Maternal-Fetal Medicine 2020;02(1):34-47

doi:10.1097/FM9.0000000000000035

Current Practice and Protocols: Endoscopic Laser Therapy for Twin-Twin Transfusion Syndrome

Pandya Viral M. 1 ; Julien STIRNEMANN 1 ; Claire COLMANT 1 ; Yves VILLE 1

Affiliations

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Keywords

Fetofetal transfusion; Fetoscopy; Laser photocoagulation; Monochorionic twin; Twin to twin transfusion syndrome

Country

China

Language

English

Abstract

The pathophysiology of twin-to-twin transfusion syndrome (TTTS) is complex, and its understanding has evolved along with the evolution and revolution of fetal diagnostic and therapeutic techniques. Over the last few decades, several therapeutic interventions have been researched for improving the outcomes in TTTS. We present a summary of the current protocols for surveillance, diagnosis, and staging of TTTS in monochorionic pregnancies. We also describe in detail the technique for treatment of TTTS by endoscopic laser photocoagulation.