Successful treatment of twin-twin transfusion syndrome by occlusion of placental vessel anastomoses using enbucrilate.
نویسندگان
چکیده
OBJECTIVE Twin-twin transfusion syndrome is a serious obstetric complication unique to monochorionic twin gestations. Occlusion of vessel anastomoses is recommended to improve the perinatal outcome. CASE REPORT A 36-year-old, gravida 1, woman had a monochorionic twin pregnancy which was found to be affected by twin-twin transfusion syndrome at 26 weeks' gestation. The condition was successfully treated by occlusion of placental vessel anastomoses using enbucrilate under color Doppler ultrasonographic guidance. At 35 weeks of gestation, two male infants were delivered by cesarean section. The birth weights of the babies were 2,470 and 1,750 g, and both were thriving. CONCLUSION Targeted therapeutic ablation of vessel anastomoses involved in twin-twin transfusion syndrome using color Doppler ultrasonographic guidance is minimally invasive and may effectively obliterate interfetal transfusion, contributing to the survival of both twins.
منابع مشابه
Fetoscopic Laser Photocoagulation for the Treatment of Twin-Twin Transfusion Syndrome in Monochorionic Twin Pregnancies
Fetoscopic laser surgery for severe twin-twin transfusion syndrome (TTTS) has become the optimal treatment choice since the release of the Eurofetus randomized clinical trial. These techniques have been adopted throughout the globe, and many institutions have instituted or will soon institute fetoscopic laser surgery procedures; however, laser surgery has a steep learning curve because of the f...
متن کاملResidual anastomoses after fetoscopic laser surgery in twin-to-twin transfusion syndrome: frequency, associated risks and outcome.
Fetoscopic laser coagulation of placental vascular anastomoses is considered to be the treatment of choice in severe twin-to-twin transfusion syndrome. The aim of fetoscopic laser surgery is to separate completely the inter-twin placental circulation. Incomplete laser coagulation may result in residual vascular anastomoses. The incidence and clinical implications of residual anastomoses in twin...
متن کاملThe Treatments of Twin-Twin Transfusion Syndrome in Monochorionic Twin Pregnancies by the Fetoscopic Laser Photocoagulation
Fetoscopic laser surgery for severe Twin-Twin Transfusion Syndrome (TTTS) has been conducted since early 1990s in United States and Europe. After the conclusion of Eurofetus in the randomized clinical trial [1], fetoscopic laser surgery has become the standard and optimal treatment for the TTTS condition. Recently, the techniques have been implemented throughout the globe; many institutions hav...
متن کاملTwin-to-twin transfusion syndrome: from placental anastomoses to long-term neurodevelopmental outcome
متن کامل
TRANSLATIONAL PHYSIOLOGY Modeling a hydropic recipient twin in twin-twin transfusion syndrome
Wijngaard, Jeroen P. H. M. van den, Asli Umur, Raymond T. Krediet, Michael G. Ross, and Martin J. C. van Gemert. Modeling a hydropic recipient twin in twin-twin transfusion syndrome. Am J Physiol Regul Integr Comp Physiol 288: R799–R814, 2005. First published November 11, 2004; doi:10.1152/ajpregu.00635.2004.— We developed a mathematical model of twin-twin transfusion syndrome (TTTS) that inclu...
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ورودعنوان ژورنال:
- Taiwanese journal of obstetrics & gynecology
دوره 47 3 شماره
صفحات -
تاریخ انتشار 2008