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Twin–twin transfusion syndrome—possible roles for doppler ultrasound and amniocentesis
Author(s) -
Donner Catherine,
Noel JeanChristophe,
Rypens Françoise,
van Kerkem Jean,
Avni Freddy,
Rodesch Frédéric
Publication year - 1995
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.1970150112
Subject(s) - amniocentesis , twin twin transfusion syndrome , medicine , obstetrics , doppler ultrasound , ultrasound , doppler effect , prenatal diagnosis , fetus , pregnancy , radiology , biology , genetics , physics , astronomy
A 29‐year‐old woman was referred for suspicion of twin‐twin transfusion syndrome (TTTS). Several ultrasonographic and neonatal criteria of TTTS were encountered in this twin pregnancy. The peculiar observations in this case were, firstly, the demonstration of superficial anastomosis by Doppler ultrasound and, secondly, that one single therapeutic amniocentesis could have been sufficient to partially correct the progression of the syndrome, as after amniocentesis it was no longer possible to demonstrate the vascular communication. This observation suggests that superficial anastomoses could also have a role in the genesis of TTTS. Their effect could be monitored by Doppler ultrasound and could be more easily corrected by therapeutic amniocentesis.