Monochorionic twins and twin-twin transfusion syndrome: the protective role of arterio-arterial anastomoses.

@article{Umur2002MonochorionicTA,
  title={Monochorionic twins and twin-twin transfusion syndrome: the protective role of arterio-arterial anastomoses.},
  author={A. Ş{\"u}kr{\"u} Umur and Martin J. C. van Gemert and Peter G. J. Nikkels and Michael G. Ross},
  journal={Placenta},
  year={2002},
  volume={23 2-3},
  pages={
          201-9
        }
}
Unidirectional arterio-venous (AV) anastomoses often result in twin-twin transfusion syndrome (TTTS). Additional oppositely directed anastomoses may compensate for the circulatory imbalance and either prevent, delay the onset, or moderate the severity of TTTS. Intuitively, higher pressure gradient, oppositely-directed AV anastomoses (indicated as VA) would be expected to compensate better for TTTS than lower pressure gradient arterio-arterial (AA) anastomoses. However, clinical evidence… CONTINUE READING
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