Clinical outcome in neonates with twin anemia-polycythemia sequence

被引：47

作者：

Lopriore, Enrico ^{[1
]}

Slaghekke, Femke ^{[2
]}

Oepkes, Dick ^{[2
]}

Middeldorp, Johanna M. ^{[2
]}

Vandenbussche, Frank P. ^{[2
]}

Walther, Frans J. ^{[1
]}

机构：

[1] Leiden Univ, Med Ctr, Div Neonatol, Dept Pediat, Leiden, Netherlands

[2] Leiden Univ, Med Ctr, Div Fetal Med, Dept Obstet, Leiden, Netherlands

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 203卷 / 01期

关键词：

anemia; monochorionic twins; polycythemia; twin anemia-polycythemia sequence; twin-twin transfusion syndrome; FETOSCOPIC LASER-SURGERY; TRANSFUSION SYNDROME; MONOCHORIONIC TWINS; FETAL; ANASTOMOSES; CORDOCENTESIS; COMPLICATIONS; MANAGEMENT; ULTRASOUND; THERAPY;

D O I：

10.1016/j.ajog.2010.02.032

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: The purpose of this study was to evaluate neonatal outcome of monochorionic twin pregnancies complicated by twin anemia-polycythemia sequence (TAPS). STUDY DESIGN: A cohort of consecutive monochorionic twins with TAPS with double survivors was included in the study. Each twin pair with TAPS was compared with 2 monochorionic twin pairs who were unaffected by TAPS or twin-to-twin transfusion syndrome and who were matched for gestational age at birth. Neonatal death, severe morbidity, and cerebral injury were studied. RESULTS: We included 19 twin pairs in the TAPS group and 38 control twin pairs. The incidence of neonatal death and severe neonatal morbidity was similar in the TAPS group and control group (3% [1/38] vs 1% [1/76] and 24% [9/38] vs 28% [21/76], respectively). Severe cerebral injury was detected in 1 infant (5%) in the TAPS group and 1 infant (2%) in the control group. CONCLUSION: Neonatal mortality and morbidity rates in a select population of TAPS neonates are similar to control neonatal rates.

引用

页码：54.e1 / 54.e5

页数：5

共 22 条

[1] THE SPECTRUM OF LEUKOMALACIA USING CRANIAL ULTRASOUND [J].

DEVRIES, LS ;

EKEN, P ;

DUBOWITZ, LMS .

BEHAVIOURAL BRAIN RESEARCH, 1992, 49 (01) :1-6

[2] Fetal intraperitoneal transfusion for iatrogenic twin anemia-polycythemia sequence after laser therapy [J].

Herway, C. ;

Johnson, A. ;

Moise, K. ;

Moise, K. J., Jr. .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2009, 33 (05) :592-594

[3] How can we diagnose and manage twin-twin transfusion syndrome? [J].

Huber, A ;

Hecher, K .

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY, 2004, 18 (04) :543-556

[4] MEASUREMENT OF THE GROWTH OF THE LATERAL VENTRICLES IN PRETERM INFANTS WITH REAL-TIME ULTRASOUND [J].

LEVENE, MI .

ARCHIVES OF DISEASE IN CHILDHOOD, 1981, 56 (12) :900-904

[5] The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study [J].

Lewi, Liesbeth ;

Jani, Jacques ;

Blickstein, Isaac ;

Huber, Agnes ;

Gucciardo, Leonardo ;

Van Mieghem, Tim ;

Done, Elisa ;

Boes, Anne-Sophie ;

Hecher, Kurt ;

Gratacos, Eduardo ;

Lewi, Paul ;

Deprest, Jan .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2008, 199 (05) :514.e1-514.e8

[6] Placental characteristics in monochorionic twins with and without twin anemia-polycythemia sequence [J].

Lopriore, E. ;

Deprest, J. ;

Slaghekke, F. ;

Oepkes, D. ;

Middeldorp, J. M. ;

Vandenbussche, F. P. H. A. ;

Lewi, L. .

OBSTETRICS AND GYNECOLOGY, 2008, 112 (04) :753-758

[7] Fetal and neonatal haematological complications in monochorionic twins [J].

Lopriore, E. ;

Oepkes, D. .

SEMINARS IN FETAL & NEONATAL MEDICINE, 2008, 13 (04) :231-238

[8] Twin anemia-polycythemia sequence in two monochorionic twin pairs without oligo-polyhydramnios sequence [J].

Lopriore, E. ;

Middeldorp, J. M. ;

Oepkes, D. ;

Kanhai, H. H. ;

Walther, F. J. ;

Vandenbussche, F. P. H. A. .

PLACENTA, 2007, 28 (01) :47-51

[9] Assessment of feto-fetal transfusion flow through placental arterio-venous anastomoses in a unique case of twin-to-twin transfusion syndrome [J].

Lopriore, E. ;

van den Wijngaard, J. P. H. M. ;

Middeldorp, J. M. ;

Oepkes, D. ;

Walther, F. J. ;

van Gemert, M. J. ;

Vandenbussche, F. P. H. A. .

PLACENTA, 2007, 28 (2-3) :209-211

[10] Incidence, origin, and character of cerebral injury in twin-to-twin transfusion syndrome treated with fetoscopic laser surgery [J].

Lopriore, E ;

van Wezet-Meijler, G ;

Middeldorp, JM ;

Sueters, M ;

Vandenbussche, FP ;

Walther, FJ .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2006, 194 (05) :1215-1220

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