[Actual treatment options of twin-to-twin transfusion syndrome].
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.
Czuba
Bartosz
B
Oddział Kliniczny Połoinictwa i Ginekologii w Rudzie Slaskiej, Katedry Zdrowia Kobiety, Slaskiej Akademii Medycznej w Katowicach.
Włoch
Agata
A
Borowski
Dariusz
D
Sodowski
Krzysztof
K
Szaflik
Krzysztof
K
Wielgoś
Mirosław
M
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