Occlusion of umbilical artery in acardiac, acephalic twin.
In the acardiac, acephalic twin malformation the normal co-twin is put at risk because of the extra cardiac work-load. Surgical procedures may be hazardous to the mother. We describe a novel approach--the insertion of a helical metal coil to induce thrombosis in the umbilical artery of the acardiac twin--which immediately interrupted flow. The co-twin was delivered at 39 weeks and his neonatal course has been normal.
Porreco
R P
RP
AMI St Luke's Perinatal Program, University of Colorado Health Services Center, Denver 80203.
Barton
S M
SM
Haverkamp
A D
AD
D004200:Diseases in Twins; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006257:Head / Q000002:abnormalities*; D006330:Heart Defects, Congenital / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014430:Twins, Monozygotic; D014469:Umbilical Arteries