Twin-to-twin transfusion syndrome known methods of treatment
DOI:
https://doi.org/10.12775/JEHS.2023.14.01.019Keywords
twin-to-twin, treatment, Quintero, twin-to-twin transfusion syndrome, recipient fetus, donor fetusAbstract
Pregnancy is a state of emergency for most women and is usually a great happiness. Twin pregnancy should bring double happiness. Unfortunately, it often means more problems, more research, more worries. TTTS is a twin-to-twin transfusion syndrome that carries many complications.It occurs in 5-25% of monochorionic twin pregnancies. The severity of the disease is determined using the Quintero scale. The methods of treatment include fetoscopic laser photocoagulation, expectant management, amnioreduction, termination of pregnancy, usually when the fetal lungs are mature. The prognosis depends on many factors, including the type of vascular anastomoses. There are two types of TTTS: acute and chronic.
References
Bręborowicz GH, Położnictwo i ginekologia tom 1 i 2 , Warszawa 2020, wyd. 3, PZWL, str.372-376
Miller JL. Twin to twin transfusion syndrome. Transl Pediatr. 2021 May;10(5):1518-1529. doi: 10.21037/tp-20-264. PMID: 34189110; PMCID: PMC8193008.
Mark L. Denbow, Philip Cox, Myles Taylor, Donna M. Hammal, Nicholas M. Fisk, Placental angioarchitecture in monochorionic twin pregnancies: Relationship to fetal growth, fetofetal transfusion syndrome, and pregnancy outcome, American Journal of Obstetrics and Gynecology, Volume 182, Issue 2, 2000, Pages 417-426, ISSN 0002-9378, https://doi.org/10.1016/S0002-9378(00)70233-X.
Faiola S, Mandalari M, Coco C, Casati D, Laoreti A, Mannarino S, Corti C, Consonni D, Cetin I, Lanna M. Długoterminowa obserwacja poporodowa w ciążach bliźniaczych jednokosmówkowych TTTS leczonych laserem fetoskopowym i powikłanych przez Anomalie drogi odpływu prawej komory. Dziennik Medycyny Klinicznej . 2023; 12(14):4734. https://doi.org/10.3390/jcm12144734
Espinoza, J., Belfort, MA, Shamshirsaz, AA, Nassr, AA, Sanz Cortes, M., Donepudi, R., Espinoza, AF, Ostovar-Kermani, TG, Johnson, R., Harman, C. i Turan, O. (2021), Wczesna operacja laserowa nie wiąże się z bardzo przedwczesnym porodem ani zmniejszoną przeżywalnością noworodków w TTTS. USG Obstet Gynecol, 58: 207-213. https://doi.org/10.1002/uog.22190
Borse V, Shanks AL. Zespół transfuzji typu twin-to-twin. [Zaktualizowano 10 października 2022 r.]. W: StatPearls [Internet]. Treasure Island (Floryda): Wydawnictwo StatPearls; 2023 styczeń-. Dostępne z: https://www.ncbi.nlm.nih.gov/books/NBK563133/
Ropacka-Lesiak M, Breborowicz GH. Aktualne wytyczne dotyczace postepowania w zespole TTTTS [Current recommendations for the management of TTTS]. Ginekol Pol. 2014 Aug;85(8):619-23. Polish. doi: 10.17772/gp/1782. PMID: 25219144.
Gordon Z, Fattal-Valevski A, Elad D, Jaffa AJ. Controlled amnioreduction for twin-to-twin transfusion syndrome. Ther Adv Reprod Health. 2022 Mar 29;16:26334941221080727. doi: 10.1177/26334941221080727. PMID: 35369393; PMCID: PMC8969010.
Washburn EE, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA. Stage I Twin-Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features. Am J Perinatol. 2018 Dec;35(14):1352-1357. doi: 10.1055/s-0038-1627095. Epub 2018 Feb 8. PMID: 29528469; PMCID: PMC6082735.
Li WF, Chao AS, Chang SD, Cheng PJ, Yang LY, Chang YL. Effects and outcomes of septostomy in twin-to-twin transfusion syndrome after fetoscopic laser therapy. BMC Pregnancy Childbirth. 2019 Nov 1;19(1):397. doi: 10.1186/s12884-019-2555-5. PMID: 31675920; PMCID: PMC6824012.
Mesbah N, Marsousi V, Eslamian L, Montazerlotfelahi H, Shamshirsaz AA, Hessami K, Jamal A, Noorzadeh M, Naemi M, Ghaemi M. Infantile neurodevelopmental outcome after fetoscopic laser photocoagulation for twin-to-twin transfusion syndrome: the first prospective experience from Iran. BMC Pregnancy Childbirth. 2022 Jun 1;22(1):458. doi: 10.1186/s12884-022-04793-x. PMID: 35650560; PMCID: PMC9158318.
van der Schot AM, Sikkel E, Spaanderman MEA, Vandenbussche FPHA. Computer-assisted fetal laser surgery in the treatment of twin-to-twin transfusion syndrome: Recent trends and prospects. Prenat Diagn. 2022 Sep;42(10):1225-1234. doi: 10.1002/pd.6225. Epub 2022 Aug 29. PMID: 35983630; PMCID: PMC9541851.
Rezende TMS, Weihermann V, Fachin CG, Bruns RF, Dias AIBS. Twin-twin transfusion syndrome - a University Hospital experience with intrauterine treatment. Rev Col Bras Cir. 2021 Jan 20;48:e20202671. English, Portuguese. doi: 10.1590/0100-6991e-20202671. PMID: 33503142.
Rotar IC, Zaharie G, Staicu A, Preda A, Mureşan D. Fetal cardiovascular alterations in twin-to-twin transfusion syndrome. Med Pharm Rep. 2020 Jan;93(1):5-11. doi: 10.15386/mpr-1481. Epub 2020 Jan 31. PMID: 32133441; PMCID: PMC7051825.
Ling D, Phelps A, Tate T, Adefisoye J, Mehra S, Prazad P. Perinatal and neonatal outcomes for fetoscopic laser ablation for the treatment of twin twin transfusion syndrome at a single center. J Perinatol. 2023 Feb;43(2):147-154. doi: 10.1038/s41372-022-01568-2. Epub 2022 Dec 7. PMID: 36473930; PMCID: PMC9898021.
Vasconcelos F, Brandão P, Vercauteren T, Ourselin S, Deprest J, Peebles D, Stoyanov D. Towards computer-assisted TTTS: Laser ablation detection for workflow segmentation from fetoscopic video. Int J Comput Assist Radiol Surg. 2018 Oct;13(10):1661-1670. doi: 10.1007/s11548-018-1813-8. Epub 2018 Jun 27. PMID: 29951938; PMCID: PMC6153674.
Yoda H. Fetal and Neonatal Circulatory Disorders in Twin to Twin Transfusion Syndrome (The Secondary Publication). J Nippon Med Sch. 2019;86(4):192-200. doi: 10.1272/jnms.JNMS.2019_86-301. PMID: 31484880.
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