Email this article Role of prenatal ultrasound in management of monochorionic twin pregnancy
- Authors: Aylamazian EK1, Nekrasova ES2
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Affiliations:
- Ott Institute of Obstetrics and Gynecology of the Russian Academy of Medical Sciences, St. Petersburg
- Санкт-Петербургское государственное учреждение здравоохранения «Диагностический центр (медико-генетический)»
- Issue: Vol 11, No 1 (2011)
- Pages: 110-114
- Section: Articles
- URL: https://journal-vniispk.ru/MAJ/article/view/9989
- DOI: https://doi.org/10.17816/MAJ111110-114
- ID: 9989
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Abstract
The twin-to-twin transfusion syndrome and twin reversed arterial perfusion are a serious complication of monochorionic twin pregnancies. Partly as a result of an inadequate understanding of the pathophysiology of the syndromes, there is a lack of consensus in clinical management. We sought to review the available information on the etiology of both syndromes, to identify parameters that contribute to the severity of the syndromes, and propose a rational management plan based on pathophysiology, clinical presentation and the efficacy of therapies.
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##article.viewOnOriginalSite##About the authors
E K Aylamazian
Ott Institute of Obstetrics and Gynecology of the Russian Academy of Medical Sciences, St. PetersburgАкадемик РАМН
E S Nekrasova
Санкт-Петербургское государственное учреждение здравоохранения «Диагностический центр (медико-генетический)»
Email: katnekrasova@hotmail.com
Санкт-Петербург, 194044, ул. Тобольская, д. 5
References
- Некрасова Е.С. Осложнения монохориальной беременности: синдром обратной артериальной перфузии (синдром акардии) // Пренат. диагн. 2009. Т. 8 (2). С. 97-104.
- Claudius М. Die Entwicklung der herzlosen Missgeburten //Arch. Gynaekol. 1859. P. 64.
- Grab D., Schneider V., Keckstein J., Terinde R. Twin, acardiac, outcome// Fetus. 1999. Vol. 2(1). P. 11-13.
- James W.H. A note on the epidemiology of acardiac monsters//Teratology. 1977. Vol. 16. P. 211-216.
- Larsen W.J. Human embryology. 2nd ed. Churchill Livingstone, 1997. 512 p.
- Martinez J.M., Bennudez C., Becerra C. et al. The role of Doppler studies in predicting individual intrauterine fetal demise after laser therapy for twin-twin transfusion syndrome // Ultrasound Obstet. Gynecol. 2003. Vol. 22. P. 246-251.
- Moore R.T., Gale S., Benirschke K. Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning // Am. J. Obstet. Gynecol. 1990. ѴЫ. 6. P. 907-912.
- Van Allen M.I., Smith D.W., Shepard T.H. Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius // Semin. Perinatol. 1983. Vol. 7. P.285-293.
- Ville Y. Twin-to-twin transfusion syndrome: time to forget the Quintero staging system? // Ultrasound Obstet. Gynecol. 2007. Vol. ЗО. P. 924- 927.
- Wee L.Y., Taylor M., Watkins N. et al. Characterisation of deep arteriovenous anastomoses within monochori- onic placentae by vascular casting // Placenta. 2005. Vol. 26. P. 19-24.
- Zikulnig L., Hecher K., Bregenzer T. et al. Prognostic factors in severe twin-twin transfusion syndrome treated by endoscopic laser surgery // Ultrasound Obstet. Gynecol. 1999. Vol. 14. P. 380-387.
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