title: [Actual treatment options of twin-to-twin transfusion syndrome].
abstract: Twin-to-twin transfusion syndrome -TTTS is observed in 10-15% of monochorionic twin pregnancies. The pathogenesis of the syndrome is still unknown, and the mortality reaches 80-90% if not treated. There are two invasive treatment options of TTTS: Fetoscopic laser coagulation of the placental anastomoses and serial amniodrainages. Endoscopic laser coagulation of anastomoses is a more effective first-line treatment than serial amnioreduction for severe TTTS. The rate of major neurologic complications is higher in amnioreduction group, than in Fetoscopic group.
authors.affiliation: Oddział Kliniczny Połoinictwa i Ginekologii w Rudzie Slaskiej, Katedry Zdrowia Kobiety, Slaskiej Akademii Medycznej w Katowicach.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Czuba
authors.forename: Agata
authors.initials: A
authors.lastname: Włoch
authors.forename: Dariusz
authors.initials: D
authors.lastname: Borowski
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Sodowski
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Szaflik
authors.forename: Mirosław
authors.initials: M
authors.lastname: Wielgoś
mesh_terms: D001163:Arteriovenous Anastomosis / Q000473:pathology; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis* / Q000601:surgery*; D005332:Fetoscopy; D006801:Humans; D053685:Laser Therapy; D010920:Placenta / Q000098:blood supply; D011247:Pregnancy; D011256:Pregnancy Outcome; D014427:Twins; D016216:Ultrasonography, Prenatal