Title: Twin-to-twin transfusion syndrome: a case report. Antepartum prediction of underlying placental vascular pattern in monochorionic twin pregnancies may be possible
Authors: Zondervan, H A ×
van Gemert, M J
Nikkels, P J
Omtzigt, A
Offringa, M
Deprest, Jan
Bleker, O P #
Issue Date: Dec-1999
Series Title: Twin research : the official journal of the International Society for Twin Studies vol:2 issue:4 pages:286-9
Abstract: A case of twin-to-twin transfusion syndrome is described. Comparing data of serial antepartum ultrasonography with a haemodynamic model suggests the possibility of predicting the underlying placental vascular anatomy. It is suggested that serial ultrasonography, including full biometry, pulsatility indices of the umbilical arteries, foetal echocardiography, assessment of amniotic fluid indices and foetal bladder filling could serve as ultrasound parameters for pattern recognition of the underlying placental vascular anomaly. Biometry should be plotted serially in a difference/average plot. Future application of such intensive ultrasound monitoring in monochorionic twins, as soon as monochorionicity is established, may distinguish those monochorionic twins who may benefit from treatment from those whom it would be better only to observe.
ISSN: 1369-0523
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Foetal Medicine Section (-)
× corresponding author
# (joint) last author

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