Document Detail


Twin-twin transfusion syndrome.
MedLine Citation:
PMID:  22713499     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Twin-twin transfusion syndrome (TTTS) is a serious condition that affects 10% to 15% of twin pregnancies with monochorionic diamniotic placentation. The pathophysiology of TTTS is not completely understood; however, the presence of unbalanced placental vascular communications within a shared circulation has been implicated in its development. The presentation of TTTS is highly variable, and it does not always progress in a predictable manner. Monochorionic twin gestations should, therefore, be monitored for signs of TTTS with serial sonograms starting in the second trimester. Early TTTS can be managed conservatively. However, without intervention, early-onset advanced TTTS is associated with a high perinatal loss rate and risk of severe neurologic impairment among survivors. Limited studies suggest that fetoscopic laser photocoagulation is the best available treatment for advanced TTTS diagnosed in the second trimester. Even with laser therapy, there remains a significant risk of twin demise and neurologic handicap in survivors.
Authors:
Claudia Mosquera; Russell S Miller; Lynn L Simpson
Related Documents :
1469929 - Colonic cancer during pregnancy: case report and review of the literature.
10365569 - A case of advanced viable extrauterine pregnancy.
9588649 - A cluster of cases of neonatal coxsackievirus b meningitis and myocarditis.
17029299 - Second-trimester intra-abdominal bowel dilation in fetuses with gastroschisis predicts ...
2637059 - Appendicitis during pregnancy.
12423809 - Gastric rupture associated with pregnancy.
12566249 - Stereological investigation of placental morphology in pregnancies complicated by pre-e...
2456869 - Elevated maternal serum alpha-fetoprotein (msafp): interpretation and follow-up.
2284889 - Epidermal growth factor in mice: changes during circadian and female reproductive cycles.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in perinatology     Volume:  36     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  182-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2012. Published by Elsevier Inc.
Affiliation:
Carmen and John Thain Center for Prenatal Pediatrics, Columbia University Medical Center, New York, NY.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Fetal growth disorders in twin gestations.
Next Document:  Prediction and prevention of spontaneous preterm birth in twin gestations.