Back to Search
Start Over
TRAP Sequence in Monochorionic/Monoamniotic (MC/MA) Discordant Twins: Two Cases Treated with Fetoscopic Laser Surgery
- Source :
- Fetal and Pediatric Pathology. 37:433-447
- Publication Year :
- 2018
- Publisher :
- Informa UK Limited, 2018.
-
Abstract
- Ablation of the acardiac twin umbilical cord in the TRAP protects the normal donor twin.Two case descriptions, one of interstitial laser photocoagulation and one of laser umbilical cord occlusion (L-UCO) of the acardiac twin in monochorionic monoamniotic pregnancies are reported.L-UCO in two pregnancies with TRAP syndrome in the second trimester resulted in intrauterine fetal death in both cases after 1 month. Case 1 had no detectable cause of fetal death. Case 2 had rupture of the amniotic sac causing anhydramnios and acute chorioamnionitis. A groove on the umbilical cord of the normal twin indicated a cord stricture due to cord entanglement.Our experience confirms that the best timing and optimal treatment of MC/MA twins complicated by TRAP sequence still remains a controversial clinical issue. Cord entanglement may continue be a potential clinical risk factor for adverse perinatal outcome even after ablation therapy.
- Subjects :
- Laser surgery
Cristal and Realistic Vue
fetal pathology
fetoscopic laser photocoagulation
monochorionic/monoamiotic twins
TRAP sequence
Female
Fetofetal Transfusion
Fetoscopy
Humans
Laser Coagulation
Laser Therapy
Pregnancy
Twins, Monozygotic
medicine.medical_treatment
Twins
Umbilical cord
Monozygotic
Pathology and Forensic Medicine
Trap (computing)
03 medical and health sciences
0302 clinical medicine
medicine
030212 general & internal medicine
030219 obstetrics & reproductive medicine
business.industry
Interstitial laser
General Medicine
Ablation
medicine.anatomical_structure
Acardiac twin
Pediatrics, Perinatology and Child Health
TRAP Sequence
business
Nuclear medicine
Subjects
Details
- ISSN :
- 15513823 and 15513815
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Fetal and Pediatric Pathology
- Accession number :
- edsair.doi.dedup.....895e66cd7b0751b1d32532ca6dc8813d