

doi:10.1136/fn.73.1.f41

Cited by 25 publications

(13 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From 1990 to 2010, 22 articles met the inclusion criteria and we identified 25 MC and 97 DC triplet pregnancies with TTTS [2,3,6,7,8,9,10,11,12,13,14,15,16,17,18,19,21,22,23,24,25]. Quintero stage, in the reported cases including the cases in this study, was stage I in 7% (2/27) stage II in 15% (4/27), stage III in 45% (12/27) and stage IV in 33% (9/27) of the MC triplets.…”

Section: Resultsmentioning

confidence: 99%

“…The prognosis of TTTS for MC triplets is considered to be different from that for DC triplets and has been reported to be severe, with higher rates of mortality and preterm birth, despite interventions [7,10]. However, the literature on triplets and higher-order multiple births with TTTS consists mainly of case reports and small series, most of which fail to discuss placentation [3,11,12,13,14,15,16,17,18,19]. …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Monochorionic Triplets Complicated by Fetofetal Transfusion Syndrome: A Case Series and Review of the Literature

et al. 2012

View full text Add to dashboard Cite

Objective: To compare perinatal outcome in monochorionic (MC) triplets with twin-to-twin transfusion syndrome (TTTS) versus dichorionic (DC) triplets with TTTS. Study Design: Retrospective analysis of all triplets with TTTS treated at our center and all cases reported in the literature between 1990 and 2010. Survival and gestational age at birth of MC and DC triplets were compared and stratified by type of intervention. We excluded triplets with one or more fetal deaths <16 weeks’ gestation and those with one or more fetuses with congenital anomalies. Results: MC triplets were affected by TTTS in a total of 27 cases, and overall survival was 51% (38/75 fetuses) compared to 105 DC triplets with a survival of 76% (220/291 fetuses) (p < 0.05). Mean gestational age at birth in MC triplets was 28 weeks, compared to 31 weeks in DC triplets (p < 0.05). Perinatal survival of at least one fetus in MC triplet and DC triplet pregnancies was 70% (19/27) and 91% (96/105) (p < 0.05). In DC triplets, survival after laser therapy was significantly improved compared to expectant management, amniodrainage or selective feticide (p < 0.05). Conclusion: MC triplets with TTTS are at a considerably higher risk for perinatal mortality and preterm birth than DC triplets. The optimal strategy to manage MC triplets with TTTS, including the role of selective feticide and laser therapy of all anastomoses, is still to be established.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Monochorionic Triplets Complicated by Fetofetal Transfusion Syndrome: A Case Series and Review of the Literature

et al. 2012

View full text Add to dashboard Cite

show abstract

“…At 32 weeks, a caesarean section was performed because of an intrauterine growth restriction of the donor triplet. In the third case report,7 FFTS was noted at 21 weeks, which rapidly progressed over the next few weeks despite indomethacin and reduction amniocenteses. At 27 weeks, spontaneous labour began and three live babies were delivered by emergency caesarean section, but two of them died within 2 days of birth.…”

Section: Discussionmentioning

confidence: 85%

Spontaneous monochorionic triplet pregnancy with no fetal anomaly or feto-fetal transfusion

Gandham

Ogueh

2012

BMJ Case Reports

View full text Add to dashboard Cite

We present a case of spontaneously conceived monochorionic triamniotic triplet pregnancy with no fetal anomaly or feto-fetal transfusion. The mother developed gestational diabetes at 20 weeks gestation, and at 20 weeks and 4 days gestation triplet 2 was found to have selective growth restriction and absent end diastolic flow. Although laser treatment and clamping of the umbilical cord of the growth-restricted baby was considered, the management was conservative with regular ultrasound scans and antenatal corticosteroids at 24 weeks gestation, and the umbilical artery Doppler reverted to normal at 26 weeks and 4 days and growth velocity was maintained. An elective caesarean section was performed at 33 weeks gestation to deliver three boys in excellent condition who only required feeding support.

show abstract

“…Data regarding treatment of FFTS in triplets are scant. Reports of amnioreduction [2,[5][6][7][8][9], umbilical cord occlusion [10][11][12][13][14][15], and fetoscopic laser ablation of vascular communications [13,16,17] have involved relatively few patients. The largest case series of fetoscopic laser surgery in triplets with FFTS is from a single institution which reported 10 cases over a 6-year period [16].…”

Section: Introductionmentioning

confidence: 99%

Triplets with feto-fetal transfusion syndrome treated with laser ablation: The USFetus experience

Chmait

Kontopoulos

Bornick

et al. 2010

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

show abstract

Fetofetal transfusion in triplets.

Cited by 25 publications

References 11 publications

Monochorionic Triplets Complicated by Fetofetal Transfusion Syndrome: A Case Series and Review of the Literature

Monochorionic Triplets Complicated by Fetofetal Transfusion Syndrome: A Case Series and Review of the Literature

Spontaneous monochorionic triplet pregnancy with no fetal anomaly or feto-fetal transfusion

Triplets with feto-fetal transfusion syndrome treated with laser ablation: The USFetus experience

Contact Info

Product

Resources

About