The outcome of twin reversed arterial perfusion sequence diagnosed in the first trimester

被引：118

作者：

Lewi, Liesbeth ^{[1
,2
]}

Valencia, Catalina ^{[1
]}

Gonzalez, Esperanza ^{[1
]}

Deprest, Jan ^{[2
]}

Nicolaides, Kypros H. ^{[1
]}

机构：

[1] Kings Coll Hosp London, Harris Birthright Res Ctr Fetal Med, London, England

[2] Univ Hosp Leuven, Div Woman, Dept Woman & Child, Louvain, Belgium

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 203卷 / 03期

关键词：

acardiac; monochorionic twin pregnancy; TRAP; twin reversed arterial perfusion; FETAL; AMNIOCENTESIS; RISK;

D O I：

10.1016/j.ajog.2010.04.018

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: The aim of this study was to document the mortality of twin reversed arterial perfusion (TRAP) sequence from the first trimester to planned intervention at 16-18 weeks. STUDY DESIGN: A retrospective review was performed of the outcome of monochorionic twin pregnancies diagnosed with twin reversed arterial perfusion sequence in the first trimester. RESULTS: Twenty-six pregnancies were diagnosed with twin reversed arterial perfusion sequence in the first trimester: 2 opted for termination of pregnancy and 24 opted for prophylactic intervention to arrest the reversed flow, which was planned at 16-18 weeks. In 8 of 24 (33%) pregnancies, spontaneous death of the pump twin occurred between diagnosis and planned intervention. In 5 of 24 (21%), there was a spontaneous arrest of flow; whereas, in 11 (46%) there was persistent flow toward the acardiac twin at 16-18 weeks. CONCLUSION: Twin reversed arterial perfusion carries a high mortality between the first and early second trimester.

引用

页码：213.e1 / 213.e4

页数：4

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