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EP24.09: Selective laser ablation followed by a delayed Solomon technique for Twin–twin transfusion syndrome may improve dual survival
Author(s) -
Dinglas C.L.,
Davis J.,
Heiselman C.,
Chavez M.,
Vintzileos A.
Publication year - 2019
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.21636
Subject(s) - medicine , ablation , twin twin transfusion syndrome , laser ablation , pregnancy , survival rate , surgery , monochorionic twins , pediatrics , fetus , cardiology , laser , optics , physics , biology , genetics
Case A 39-year old G1P0 with a monochorionic diamniotic pregnancy presented at 20 weeks gestation with Stage III twin-to-twin transfusion syndrome. • Twin A: donor twin with anhydramnios, absent bladder, and absent diastolic flow in the umbilical artery and estimated fetal weight of 202 grams (<3%). • Twin B: recipient twin with polyhydramnios (MVP of 13.3), cardiac hypertrophy, intermittent reversal of flow in the ductus venosus, and estimated weight of 314 grams (28%).