Postoperative Middle Cerebral Artery Peak Systolic Velocity Changes Confirm Physiological Principles of the Sequential Laser Technique for Twin-Twin Transfusion Syndrome | Zendy

Bhuvan Pathak | Zendy; Rubén A. Quintero | Zendy; Eftichia V. Kontopoulos | Zendy; Samer Assaf | Zendy; David A. Miller | Zendy; Ramen H. Chmait | Zendy

Open Access

Postoperative Middle Cerebral Artery Peak Systolic Velocity Changes Confirm Physiological Principles of the Sequential Laser Technique for Twin-Twin Transfusion Syndrome

Author(s) -

Bhuvan Pathak,

Rubén A. Quintero,

Eftichia V. Kontopoulos,

Samer Assaf,

David A. Miller,

Ramen H. Chmait

Publication year - 2010

Publication title -

fetal diagnosis and therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.976

H-Index - 60

eISSN - 1421-9964

pISSN - 1015-3837

DOI - 10.1159/000319803

Subject(s) - medicine , middle cerebral artery , anemia , gestational age , twin to twin transfusion syndrome , anastomosis , surgery , hypovolemia , anesthesia , cardiology , fetus , pregnancy , ischemia , biology , genetics

Treatment of the twin-twin transfusion syndrome (TTTS) via sequential selective laser photocoagulation of communicating vessels (SQLPCV) mandates ablation of donor-to-recipient arteriovenous anastomoses first. It is hypothesized that SQLPCV facilitates intraoperative transfusion to the donor, thereby minimizing donor hypovolemia and anemia. We sought to determine if postoperative changes in fetal middle cerebral artery-peak systolic velocities (MCA-PSV) support this hypothesis.

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