Tags

Type your tag names separated by a space and hit enter

Twin-to-twin transfusion syndrome with hydrops: a retrospective analysis of ten cases.
Am J Perinatol. 1999; 16(6):263-7.AJ

Abstract

We retrospectively studied 10 cases of twin-to-twin transfusion syndrome (TTTS) with fetal hydrops. TTTS was diagnosed sonographically between the 17-31 weeks of gestation. All twins were delivered by emergency cesarean section because of cardiac decompensation of one or both fetuses. The mean (+/-SD) age at diagnosis was 26.1 +/- 4.5 and the mean age at delivery was 28.8 +/- 2.0 weeks. Gestational age at birth was similar in survivors and nonsurvivors. However, surviving infants were diagnosed later in gestation (23.6 +/- 4.8 vs. 28.7 +/- 1.9 weeks; p < 0.01); and gestational age at appearance of hydrops were later in survivors (26.1 +/- 3.2 vs. 29.2 +/- 2.4 weeks; p < 0.05). Overall survival rate was 50% (10 of 20 infants). All survivors were delivered within 3 days after the appearance of fetal hydropic changes. Extrauterine treatment in earlier stages of TTTS might improve the outcome. Nevertheless, more aggressive intrauterine treatment should be considered in the most severe cases of TTTS developing before 24-25 weeks' gestation.

Authors+Show Affiliations

Department of Pediatric Cardiology and Neonatology, Ogaki Municipal Hospital, Minaminokawamachi, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10586978

Citation

Hayakawa, M, et al. "Twin-to-twin Transfusion Syndrome With Hydrops: a Retrospective Analysis of Ten Cases." American Journal of Perinatology, vol. 16, no. 6, 1999, pp. 263-7.
Hayakawa M, Oshiro M, Mimura S, et al. Twin-to-twin transfusion syndrome with hydrops: a retrospective analysis of ten cases. Am J Perinatol. 1999;16(6):263-7.
Hayakawa, M., Oshiro, M., Mimura, S., Katou, Y., Takahashi, R., Nishikawa, H., Ohashi, N., Tauchi, N., & Suzuki, C. (1999). Twin-to-twin transfusion syndrome with hydrops: a retrospective analysis of ten cases. American Journal of Perinatology, 16(6), 263-7.
Hayakawa M, et al. Twin-to-twin Transfusion Syndrome With Hydrops: a Retrospective Analysis of Ten Cases. Am J Perinatol. 1999;16(6):263-7. PubMed PMID: 10586978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Twin-to-twin transfusion syndrome with hydrops: a retrospective analysis of ten cases. AU - Hayakawa,M, AU - Oshiro,M, AU - Mimura,S, AU - Katou,Y, AU - Takahashi,R, AU - Nishikawa,H, AU - Ohashi,N, AU - Tauchi,N, AU - Suzuki,C, PY - 1999/12/10/pubmed PY - 1999/12/10/medline PY - 1999/12/10/entrez SP - 263 EP - 7 JF - American journal of perinatology JO - Am J Perinatol VL - 16 IS - 6 N2 - We retrospectively studied 10 cases of twin-to-twin transfusion syndrome (TTTS) with fetal hydrops. TTTS was diagnosed sonographically between the 17-31 weeks of gestation. All twins were delivered by emergency cesarean section because of cardiac decompensation of one or both fetuses. The mean (+/-SD) age at diagnosis was 26.1 +/- 4.5 and the mean age at delivery was 28.8 +/- 2.0 weeks. Gestational age at birth was similar in survivors and nonsurvivors. However, surviving infants were diagnosed later in gestation (23.6 +/- 4.8 vs. 28.7 +/- 1.9 weeks; p < 0.01); and gestational age at appearance of hydrops were later in survivors (26.1 +/- 3.2 vs. 29.2 +/- 2.4 weeks; p < 0.05). Overall survival rate was 50% (10 of 20 infants). All survivors were delivered within 3 days after the appearance of fetal hydropic changes. Extrauterine treatment in earlier stages of TTTS might improve the outcome. Nevertheless, more aggressive intrauterine treatment should be considered in the most severe cases of TTTS developing before 24-25 weeks' gestation. SN - 0735-1631 UR - https://www.unboundmedicine.com/medline/citation/10586978/Twin_to_twin_transfusion_syndrome_with_hydrops:_a_retrospective_analysis_of_ten_cases_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-993870 DB - PRIME DP - Unbound Medicine ER -