scholarly journals Fetoscopic laser coagulation for twin-twin transfusion syndrome before 17 weeks' gestation: laser data, complications and neonatal outcome

2014 ◽  
Vol 44 (3) ◽  
pp. 299-303 ◽  
Author(s):  
L. Lecointre ◽  
N. Sananes ◽  
A. S. Weingertner ◽  
M. Kohler ◽  
F. Guerra ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Laser Coagulation ◽  
Laser Data ◽  
Fetoscopic Laser Coagulation

scholarly journals Solomon Technique Versus Selective Coagulation for Twin–Twin Transfusion Syndrome

2016 ◽  
Vol 19 (3) ◽  
pp. 217-221 ◽  
Author(s):  
Femke Slaghekke ◽  
Dick Oepkes
Keyword(s):  
Neonatal Outcome ◽  
Survival Rates ◽  
Intrauterine Infection ◽  
Laser Coagulation ◽  
Preterm Premature Rupture ◽  
Fetoscopic Laser Coagulation ◽  
A New Technique ◽  
Solomon Technique ◽  
Twin Pregnancies ◽  
Selective Technique

Monochorionic twin pregnancies can be complicated by twin-to-twin transfusion syndrome (TTTS). The best treatment option for TTTS is fetoscopic laser coagulation of the vascular anastomoses between donor and recipient. After laser therapy, up to 33% residual anastomoses were seen. These residual anastomoses can cause twin anemia polycythemia sequence (TAPS) and recurrent TTTS. In order to reduce the number of residual anastomoses and their complications, a new technique, the Solomon technique, where the whole vascular equator will be coagulated, was introduced. The Solomon technique showed a reduction of recurrent TTS compared to the selective technique. The incidence of recurrent TTTS after the Solomon technique ranged from 0% to 3.9% compared to 5.3–8.5% after the selective technique. The incidence of TAPS after the Solomon technique ranged from 0% to 2.9% compared to 4.2–15.6% after the selective technique. The Solomon technique may improve dual survival rates ranging from 64% to 85% compared to 46–76% for the selective technique. There was no difference reported in procedure-related complications such as intrauterine infection and preterm premature rupture of membranes. The Solomon technique significantly reduced the incidence of TAPS and recurrent TTTS and may improve survival and neonatal outcome, without identifiable adverse outcome or complications; therefore, the Solomon technique is recommended for the treatment of TTTS.

Demonstration of Placental Vascular Anatomy in Monochorionic Twin Gestations

2002 ◽  
Vol 5 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Monique E. De Paepe ◽  
Sarah Burke ◽  
Francois I. Luks ◽  
Halit Pinar ◽  
Don B. Singer
Keyword(s):  
Vascular Anatomy ◽  
Treatment Modalities ◽  
Laser Coagulation ◽  
Injection Technique ◽  
Invasive Treatment ◽  
Monochorionic Twin ◽  
Macroscopic Classification ◽  
Fetoscopic Laser Coagulation

Invasive treatment modalities for severe chronic twin-to-twin transfusion syndrome (TTTS), such as fetoscopic laser coagulation of communicating vessels, have revived the need for detailed studies of placental angioar-chitecture. We describe a practical placental vascular injection technique using alcohol-resistant tissue-staining dyes. Injection of color-coded gelatin-dye mixtures effectively delineated the intertwin vasculature, and allowed unequivocal macroscopic classification of vascular communications as artery-to-artery, vein-to-vein, or deep artery–to-vein anastomoses. The existence of deep artery–to-vein anastomoses was further confirmed by light microscopic demonstration of venous dye of one twin and arterial dye of the opposite twin within the same stem villus. Furthermore, the injection technique allowed determination of the caliber of the anastomoses, the direction of the artery-to-vein anastomoses, and the relative vascular territory of each twin. Documenting the vascular communications in monochorionic twin placentas with and without TTTS may enhance our understanding of the pathogenesis of chronic TTTS. Correlating the anastomotic patterns and location of the laser coagulation scars with post-ablation outcome will aid in the design of rational therapeutic methods for this often lethal condition.

scholarly journals Fetoscopic laser coagulation in 1020 pregnancies with twin-twin transfusion syndrome demonstrates improvement in double-twin survival rate

