Update on twin-to-twin transfusion syndrome

Christian Bamberg; Kurt Hecher

doi:10.1016/j.bpobgyn.2018.12.011

Update on twin-to-twin transfusion syndrome

Standard

Update on twin-to-twin transfusion syndrome. / Bamberg, Christian; Hecher, Kurt.

in: Best practice & research. Clinical obstetrics & gynaecology, Jahrgang 58, 07.2019, S. 55-65.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung

Harvard

Bamberg, C & Hecher, K 2019, 'Update on twin-to-twin transfusion syndrome', Best practice & research. Clinical obstetrics & gynaecology, Jg. 58, S. 55-65. https://doi.org/10.1016/j.bpobgyn.2018.12.011

APA

Bamberg, C., & Hecher, K. (2019). Update on twin-to-twin transfusion syndrome. Best practice & research. Clinical obstetrics & gynaecology, 58, 55-65. https://doi.org/10.1016/j.bpobgyn.2018.12.011

Vancouver

Bamberg C, Hecher K. Update on twin-to-twin transfusion syndrome. Best practice & research. Clinical obstetrics & gynaecology. 2019 Jul;58:55-65. https://doi.org/10.1016/j.bpobgyn.2018.12.011

Bibtex

@article{7738dbd03b1a430a8acb3966aadea05c,

title = "Update on twin-to-twin transfusion syndrome",

abstract = "Twin-to-twin transfusion syndrome (TTTS) is a serious complication that affects 10-15% of monochorionic multiple pregnancies. Communicating placental vessels on the chorionic plate between the donor and recipient twin are responsible for the imbalance of blood flow. There is evidence for the superiority of fetoscopic laser ablation over serial amnioreductions regarding survival and neurological outcome for stages II-IV TTTS. However, the optimal management of stage I is still debated. The {"}Solomon{"} technique showed a significant reduction in recurrent TTTS and post laser twin anemia-polycythemia sequence (TAPS) in comparison to the selective laser method without improvement in perinatal mortality or neonatal morbidity. Survival rates after fetoscopic laser surgery have significantly increased over the last 25 years. High volume centers report up to 70% double survival and at least one survivor in >90%. Long-term neurodevelopmental impairment occurs in about 10% of children after laser surgery. In this review we discuss the optimal management, innovations in laser technique, long-term neurodevelopmental outcome, and future aspects of TTTS treatment.",

keywords = "Female, Fetofetal Transfusion/diagnosis, Fetoscopy/adverse effects, Gestational Age, Humans, Laser Coagulation/adverse effects, Placenta/physiopathology, Pregnancy, Pregnancy, Twin, Ultrasonography, Doppler, Ultrasonography, Prenatal",

author = "Christian Bamberg and Kurt Hecher",

year = "2019",

month = jul,

doi = "10.1016/j.bpobgyn.2018.12.011",

language = "English",

volume = "58",

pages = "55--65",

journal = "BEST PRACT RES CL OB",

issn = "1521-6934",

publisher = "Bailliere Tindall Ltd",

}

RIS

TY - JOUR

T1 - Update on twin-to-twin transfusion syndrome

AU - Bamberg, Christian

AU - Hecher, Kurt

PY - 2019/7

Y1 - 2019/7

N2 - Twin-to-twin transfusion syndrome (TTTS) is a serious complication that affects 10-15% of monochorionic multiple pregnancies. Communicating placental vessels on the chorionic plate between the donor and recipient twin are responsible for the imbalance of blood flow. There is evidence for the superiority of fetoscopic laser ablation over serial amnioreductions regarding survival and neurological outcome for stages II-IV TTTS. However, the optimal management of stage I is still debated. The "Solomon" technique showed a significant reduction in recurrent TTTS and post laser twin anemia-polycythemia sequence (TAPS) in comparison to the selective laser method without improvement in perinatal mortality or neonatal morbidity. Survival rates after fetoscopic laser surgery have significantly increased over the last 25 years. High volume centers report up to 70% double survival and at least one survivor in >90%. Long-term neurodevelopmental impairment occurs in about 10% of children after laser surgery. In this review we discuss the optimal management, innovations in laser technique, long-term neurodevelopmental outcome, and future aspects of TTTS treatment.

AB - Twin-to-twin transfusion syndrome (TTTS) is a serious complication that affects 10-15% of monochorionic multiple pregnancies. Communicating placental vessels on the chorionic plate between the donor and recipient twin are responsible for the imbalance of blood flow. There is evidence for the superiority of fetoscopic laser ablation over serial amnioreductions regarding survival and neurological outcome for stages II-IV TTTS. However, the optimal management of stage I is still debated. The "Solomon" technique showed a significant reduction in recurrent TTTS and post laser twin anemia-polycythemia sequence (TAPS) in comparison to the selective laser method without improvement in perinatal mortality or neonatal morbidity. Survival rates after fetoscopic laser surgery have significantly increased over the last 25 years. High volume centers report up to 70% double survival and at least one survivor in >90%. Long-term neurodevelopmental impairment occurs in about 10% of children after laser surgery. In this review we discuss the optimal management, innovations in laser technique, long-term neurodevelopmental outcome, and future aspects of TTTS treatment.

KW - Female

KW - Fetofetal Transfusion/diagnosis

KW - Fetoscopy/adverse effects

KW - Gestational Age

KW - Humans

KW - Laser Coagulation/adverse effects

KW - Placenta/physiopathology

KW - Pregnancy

KW - Pregnancy, Twin

KW - Ultrasonography, Doppler

KW - Ultrasonography, Prenatal

U2 - 10.1016/j.bpobgyn.2018.12.011

DO - 10.1016/j.bpobgyn.2018.12.011

M3 - SCORING: Review article

C2 - 30850326

VL - 58

SP - 55

EP - 65

JO - BEST PRACT RES CL OB

JF - BEST PRACT RES CL OB

SN - 1521-6934

ER -