Twin-to-twin transfusion syndrome
Authors:
T. Vrána; R. Gerychová; P. Janků; P. Ventruba
Authors‘ workplace:
Gynekologicko – porodnická klinika LF MU a FN Brno
Published in:
Prakt Gyn 2008; 12(2): 82-85
Overview
Monochoriotic twin pregnancies presenting with severe twin-to-twin transfusion syndrome are associated with a high risk of miscarriage, perinatal death and chronic neurological handicap. Two methods of treatment have been reported to be effective. Serial amniodrainage or amniotic fluid volume reduction is historically the most established method of treatment. A more recent development in the management of this condition is the use of fetoscopy and laser coagulation to interrupt the placental vascular communications between the twins which are a prerequisite for the development of the syndrome.
Key words:
twin-to-twin transfusion – twin-to-twin transfusion syndrome
Sources
1. van Gemert MJ, Umur A, Tijssen JG, Ross MG. Twin-twin transfusion syndrome: etiology, severity and rational management. Curr Opin Obstet Gynecol 2001; 13(2): 193-206.
2. Nicolini U, Poblete A, Boshetto CH et al. Complicated monochorionic twin pregnancies: Experience with bipolar cord coagulation. Am J Obstet Gynecol 2001; 185(3): 703-707.
3. Mari G, Roberts A, Detti L et al. Perinatal morbidity and mortality rates in severe twin-twin transfusion syndrome: results of the international amnioreduction registry. Am J Obstet Gynecol 2001; 185(3): 708-715.
4. Johnson JR, Rossi KQ, O´Shaughnessy RW. Amnioreduction versus septostomy in twin-twin tranfusion syndrome. Am, J Obstet Gynecol 2001; 185(5): 1044-1047.
5. Allen VM, Windrim R, Barett J, Ohlsson A. Management of monoamniotic twin pregnancies: a case series and systematic review of the literature. BJOG 2001; 108(9): 931-936.
6. Johnson A, Kenneth JM. Improving survival in twin-twin transfusion syndrome. Conteporary OB/GYN 2006.
7. Hodík K, Musilová I, Kopecký P et al. Syndrom twin-to-twin transfuze – nové metody léčby zlepšující přežití. Gynekologie po promoci 2007; 3: 65-72.
8. Galea P, Jain V, Fisk NM. Insights into the pathophysiology of twin-twin transfusion syndrome. Prenat Diagn 2005; 25(9): 777-785.
9. Crombleholme TM, SheraD, Lee H et al. A prospective, randomized, multicenter trial of amnioreduction vs selective fetoscopic laser photocoagulation for the treatment of severe twin-twin transfusion syndrome. Am J Obstet Gynecol 2007; 197(4): 396-399.
10. Saito H, Tsutsumi O, Noda Y et al. Do assisted reproductive technologies have effects on the demography of monozygotictwinning? Fertil Steril 2000; 74(1): 178-179.
11. Saunders NJ, Snijders RJ, Nicolaides KH. Therapeutic amniocentesis in twin-twin transfusion syndrome appearing in the second trimester of pregnancy. Am J Obstet Gynecol 1992; 166(3): 820-824.
12. Ryan G, Windrim R, Alkazaleh F et al. Severe twin-twin transfusion syndrome (TTTS) – is there a role for laser beyond the conventional gestational age guidelines? Ultrasound Obstet Gynecol 2006; 28: 381-382.
13. Taylor MJ, Shalev E, Tanawattanacharoen S et al. Ultrasound-guided umbilical cord occlusion using bipolar diathermy for Stage III/IV twin-twin transfusion syndrome. Prenat Diagn 2002; 22(1): 70-76.
14. Tsao K, Feldstein VA, Albanese CT et al. Selective reduction of acardiac twin by radiofrequency ablation. Am J Obstet Gynecol 2002; 187(3): 635-640.
15. Eurofoetus group - Ville Y, KU Leuven, J. Deprest et al. Management of Twin-Twin transfusion syndrome. Open multicentre randomized trial for the evolution of serial amniodrenage vs endoskopic placenta laser surgery with amniodrenage, 2003.
16. Ville Y, Hecher K, Sebire N et al. Endoscopic laser coagulation in the management of severe twin to twin transfusion syndrome. Br J Obstet Gynecol 1998; 105(4): 446-453.
17. Van Pebourgh P, Rambajs C, Ville Y. Effect of laser coagulation on placenta vessels – histological aspects. Fetal Diagn Ther 1997; 12(1): 32-35.
18. Trespidi L, Boschetto C, Caravelli E et al. Serial amniocentesis in the management of twin -twin transfusion syndrome: when is it valuable?. Fetal Diagn Ther 1997; 12(1): 15-20.
19. Qintero RA, Morales WJ, Allen MH et al. Staging of twin – twin transfusion syndrome. J Perinatol 1999; 19(8 Pt 1): 550-555.
20. Vrána T, Gerychová R, Janků P, Ventruba P. Syndrom fetofetální transfuze. Odborný seminář GPK FN Brno 01/2008.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Practical Gynecology
2008 Issue 2
Most read in this issue
- Twin-to-twin transfusion syndrome
- The influence of morbid obesity as an independent risk factor of termination of pregnancy by caesarean section
- Prevention of Rh (D) alloimmunization in Rh (D) negative women
- Idiopathic thrombocytopenic purpura in pregnancy