2017 ◽  
Vol 50 (6) ◽  
pp. 728-735 ◽  
Author(s):  
W. Diehl ◽  
A. Diemert ◽  
D. Grasso ◽  
S. Sehner ◽  
K. Wegscheider ◽  
...  
Keyword(s):  
Survival Rate ◽  
Laser Coagulation ◽  
Fetoscopic Laser Coagulation ◽  
Double Twin

Magnetic resonance imaging of the feto‐placentar unit after fetoscopic laser coagulation for twin‐to‐twin transfusion syndrome

2005 ◽  
Vol 46 (3) ◽  
pp. 328-330 ◽  
Author(s):  
T. A. G. M. Huisman ◽  
L. Lewi ◽  
R. Zimmermann ◽  
U. V. Willi ◽  
J. Deprest
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Mortality Rates ◽  
Laser Coagulation ◽  
Resonance Imaging ◽  
Fetal Magnetic Resonance Imaging ◽  
Imaging Tool ◽  
Fetoscopic Laser Coagulation ◽  
Twin Pregnancies ◽  
Oligohydramnios Sequence

Twin‐to‐twin transfusion syndrome (TTTS) is a severe complication in monochorionic twin pregnancies that results from a hemodynamical imbalance of placentar vascular anstomoses that connect the circulation of both fetuses. In TTTS, a poly/oligohydramnios sequence with high fetal morbidity and mortality rates occurs. Fetoscopic laser coagulation of the placentar anastomoses can limit or prevent fetal injury. The purpose of this report is to present and discuss fetal magnetic resonance imaging as a postoperative imaging tool after fetoscopic laser coagulation.

scholarly journals Fetoscopic laser coagulation of intertwin anastomoses reduces discordant placental autophagic activities in discordant twin growth

2015 ◽  
Vol 54 (5) ◽  
pp. 580-582 ◽  
Author(s):  
Yao-Lung Chang ◽  
Tzu-Hao Wang ◽  
Shuenn-Dyh Chang ◽  
An-Shine Chao ◽  
Peter C.C. Hsieh
Keyword(s):  
Laser Coagulation ◽  
Fetoscopic Laser Coagulation ◽  
Twin Growth ◽  
Discordant Twin

Twin-to-twin transfusion syndrome. A 15-year experience in using fetoscopic therapy

2021 ◽  
Vol 20 (5) ◽  
pp. 58-62
Author(s):  
A.E. Bugerenko ◽  
Keyword(s):  
Key Words ◽  
Russian Federation ◽  
Laser Coagulation ◽  
The World ◽  
Fetoscopic Laser Coagulation ◽  
The Russian Federation

This article presents the aspects of fetoscopic laser coagulation of anastomoses (FLCA) for treatment of twin-to-twin transfusion syndrome in the Russian Federation and worldwide. Own experience is correlated with the world one. There is a significant need for domestic medicine to increase the number of clinics that provide this type of intervention. Nevertheless, there is no obvious lag in comparing the results of FLCA in the Russian Federation. Key words: monochorionic pregnancy, fetoscopy, laser coagulation of anastomoses, twin-to-twin transfusion syndrome

scholarly journals OC22.06: Short‐term cardiac follow‐up of survivors of Twin–twin transfusion syndrome treated with fetoscopic laser coagulation

2019 ◽  
Vol 54 (S1) ◽  
pp. 58-58
Author(s):  
M. Gijtenbeek ◽  
M.C. Haak ◽  
S. Eschbach ◽  
A.M. Middeldorp ◽  
F.J. Klumper ◽  
...  
Keyword(s):  
Laser Coagulation ◽  
Short Term ◽  
Fetoscopic Laser Coagulation

418: The impact of fetoscopic access diameter after fetoscopic laser coagulation

2009 ◽  
Vol 201 (6) ◽  
pp. S161
Author(s):  
Scott Petersen ◽  
Paul Lewi ◽  
Anke Diemert ◽  
Glenn Gardener ◽  
Kurt Hecher ◽  
...  
Keyword(s):  
Laser Coagulation ◽  
Fetoscopic Laser Coagulation ◽  
The Impact
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