Twin-twin transfusion syndrome; TTTS.
- Author:
Heang Soo KIM
1
Author Information
1. Department of Obstetrics and Gynecology Ajou University School of Medicine, Suwon, Korea. kimhs7@ajou.ac.kr
- Publication Type:Review
- Keywords:
twin-twin transfusion;
amnioreduction;
laser ablation
- MeSH:
Arteriovenous Anastomosis;
Cardiovascular Diseases;
Humans;
Laser Therapy;
Perinatal Mortality;
Pregnancy;
Pregnancy, Twin;
Tissue Donors
- From:Korean Journal of Obstetrics and Gynecology
2007;50(1):16-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Twin-twin transfusion syndrome (TTTS) is a complex cardiovascular disease affecting monochorionic (MC) twin pregnancies, and has a high perinatal mortality rate. Its pathogenesis remains poorly understood, but TTTS involves unbalanced transfusion of blood from a donor to a recipient along one or more placental arteriovenous anastomosis in absence of adequate compensatory superficial counter-transfusion. Recent data demonstrated laser ablation to be better than amnioreduction, especially when the condition develops before 26 weeks of gestation.
