title: Fetoscopic laser therapy for twin-twin transfusion syndrome: beyond current gestational age limits.
abstract: Both "early" (< 16 weeks' gestation) and "late" (> 26 weeks' gestation) presentations of twin-twin transfusion syndrome (TTTS) are rare and challenging complications of monochorionic/diamniotic twin pregnancies. Growing evidence suggests that fetoscopic laser therapy for both "early" and "late" TTTS is feasible, safe, and yields similar outcomes to cases treated between 16 and 26 weeks' gestation. We suggest reevaluation of conventional gestational age guidelines for laser therapy for TTTS.
authors: Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors: David
authors: D
authors: Baud
authors: Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors: Rory
authors: R
authors: Windrim
authors: Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors: Johannes
authors: J
authors: Keunen
authors: Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors: Greg
authors: G
authors: Ryan
mesh_terms: D005260:Female; D005330:Fetofetal Transfusion / Q000601:surgery*; D005332:Fetoscopy / Q000592:standards*; D005865:Gestational Age; D006801:Humans; D053685:Laser Therapy / Q000379:methods* / Q000592:standards*; D011247:Pregnancy; D011256:Pregnancy Outcome