Fetoscopic laser therapy for twin-to-twin transfusion syndrome

被引：4
|
作者：
Khalek, Nahla [1 ]
Johnson, Mark P. [1 ]
Bebbington, Michael W. [2 ]
机构：
[1] Childrens Hosp Philadelphia, Ctr Fetal Diag & Treatment, Philadelphia, PA 19104 USA
[2] Univ Texas Med Sch Houston, Dept Obstet & Gynecol, Houston, TX USA
来源：
SEMINARS IN PEDIATRIC SURGERY | 2013年 / 22卷 / 01期
关键词：
Monochorionic pregnancy; Twin-to-twin transfusion syndrome; Laser therapy; Fetal cardiology; CHORIONIC-PLATE-ANASTOMOSES; PLACENTAL CHARACTERISTICS; SERIAL AMNIOREDUCTION; COMMUNICATING VESSELS; MONOCHORIONIC TWINS; CEREBRAL INJURY; SURGERY; FETAL; PHOTOCOAGULATION; COMPLICATIONS;
D O I：
10.1053/j.sempedsurg.2012.10.004
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Twin-to-twin transfusion syndrome (TTTS) is a unique and complicated phenomenon occurring in 10-15% of monochorionic gestations. The chronic unbalanced distribution of blood volume across placental anastomoses between the donor and recipient fetuses leads to multisystem organ impairment including maladaptive changes in both fetuses. Fetoscopic selective laser photocoagulation (SLPC) is now established as the primary treatment modality for advanced stages of TTTS. SLPC is also associated with a risk reduction in fetal demise and long-term neurological impairment. (C) 2013 Published by Elsevier Inc.
引用
收藏
页码：18 / 23
页数：6
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