Search

Only show content I have access to (0)

Chapters (1)

Over 3 years (1)

From year:

To year:

Apply

Medicine (1)

Cambridge University Press (1)

1 results

Chapter 11.5 - Twin-to-twin transfusion syndrome
from Section 2 - Fetal disease
- By Ramesha Papanna, Kenneth J. Moise, Jr.
Edited by Mark D. Kilby, Anthony Johnson, Baylor College of Medicine, Texas, Dick Oepkes
Book:

Fetal Therapy

Published online:

05 February 2013

Print publication:

13 December 2012, pp 184-186
- Chapter
- - Get access
    
    Check if you have access via personal or institutional login
    
    Log in Register
- Export citation
Summary

Twin-to-twin transfusion syndrome (TTTS) is a complication that affects approximately 10% of all monochorionic twin pregnancies. O'Donoghue et al. reported that majority of stage I cases (67.4%) were managed by amnioreduction, with 39.1% treated at the time of first presentation. Serial amnioreductions may be offered as a treatment for stage I disease for the treatment of patients who are symptomatic from polyhydramnios or have a shortened cervix. In 20% of TTTS cases, amnioreduction may lead to stabilization or regression of the stage. Laser therapy for stage I disease has been offered by many centers due to the risk of progression and the eventual need for a definitive treatment. There are few studies that report outcomes for laser treatment specifically for stage I disease. A consensus conference was sponsored by the North American Fetal Therapy Network to evaluate the available information regarding management of Quintero stage I TTTS.