OP21.04: Assessing fetal cardiac function using pulse Doppler and tissue Doppler in recipient twins of Twin-twin transfusion syndrome
نویسندگان
چکیده
منابع مشابه
Tissue Doppler Analysis of Postnatal Circulatory Dysfunction in Recipient Infants of Twin-Twin Transfusion Syndrome
Methods: Out of 172 very low birth weight (VLBW) infants admitted from 2004 to 2007, five recipient infants of monochorionic diamniotic twins were defined as recipient group (n=5). Three to five control infants matched for gestational age, birth weight, gender were selected from the remaining VLBW infants in the same study period (control group, n=20). Serial echocardiographic examinations incl...
متن کاملModeling a hydropic recipient twin in twin-twin transfusion syndrome.
We developed a mathematical model of twin-twin transfusion syndrome (TTTS) that includes a hydropic recipient twin, adding interstitial and intracellular fluid compartments, fetal congestive cardiac failure, and the dynamics of renin-angiotensin system (RAS) mediators to our previous TTTS model. Ten differential equations for each twin, coupled by the net fetofetal transfusion of blood and bloo...
متن کاملAcute Fetal Anemia Diagnosed by Middle Cerebral Artery Doppler Velocimetry in Stage V Twin–Twin Transfusion Syndrome
In stage V twin-twin transfusion syndrome (TTTS), up to 50% of surviving twins die or experience permanent disabilities, likely due to acute intertwin hemorrhage resulting in sudden severe anemia of the survivor. Although fetal middle cerebral artery (MCA) Doppler studies demonstrate strong correlation with fetal hemoglobin values, acute hemorrhagic events are more difficult to diagnose, and op...
متن کاملClinical and echographic features of in utero cardiac dysfunction in the recipient twin in twin-twin transfusion syndrome.
OBJECTIVE Fetal twin-twin transfusion syndrome (TTTS) presenting in the second trimester has been associated with almost no perinatal survival until recently, when serial drainage of amniotic fluid has improved the prognosis to 70%-80%. Most recipient twins now survive but develop cardiac dysfunction. The study was undertaken to evaluate the abnormal echocardiographic features and clinical comp...
متن کاملFetal Limb Ischaemia in Twin-to-Twin Transfusion Syndrome
Objective. To describe the rare association between prenatal vascular limb occlusion and twin-to-twin transfusion syndrome. The Case. A woman with severe twin-to-twin transfusion syndrome was treated with fetoscopic laser ablation at 19-week gestation. At 27 weeks, the twins were delivered by an emergency caesarean section. The right arm of twin 1, the recipient twin, was noted to be "ischaemic...
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ژورنال
عنوان ژورنال: Ultrasound in Obstetrics & Gynecology
سال: 2015
ISSN: 0960-7692
DOI: 10.1002/uog.15299