Acute intrapartum twin-to-twin transfusion following successful fetoscopic laser ablation.
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Acute intrapartum twin-to-twin transfusion following successful fetoscopic laser ablation. / Baschat, Ahmet; Harman, Christopher R.
in: AM J PERINAT, Jahrgang 24, Nr. 4, 4, 2007, S. 203-205.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Acute intrapartum twin-to-twin transfusion following successful fetoscopic laser ablation.
AU - Baschat, Ahmet
AU - Harman, Christopher R
PY - 2007
Y1 - 2007
N2 - Fetoscopic laser ablation of placental vascular anastomoses is an intrauterine therapy targeting the source of twin-to-twin transfusion syndrome (TTTS). Our patient had successful laser treatment, with resolution of stage II TTTS, suggesting closure of all significant anastomoses. After an uneventful pregnancy course, she elected a trial of labor. Following spontaneous onset of labor, acute intrapartum twin-to-twin transfusion was suspected, suggested by sinusoidal heart rate changes, confirmed postdelivery by twins' complete blood counts. The potential risks of labor with prior fetoscopic laser ablation are reviewed in the context of current knowledge about placental architecture in TTTS.
AB - Fetoscopic laser ablation of placental vascular anastomoses is an intrauterine therapy targeting the source of twin-to-twin transfusion syndrome (TTTS). Our patient had successful laser treatment, with resolution of stage II TTTS, suggesting closure of all significant anastomoses. After an uneventful pregnancy course, she elected a trial of labor. Following spontaneous onset of labor, acute intrapartum twin-to-twin transfusion was suspected, suggested by sinusoidal heart rate changes, confirmed postdelivery by twins' complete blood counts. The potential risks of labor with prior fetoscopic laser ablation are reviewed in the context of current knowledge about placental architecture in TTTS.
M3 - SCORING: Zeitschriftenaufsatz
VL - 24
SP - 203
EP - 205
JO - AM J PERINAT
JF - AM J PERINAT
SN - 0735-1631
IS - 4
M1 - 4
ER -