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.
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