Laser therapy for twin-to-twin transfusion syndrome (TTTS)

被引：66

作者：

Chalouhi, G. E. ^{[1
]}

Essaoui, M. ^{[1
]}

Stirnemann, J. ^{[1
]}

Quibel, T. ^{[1
]}

Deloison, B. ^{[1
]}

Salomon, L. ^{[1
]}

Ville, Y. ^{[1
]}

机构：

[1] Paris Descartes Univ, Natl Referral Ctr Management Complicated Monochor, Dept Obstet & Fetal Med, Hop Necker Enfants Malad,AP HP, F-75015 Paris, France

来源：

PRENATAL DIAGNOSIS | 2011年 / 31卷 / 07期

关键词：

fetal surgery; TTTS; twin-to-twin transfusion syndrome; laser therapy; complications; PRETERM PREMATURE RUPTURE; CHORIONIC-PLATE-ANASTOMOSES; PLACENTAL VESSELS; COMMUNICATING VESSELS; RECIPIENT TWIN; SERIAL AMNIOREDUCTION; MONOCHORIONIC TWINS; MEMBRANE DEFECTS; GELATIN SPONGE; ND-YAG;

D O I：

10.1002/pd.2803

中图分类号：

Q3 [遗传学];

学科分类号：

071007 ; 090102 ;

摘要：

Monochorionic twins are subjected to specific complications which originate in either imbalance or abnormality of the single placenta serving two twins including twin-to-twin transfusion syndrome. The diagnosis is well established in overt clinical forms with the association of polyuric polyhydramnios and oliguric oligohydramnios. The best treatment of cases presenting before 26 weeks of gestion is fetoscopic laser ablation of the intertwin anastomoses on the chorionic plate. Although subjected to subtle variations, the core technique follows robust guidelines which could help understanding and acquiring the required skills and experience to perform this procedure. However appropriate and tailored hands-on training and appropriate perinatal set-up are critical not only for surgical management but also for the follow-up and management of related complications. Copyright (C) 2011 John Wiley & Sons, Ltd.

引用

页码：637 / 646

页数：10

共 100 条

[61] Treatment of iatrogenic previable premature rupture of membranes with intra-amniotic injection of platelets and cryoprecipitate (amniopatch): Preliminary experience [J].