| Residual anastomoses in twin-to-twin transfusion syndrome treated with selective fetoscopic laser surgery: localization, size, and consequences. | |
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MedLine Citation:
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PMID: 19306965 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the localization and size of residual anastomoses in twin-to-twin transfusion syndrome treated with fetoscopic laser surgery and correlate the findings with outcome. STUDY DESIGN: Placental injection in twin-to-twin transfusion syndrome placentas treated with laser was performed by using colored dye. RESULTS: A total of 77 twin-to-twin transfusion syndrome placentas were included in the study. Residual anastomoses (n = 48) were found in 32% (25/77) of lasered placentas. Most residual anastomoses were localized near the margin of the placenta. The majority of residual anastomoses (67%; 32/48) were very small (diameter, < 1 mm). Eleven of the 25 cases (44%) in the residual anastomoses group developed twin anemia-polycythemia sequence. CONCLUSION: Most residual anastomoses in twin-to-twin transfusion syndrome placentas treated with laser are very small and localized near the placental margin. Almost half of cases with residual anastomoses developed twin anemia-polycythemia sequence after laser surgery. |
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Authors:
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Enrico Lopriore; Femke Slaghekke; Johanna M Middeldorp; Frans J Klumper; Dick Oepkes; Frank P Vandenbussche |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 201 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-06 Completed Date: 2009-08-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 66.e1-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Division of Neonatology, Leiden University Medical Centre, Leiden, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anemia / pathology Arteriovenous Anastomosis / surgery* Female Fetal Diseases / pathology Fetofetal Transfusion / pathology, surgery* Fetoscopy* Fetus / blood supply*, surgery* Humans Laser Coagulation Placenta / blood supply*, surgery Polycythemia / pathology Pregnancy Twins, Monozygotic / blood |
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