Acute intrapartum twin-to-twin transfusion following successful fetoscopic laser ablation

Ahmet A. Baschat, Christopher R. Harman

Research output: Contribution to journalReview articlepeer-review

Abstract

Fetoscopic laser ablation of placental vascular anastomoses is an intrauterine therapy targeting the source of twin-to-twin transfusion syndrome (TTTS). Our patient had successful laser treatment, with resolution of stage II TTTS, suggesting closure of all significant anastomoses. After an uneventful pregnancy course, she elected a trial of labor. Following spontaneous onset of labor, acute intrapartum twin-to-twin transfusion was suspected, suggested by sinusoidal heart rate changes, confirmed post-delivery by twins' complete blood counts. The potential risks of labor with prior fetoscopic laser ablation are reviewed in the context of current knowledge about placental architecture in TTTS.

Original languageEnglish (US)
Pages (from-to)203-206
Number of pages4
JournalAmerican journal of perinatology
Volume24
Issue number4
DOIs
StatePublished - Apr 1 2007
Externally publishedYes

Keywords

  • Delivery
  • Laser ablation
  • Twin-twin transfusion

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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