期刊
EXPERT REVIEW OF HEMATOLOGY
卷 9, 期 8, 页码 815-820出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/17474086.2016.1200968
关键词
Monochorionic twins; twin-twin transfusion syndrome; twin anemia-polycythemia sequence; fetoscopic laser surgery; intrauterine transfusion; partial exchange transfusion
类别
Introduction: Twin-twin transfusion syndrome (TTTS) and twin anemia polycythemia sequence (TAPS) are severe complications in monochorionic twin pregnancies associated with high mortality and morbidity risk if left untreated. Both diseases result from imbalanced inter-twin blood transfusion through placental vascular anastomoses.Areas covered: This review focuses on the differences in antenatal management between TTTS and TAPS.Expert commentary: The optimal management for TTTS is fetoscopic laser coagulation of the vascular anastomoses, preferably using the Solomon technique in which the whole vascular equator is coagulated. The Solomon technique is associated with a reduction of residual anastomosis and a reduction in post-operative complications. The optimal management for TAPS is not clear and includes expectant management, intra-uterine transfusion with or without partial exchange transfusion and fetoscopic laser surgery.
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