title: The History of Treatment of Twin-to-Twin Transfusion Syndrome.
abstract: Historical suggestions of twin-to-twin transfusion syndrome (TTTS) date back to the early 17th century. Placental anastomoses were first reported in 1687; however, it was Schatz who first identified their importance in 1875. He recognized 'the area of transfusion' within the 'villous district' of the placenta, which he named the 'third circulation'. This article describes how the management of TTTS has evolved as we have gained a more sophisticated understanding and appreciation of the complex vascular anastomoses that exist in monochorionic twin placentae. Currently, fetosopic laser occlusion is the preferred treatment option for TTTS.
authors.affiliation: Department of Maternal Fetal Medicine,The Royal Women's Hospital,Melbourne,Victoria,Australia.
authors.forename: Chelsea L
authors.initials: CL
authors.lastname: Glennon
authors.affiliation: Department of Maternal Fetal Medicine,The Royal Women's Hospital,Melbourne,Victoria,Australia.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Shemer
authors.affiliation: Department of Maternal Fetal Medicine,The Royal Women's Hospital,Melbourne,Victoria,Australia.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Palma-Dias
authors.affiliation: Department of Maternal Fetal Medicine,The Royal Women's Hospital,Melbourne,Victoria,Australia.
authors.forename: Mark P
authors.initials: MP
authors.lastname: Umstad
mesh_terms: D001163:Arteriovenous Anastomosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005332:Fetoscopy / Q000379:methods; D006801:Humans; D017075:Laser Coagulation / Q000379:methods; D010920:Placenta / Q000098:blood supply / Q000601:surgery; D011247:Pregnancy; D014430:Twins, Monozygotic
keywords: amnioreduction; fetoscopic laser coagulation; placental anastomoses; twin-to-twin transfusion