Fetal Intra-Peritoneal Transfusion for the Management of Very Early Spontaneous Twin Anemia-Polycythemia Sequence in an Obese Patient With a Whole Anterior Placenta.

Détails

ID Serval
serval:BIB_30AF0B24353F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Fetal Intra-Peritoneal Transfusion for the Management of Very Early Spontaneous Twin Anemia-Polycythemia Sequence in an Obese Patient With a Whole Anterior Placenta.
Périodique
Twin Research and Human Genetics
Auteur(s)
Guenot C., Robyr R., Jastrow N., Vial Y., Raio L., Baud D.
ISSN
1832-4274 (Print)
ISSN-L
1832-4274
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
19
Numéro
2
Pages
154-157
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
Twin anemia-polycythemia sequence (TAPS) is a rare condition in monochorionic twin pregnancies. Small intertwin placental vascular communications allow transfusion, which results in a hemoglobin difference in the twins in the absence of oligohydramnios or polyhydramnios. We report here a case of TAPS diagnosed at 17 weeks' gestation in an obese patient (BMI 42) with a whole anterior placenta. The only possible treatment at this stage of pregnancy was intra-uterine transfusion (IUT), which was repeated weekly until photocoagulation of placental anastomoses was feasible. Fetoscopic laser surgery is the only curative treatment, but is challenging in TAPS because of the absence of polyhydramnios and the presence of minuscule anastomoses. An anterior placenta and high BMI can make the procedure even more challenging. This case report demonstrates that very early and rapidly progressing TAPS with technically complicated conditions (elevated BMI and anterior placenta) can be successfully managed with IUT until laser procedure is achievable.
Pubmed
Web of science
Création de la notice
24/07/2015 7:48
Dernière modification de la notice
20/08/2019 13:15
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