Update on twin-to-twin transfusion syndrome

Kateb, A. El; Ville, Y.

doi:10.1016/j.bpobgyn.2007.07.002

Cited by 45 publications

(46 citation statements)

References 58 publications

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“…In our series, 4 out of 28 monochorionic twins (14%) developed TTTS and 1 acardiac twin was found (Figure 1). El Kateb et al (10) has observed 15% TTTS in monochorionic twin pregnancies and reported that the mortality rate reaches to 90%. Again in different studies the incidence of TTTS was reported between 3-24% (11) .…”

Section: Resultsmentioning

confidence: 98%

Multipl Pregnancies and Their Complications

Kazandı¹,

Turan²

2011

J Turk Soc Obstet Gynecol

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Section: Resultsmentioning

confidence: 98%

Multipl Pregnancies and Their Complications

Kazandı¹,

Turan²

2011

J Turk Soc Obstet Gynecol

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“…Intertwin placental anastomoses are the basis for the onset of TTTS. Although intertwin transfusion is a constant and usually balanced phenomenon in monochorionic twins, a chronic imbalance in net flow can trigger TTTS [4]. …”

Section: Discussionmentioning

confidence: 99%

Limb Constriction Secondary to Pseudoamniotic Band Syndrome after Selective Fetoscopic Laser Surgery: Report of a Case with a Favorable Outcome

Rodrigues

Araújo²,

Carvalho³

et al. 2012

Fetal Diagn Ther

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Pseudoamniotic band syndrome (PABS) is an iatrogenic complication that causes entanglement of fetal parts in a constrictive sheet of detached or ruptured amniotic membrane after an invasive procedure, namely amniocentesis, amnioreduction or septostomy in twins. The incidence and risk factors for PABS after fetoscopy-guided laser have not been documented [Winer et al.: Am J Obstet Gynecol 2008;198:393.e1–393.e5]. We report a case of monochorionic biamniotic twin pregnancy submitted to selective fetoscopic laser photocoagulation for twin-to-twin transfusion syndrome at 16 weeks of gestation. The procedure was complicated by the death of one of the fetuses at 24 weeks of gestation. Moreover, the surviving twin was diagnosed postnatally with pseudoamniotic band syndrome, presenting with affected limbs. The newborn was submitted to surgical correction of these lesions with a successful outcome and was discharged on day 15.

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“…(1) Untreated TTTS has very poor prognosis, with perinatal mortality rates of up to 90% and the donor being at higher risk of death when compared to the recipient. (2) There is now extensive ex vivo and in utero evidence to show that TTTS results from a chronic, imbalanced unidirectional blood fl ow between the twins, i.e. from artery to vein, through placental deep arteriovenous anastomoses (AVAs) between the two fetal circulations sharing the same placenta mass.…”

Section: Introductionmentioning

confidence: 99%