Treatment of twin-twin transfusion syndrome by laser and digoxin. Biophysical and angiographic evaluation1

Détails

ID Serval
serval:BIB_02DE1A2BE6DF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Treatment of twin-twin transfusion syndrome by laser and digoxin. Biophysical and angiographic evaluation1
Périodique
Fetal Diagnosis and Therapy
Auteur(s)
Arabin  B., Laurini  R. N., van  E. J., Nicolaides  K. H.
ISSN
1015-3837 (Print)
Statut éditorial
Publié
Date de publication
1998
Volume
13
Numéro
3
Pages
141-146
Notes
PT - Journal Article
Résumé
OBJECTIVES: A combination of surgical and medical approaches may address both the underlying pathophysiological processes and the most threatening symptoms in twin-twin transfusion syndrome (TTTS). CASE: A primigravida with monochorionic twin pregnancy was referred with signs of TTTS at 16 weeks. One twin was severely hydropic with normal amniotic fluid, the co-twin had anhydramnios. Laser treatment was performed. Nevertheless, signs of severe cardiac decompensation in the recipient remained unchanged. After treatment with digoxin restoration of congestive heart failure and a resolution of the hydrops were achieved. Activity and inter-twin contacts increased significantly. At 37 weeks 2 healthy boys were delivered. Postnatal computerangiography of the placenta revealed no arteriovenous anastomoses. CONCLUSIONS: This case suggests that a combined causal and symptomatic therapy in cases with cardiac decompensation of the recipient can be beneficial as demonstrated by echocardiography, venous Doppler and behavioral analysis. Computer angiography of the placenta may demonstrate the effect of laser treatment
Mots-clé
Adult/Cardiotonic Agents/therapeutic use/Combined Modality Therapy/Digoxin/Diseases in Twins/therapy/Female/Fetofetal Transfusion/complications/drug therapy/surgery/Heart Failure/etiology/Humans/Laser Therapy/Male/Pregnancy/Twins,Monozygotic
Pubmed
Web of science
Création de la notice
29/01/2008 18:33
Dernière modification de la notice
20/08/2019 12:24
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