CURRENT TREATMENT OF TWIN-TO-TWIN TRANSFUSION SYNDROME
https://doi.org/10.18705/2311-4495-2017-4-4-36-42
Abstract
Twin-to-twin transfusion syndrome – severe specific complication of monochorionic pregancy, which occurs in 10—15% monochorionic twins. The object of this paper is describing current treatment modalities of twin-totwin transfusion syndrome. Perinatal loss in case of conservative approach in twin-to-twin transfusion syndrome is more than 95%. Fetoscopic laser coagulation, amnioreduction, selective fetocide and preganancy termination are the current atreatment modalities of twin-to-twin transfusion syndrome. Fetoscopic laser coagulation is considered the most effective approach with highest rates of livebirth and the lowest maternal risks. In I stage twin-to-twin transfusion syndrome transabdominal amnioreductions can be effective, leading to resolving the disease. Intrauterine fetal surgery is the treatment of choice, preventing future morbidity in childhood and adolescence.
About the Authors
F. A. Ovsyannikov
Almazov National Medical Research Centre
Russian Federation
Russian Federation
PhD, obstetrician-gynecologist,
Akkuratova str. 2, Saint Petersburg, 197341
A. N. Romanovsky
Maternity Clinic 17;
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
obstetrician-gynecologist, PhD student;
Saint Petersburg
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Review
For citations:
Ovsyannikov F.A., Romanovsky A.N. CURRENT TREATMENT OF TWIN-TO-TWIN TRANSFUSION SYNDROME. Translational Medicine. 2017;4(4):36-42. (In Russ.) https://doi.org/10.18705/2311-4495-2017-4-4-36-42
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