The vascular anastomoses in monochorionic twin pregnancies and their clinical consequences.
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The vascular anastomoses in monochorionic twin pregnancies and their clinical consequences. / Lewi, Liesbeth; Deprest, Jan; Hecher, Kurt.
in: AM J OBSTET GYNECOL, Jahrgang 208, Nr. 1, 1, 2013, S. 19-30.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The vascular anastomoses in monochorionic twin pregnancies and their clinical consequences.
AU - Lewi, Liesbeth
AU - Deprest, Jan
AU - Hecher, Kurt
PY - 2013
Y1 - 2013
N2 - Monochorionic twin pregnancies are at increased risk of adverse outcome because of the vascular anastomoses that connect the 2 fetal circulation systems. The shared circulation is responsible for some unique complications in monochorionic twins, such as the twin-to-twin transfusion syndrome, the twin anemia polycythemia sequence, the twin reversed arterial perfusion sequence, and monoamniotic twinning. Another consequence of the shared circulation is that the well-being of one twin critically depends on that of the other. In this review, we will describe the technique of placental injection. Further, we will discuss the role of the vascular anastomoses in each of the complications described above and provide an update on their management.
AB - Monochorionic twin pregnancies are at increased risk of adverse outcome because of the vascular anastomoses that connect the 2 fetal circulation systems. The shared circulation is responsible for some unique complications in monochorionic twins, such as the twin-to-twin transfusion syndrome, the twin anemia polycythemia sequence, the twin reversed arterial perfusion sequence, and monoamniotic twinning. Another consequence of the shared circulation is that the well-being of one twin critically depends on that of the other. In this review, we will describe the technique of placental injection. Further, we will discuss the role of the vascular anastomoses in each of the complications described above and provide an update on their management.
KW - Humans
KW - Female
KW - Pregnancy
KW - Fetofetal Transfusion/etiology/physiopathology
KW - Placenta/blood supply
KW - Pregnancy, Twin
KW - Twins, Monozygotic
KW - Humans
KW - Female
KW - Pregnancy
KW - Fetofetal Transfusion/etiology/physiopathology
KW - Placenta/blood supply
KW - Pregnancy, Twin
KW - Twins, Monozygotic
M3 - SCORING: Journal article
VL - 208
SP - 19
EP - 30
JO - AM J OBSTET GYNECOL
JF - AM J OBSTET GYNECOL
SN - 0002-9378
IS - 1
M1 - 1
ER -