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P 18.12: TRAP sequence: diagnosis, management and outcome of co‐twin
Author(s) -
Janiak K.,
Litwinska M.,
Szaflik K.
Publication year - 2014
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.14361
Subject(s) - medicine , complication , cardiology , twin to twin transfusion syndrome , fetus , pregnancy , surgery , biology , genetics
Methods 14 of TRAP (twin reverse arterial perfusion) sequence pregnancies identified at our Department from 2006 to 2015 were included in the study. In 14 cases, TRAP sequence occurred in monochorionic, monoamniotic pregnancies; in 1 case – in a quadraplet pregnancy with TRAP and TTTS. Eleven cases were treated with fetoscopic laser cord occlusion. Four cases were managed conservatively: in two cases there were no signs of cardiac failure in the pump-twin and the diagnosis was made late in pregnancy and in the other two cases, additional defects in pump-twin were diagnosed (1xCHD/TAC; 1xCHD/VSD + aorta overriding, skeletal and urinary tract malformations).