Twin-twin transfusion syndrome.

@article{Simpson2013TwintwinTS,
  title={Twin-twin transfusion syndrome.},
  author={Lynn L. Simpson},
  journal={American journal of obstetrics and gynecology},
  year={2013},
  volume={208 1},
  pages={
          3-18
        }
}
  • L. Simpson
  • Published 2013
  • Medicine
  • American journal of obstetrics and gynecology
The natural history of twin–twin transfusion syndrome stratified by Quintero stage*
  • Elaine L. Duryea, S. Happe, D. McIntire, J. Dashe
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2016
TLDR
Pregnancies in which TTTS was either stable or improved had higher overall survival, compared with pregnancies that experienced progression, as well as more frequent survival of one or both twins.
An Examination of the Effects of Current Obstetrical Opinions, Diagnostic and Practice Trends in the Management of Twin to Twin Transfusion Syndrome Patients
TLDR
This study hypothesizes that differential care being given by primary obstetricians of TTTS patients is resulting in experienced inequalities, and theoretically explores what social relations and subsequent actions are being reproduced prior to TTTS diagnoses, and applies the effects of those observations.
Twin-twin transfusion syndrome screening and diagnosis in the United States: A triangulation design of patient experiences
TLDR
Findings indicate screening and diagnosis for TTTS, as reported by patients, is improving in the United States; however, further efforts are required to ensure all patients receive appropriate screening, education and a team-based approach to comprehensive and supportive clinical care.
Perinatal outcomes of twin pregnancies affected by early twin-twin transfusion syndrome: a systematic review and meta-analysis.
TLDR
Twin pregnancies affected by early TTTS are at substantial risk of perinatal mortality and morbidity; however data comes from very small studies with high risk of selection bias.
Management of Twin Pregnancies: A Comparative Review of National and International Guidelines
TLDR
The differences in the reviewed guidelines on the management of twin pregnancies highlight the need for an adoption of an international consensus, in order to improve perinatal outcomes of twins pregnancies.
Stage I Twin‐Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features
TLDR
With expectant management of stage I TTTS, nearly three‐fourths of pregnancies remain stable and most have survival of ≥ 1 twin, whereas earlier GA at diagnosis or a small or intermittently visible donor bladder may herald greater risk of progression.
Twin–twin transfusion and laser therapy
TLDR
Laser therapy for TTTS is clearly the only therapy that halts the disease process, allows both fetuses an opportunity to survive and protects a surviving cotwin in the event of the demise of one twin.
Update on twin-to-twin transfusion syndrome.
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References

SHOWING 1-10 OF 150 REFERENCES
Survival outcomes of twin-twin transfusion syndrome stage I: a systematic review of literature.
TLDR
Conservative management of TTTS stage I is a reasonable option until randomized clinical trials are presented.
Interventions for the treatment of twin-twin transfusion syndrome.
TLDR
There is no current evidence from randomised trials to influence practice in twin-twin transfusion syndrome and three ongoing randomised studies have been identified.
Natural history of twin-twin transfusion syndrome.
TLDR
The perinatal survival of TTTS pregnancies managed without in utero procedures is approximately 30% overall and 63% in the four most recent series when diagnosed at < or = 28 weeks.
Obstetric and perinatal outcomes from the australian and new zealand twin-twin transfusion syndrome registry.
TLDR
Increased gestational age at delivery, the presence of umbilical artery diastolic flow, and a prolonged interval from final amnioreduction to delivery were positively associated with the delivery of live fetuses without complications.
Incidence, mechanisms, and patterns of fetal cerebral lesions in twin-to-twin transfusion syndrome
  • E. Quarello, M. Molho, Y. Ville
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2007
TLDR
Cerebral morbidity in TTTS mainly occurs following vascular disruptive lesions, and both donors and recipients are at risk of developing either ischemic or hemorrhagic lesions.
The efficacy of Quintero staging system to assess severity of twin-twin transfusion syndrome treated with laser therapy: a systematic review with meta-analysis.
TLDR
Because clinically relevant differences were not observed, laser therapy is the optimal treatment for all stages, as Quintero staging does not provide information about prognosis, a new staging system is proposed.
Perinatal morbidity and mortality rates in severe twin-twin transfusion syndrome: results of the International Amnioreduction Registry.
TLDR
Perinatal survival and neonatal morbidity rates in severe twin-twin transfusion syndrome that were treated by serial aggressive amnioreduction were document and influenced by several perinatal risk factors, which may be used to counsel patients before and during therapy.
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