scholarly journals VP43.07: Prevalence of single umbilical artery in monochorionic twins with selective growth restriction

2020 ◽  
Vol 56 (S1) ◽  
pp. 245-246
Author(s):  
S. Amylidi‐Mohr ◽  
C. Hecht ◽  
B. Mosimann ◽  
J. Zdanowicz ◽  
D. Surbek ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Selective Growth ◽  
Growth Restriction ◽  
Single Umbilical Artery ◽  
Monochorionic Twins

scholarly journals Diferential dagnosis in twin-to-twin transfusion syndrome: methodology and clinical cases

2017 ◽  
Vol 66 (1) ◽  
pp. 72-76
Author(s):  
Ekaterina S Nekrasova
Keyword(s):  
Clinical Features ◽  
Selective Growth ◽  
Growth Restriction ◽  
Monochorionic Twins ◽  
Common Features ◽  
Clinical Cases

In monochorionic twins there exist some specific complications as twin-to-twin transfusion syndrome and selective growth restriction that could have some common features. Also in case of non-immune hydrops of one of the fetuses it could mimic the clinical features of severe twin-to-twin transfusion. In this article we describe three cases of monochorionic twins with different conditions and discuss the best way to differentiate between these diagnoses.

Case reports of transient single umbilical artery blood flow in monochorionic twins

2010 ◽  
Vol 24 (2) ◽  
pp. 223-225 ◽  
Author(s):  
Hiroyuki Tsuda ◽  
Yuichiro Takahashi ◽  
Kaori Kigoshi ◽  
Tomotake Iwasa ◽  
Rika Nishihara ◽  
...  
Keyword(s):  
Blood Flow ◽  
Umbilical Artery ◽  
Case Reports ◽  
Artery Blood Flow ◽  
Single Umbilical Artery ◽  
Monochorionic Twins

Cord Occlusion in Monochorionic Twins with Early Selective Intrauterine Growth Restriction and Abnormal Umbilical Artery Doppler: A Consecutive Series of 90 Cases

2015 ◽  
Vol 39 (3) ◽  
pp. 186-191 ◽  
Author(s):  
Mauro Parra-Cordero ◽  
Mar Bennasar ◽  
José María Martínez ◽  
Elisenda Eixarch ◽  
Ximena Torres ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Umbilical Artery ◽  
Perinatal Outcomes ◽  
Growth Restriction ◽  
Ductus Venosus ◽  
Consecutive Series ◽  
Type Ii ◽  
Monochorionic Twins ◽  
Intrauterine Growth ◽  
Umbilical Artery Doppler

Objective: To describe perinatal outcomes achieved with cord occlusion (CO) in monochorionic twins with severe selective intrauterine growth restriction (sIUGR) and abnormal umbilical artery Doppler in the IUGR twin (types II and III). Methods: We studied a consecutive series of 90 cases of sIUGR with abnormal Doppler treated with CO of the IUGR fetus. Abnormal Doppler was defined as continuous (type II, n = 41) or intermittent (type III, n = 49) absent/reversed end-diastolic flow. All cases presented at least one of the following severity criteria: gestational age (GA) <22 weeks, inter-twin estimated weight discordance >35%, reversed end-diastolic umbilical artery flow or ductus venosus pulsatility index >95th centile. We prospectively recorded pregnancy course and perinatal outcome. Results: Median GA at surgery was 20.6 weeks and mean duration 22.4 min. Miscarriage (<24 weeks) occurred in 3.3% (3/90) and preterm delivery <32 weeks in 7.1% (6/84) of continuing pregnancies. GA at delivery was 36.4 weeks and neonatal survival of the larger twin was achieved in 93.3%. Conclusion: In a consecutive series studied by an experienced team, CO in monochorionic twins with severe sIUGR type II or III was associated with delivery >32 weeks in 92.9% and neonatal survival of the normal twin in 93.3% of pregnancies.

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