Twin-to-twin transfusion: update on management options and outcomes.

  title={Twin-to-twin transfusion: update on management options and outcomes.},
  author={Keith R Duncan},
  journal={Current opinion in obstetrics & gynecology},
  volume={17 6},
  • Keith R Duncan
  • Published 2005 in Current opinion in obstetrics & gynecology
PURPOSE OF REVIEW The diagnosis and treatment of twin-to-twin transfusion syndrome has progressed to a staging system to allow directed therapy with the addition of laser to traditional serial amnioreduction. The management options and outcomes are reviewed here. RECENT FINDINGS In three observational and one randomized controlled trial, laser photocoagulation of chorionic plate vessels at the intertwin membrane improved perinatal survival of at least one fetus and reduced neurological… CONTINUE READING