Twin to Twin Transfusion Syndrome in Discordance Twins: Diagnostic and Management Approach

نویسندگان

چکیده

Twin to twin tranfusion syndrome (TTTS) is a rare condition that affects the identical pregnancy or other multiples. TTTS occurs when there an imbalance in blood flow between fetuses who share one placenta. This can cause fetus be dominant among called discordant twins. The of twins still unclear. But causes Twin-to-Twin Tranfusion Syndrome. incidence pregnancies around 15-29% total pregnancies. chance developing estimated 10-15% monochorionic diamniotic. diagnosed by ultrasonography with measuring single deepest pocket (SDP). treated fetoscopy laser ablation. aim this treatment close connection vessels. There are alternative treatments such as amnioreduction, selective fetal reduction, termination pregnancy.

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منابع مشابه

[Twin to twin transfusion syndrome].

The incidence of multiple pregnancy has increased by 1.7 times from 1980-1994. Twenty-five percent of all twins are monochorionic diamnionic. The perinatal mortality of monochorionic twins is five times greater than that found in dichorionic twins and the morbidity is eight times greater. The increase in morbidity is due to prematurity, cerebral lesions and congenital malformations. One of the ...

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Twin to twin transfusion syndrome (TTTS) is a specific condition complicating 10-15% of monochorionic multiple pregnancy. Intertwin vascular anastomoses and transfusion is a normal event. Syndrome develops when blood flow is unbalanced. Recent studies suggest a paucity of bi-directional superficial anastomoses failing to compensate for hemodynamic imbalance resulting from unidirectional transfu...

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Twin-to-Twin Transfusion Syndrome (TTTS) is a rare placental disease that can occur at any time during pregnancy [5] involving identical twins. TTTS occurs when there is an unequal distribution of placental blood vessels between fetuses, which leads to a disproportionate supply of blood delivered. This unequal allocation of blood leads to developmental problems in both fetuses that can range in...

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Discordance in nuchal translucency measurements in monochorionic diamniotic twins as predictor of twin-to-twin transfusion syndrome.

OBJECTIVE Discordance in nuchal translucency measurements in monochorionic diamniotic twin pregnancies was assessed as predictor of Twin-to-Twin Transfusion Syndrome. STUDY DESIGN A total of 61 monochorionic diamniotic twins were enrolled. Nuchal translucency (NT) and crown-rump-length (CRL) discordance was calculated as the percentage of delta NT and CRL (absolute difference NT/CRL fetus 1 a...

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Twin-twin transfusion syndrome.

OBJECTIVE We sought to review the natural history, pathophysiology, diagnosis, and treatment options for twin-twin transfusion syndrome (TTTS). METHODS A systematic review was performed using MEDLINE database, PubMed, EMBASE, and Cochrane Library. The search was restricted to English-language articles published from 1966 through July 2012. Priority was given to articles reporting original res...

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ژورنال

عنوان ژورنال: European journal of medical and health sciences

سال: 2023

ISSN: ['2663-7529', '2663-7510']

DOI: https://doi.org/10.24018/ejmed.2023.5.2.1285