title: Radiofrequency ablation as a minimally invasive procedure in the treatment of twin reversed arterial perfusion sequence in twin pregnancy.
abstract: Twin reversed arterial perfusion sequence is a rare anomaly of monochorionic multiple pregnancies affecting 1 of 35,000 pregnancies and 1% of monochorionic twin pregnancies. In this condition the affected twin has lethal malformations including poor or absent heart development and is reversely perfused by a structurally normal co-twin. We report a case of a 21-year-old woman with a monochorionic twin pregnancy affected by twin reversed arterial perfusion sequence. This case highlights the therapeutic options and the management by radiofrequency ablation, which has been shown to be an easy and reliable technique with a high success rate compared with technically demanding fetoscopic procedures.
authors.affiliation: Department of Obstetrics, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117 Berlin, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Weichert
authors.forename: Karim
authors.initials: K
authors.lastname: Kalache
authors.forename: Patrick
authors.initials: P
authors.lastname: Hein
authors.forename: Martin
authors.initials: M
authors.lastname: Brauer
authors.forename: Larry
authors.initials: L
authors.lastname: Hinkson
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Henrich
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D004200:Diseases in Twins / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D046128:Fetal Therapies; D006801:Humans; D011247:Pregnancy; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal; D054079:Vascular Malformations / Q000000981:diagnostic imaging / Q000601:surgery*