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1. Biomedical articles (top 50; 2010 to 2015)
1. Peralta CF, Sbragia L, Corrêa-Silva EP, Young Oh GH, Braga Ade F, Gomes DA, Barini R: [Maternal complications following endoscopic surgeries in fetal Medicine]. Rev Bras Ginecol Obstet; 2010 Jun;32(6):260-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Maternal complications following endoscopic surgeries in fetal Medicine].
  • [Transliterated title] Complicações maternas decorrentes das cirurgias endoscópicas em Medicina fetal.
  • PURPOSE: To describe the maternal complications due to therapeutic endoscopic procedures in fetal Medicine performed at an university center in Brazil.
  • METHODS: Retrospective observational study including patients treated from April 2007 to May 2010 who underwent laser ablation of placental vessels (LAPV) for severe twin-twin transfusion syndrome (TTTS); fetal tracheal occlusion (FETO) and endoscopic removal of tracheal balloon in cases of severe congenital diaphragmatic hernia (CDH); LAPV with or without bipolar coagulation of the umbilical cord in cases of twin reversed arterial perfusion (TRAP) sequence.
  • The main variables described for each disease/type of surgery were maternal complications and neonatal survival (discharge from nursery).
  • Among 30 interventions performed in cases of CDH, there was amniotic fluid leakage into the maternal peritoneal cavity in one patient (1/30=3.3%) and premature preterm rupture of membranes after three (3/30=30%) fetoscopies for removal of the tracheal balloon.
  • CONCLUSIONS: In agreement with the available data in literature, at our center, the benefits related to therapeutic endoscopic interventions for TTTS, CDH and TRAP sequence seem to overcome the risks of maternal complications, which were rarely considered severe.

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  • (PMID = 20945010.001).
  • [ISSN] 1806-9339
  • [Journal-full-title] Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
  • [ISO-abbreviation] Rev Bras Ginecol Obstet
  • [Language] por
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Brazil
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2. Desvignes F, Bourdel N, Laurichesse-Delmas H, Savary D, Gallot D: [Ballantyne syndrome caused by materno-fetal Parvovirus B19 infection: about two cases]. J Gynecol Obstet Biol Reprod (Paris); 2011 May;40(3):262-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Ballantyne syndrome caused by materno-fetal Parvovirus B19 infection: about two cases].
  • [Transliterated title] Syndrome de Ballantyne secondaire à une infection maternofœtale à Parvovirus B19: à propos de deux cas.
  • Ballantyne's syndrome also known as Mirror syndrome is the association of fetal hydrops and maternal hydric retention.
  • The maternal condition is often misdiagnosed as preeclampsia.
  • We report two cases of Ballantyne syndrome associated with materno-fetal Parvovirus B19 infection.
  • In the first case, the syndrome occurred at 26GW in a context of premature rupture of membranes.
  • Parents and medical staff opted for termination of pregnancy because of the poor fetal prognosis.
  • Maternal symptoms regressed after delivery.
  • In the second case, the patient presented a Ballantyne's syndrome at 25GW.
  • Fetal hydrops of any etiology can be associated with this syndrome.
  • Specific treatment of the fetus can avoid maternal complication allowing continuation of the pregnancy.
  • [MeSH-minor] Adult. Blood Transfusion, Intrauterine. Edema / ultrasonography. Edema / virology. Erythema Infectiosum / complications. Erythema Infectiosum / therapy. Female. Fetal Diseases / therapy. Fetal Diseases / ultrasonography. Fetal Diseases / virology. Fetal Membranes, Premature Rupture / virology. Gestational Age. Humans. Pregnancy. Syndrome. Ultrasonography, Prenatal

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  • [Copyright] Copyright © 2010 Elsevier Masson SAS. All rights reserved.
  • (PMID = 21273007.001).
  • [ISSN] 1773-0430
  • [Journal-full-title] Journal de gynécologie, obstétrique et biologie de la reproduction
  • [ISO-abbreviation] J Gynecol Obstet Biol Reprod (Paris)
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
  • [Chemical-registry-number] Parvovirus antenatal infection
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3. Van Mieghem T, Deprest J, Verhaeghe J: Fetal and maternal hemodynamics in pregnancy: new insights in the cardiovascular adaptation to uncomplicated pregnancy, twin-to-twin transfusion syndrome and congenital diaphragmatic hernia. Facts Views Vis Obgyn; 2011;3(3):205-13
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal and maternal hemodynamics in pregnancy: new insights in the cardiovascular adaptation to uncomplicated pregnancy, twin-to-twin transfusion syndrome and congenital diaphragmatic hernia.
  • The fetal and the maternal cardiovascular compartment undergo dramatic functional changes during pregnancy.
  • In this thesis we examined the heart of fetuses with twin-to-twin transfusion syndrome (TTTS) and congenital diaphragmatic hernia (CDH) using two new ultrasound parameters of ventricular function : the myocardial performance index and speckle tracking derived myocardial strain.
  • Fetal cardiac function was grossly abnormal in recipient fetus of TTTS, yet normalized within 6 weeks after therapy.
  • Ultrasound based cardiac function assessment could not predict short term fetal survival after therapy, nor could it predict eventual further progression to full-blown TTTS in a pre-disease stage.
  • On the maternal side, plasma volume strongly increases in pregnancy, in parallel with an increase in insulin-like-growth factor(IGF) II which is secreted at the level of the placenta.
  • Our experiments with IGF-II and apelin substantiate an important role for the feto-placental unit in regulating maternal plasma volume expansion and (auto)regulating uterine perfusion and fetal growth.

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  • (PMID = 24753866.001).
  • [ISSN] 2032-0418
  • [Journal-full-title] Facts, views & vision in ObGyn
  • [ISO-abbreviation] Facts Views Vis Obgyn
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Belgium
  • [Other-IDs] NLM/ PMC3991459
  • [Keywords] NOTNLM ; adipokines / cardiac strain / endocrinology / fetal surgery / myocardial performance index / plasma volume
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4. O'Brien BM, Feltovich HM, Carr SR, Luks FI: Feto-fetal transfusion syndrome in monochorionic quadruplets. Obstet Gynecol; 2010 Feb;115(2 Pt 2):470-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Feto-fetal transfusion syndrome in monochorionic quadruplets.
  • BACKGROUND: Endoscopic laser ablation of placental vessels is now the preferred treatment for severe feto-fetal transfusion syndrome in twin gestations, and has been well-documented in triplet gestations as well.
  • CASE: Stage IV feto-fetal transfusion syndrome was diagnosed at 20.3 weeks of gestation between two of a set of monochorionic, tetramniotic quadruplets.
  • Feto-fetal transfusion recurred at 22 weeks between the initial donor and the two previously unaffected fetuses.
  • CONCLUSION: Treatment of feto-fetal transfusion syndrome in higher-order gestations is challenging because of the increased pregnancy risks, the difficult angioarchitecture and the risk of recurrence.
  • [MeSH-major] Fetofetal Transfusion / surgery. Laser Therapy. Quadruplets
  • [MeSH-minor] Adult. Female. Fetal Death. Humans. Pregnancy. Pregnancy Trimester, Second. Premature Birth

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  • (PMID = 20093884.001).
  • [ISSN] 1873-233X
  • [Journal-full-title] Obstetrics and gynecology
  • [ISO-abbreviation] Obstet Gynecol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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5. Merhar SL, Kline-Fath BM, Meinzen-Derr J, Schibler KR, Leach JL: Fetal and postnatal brain MRI in premature infants with twin-twin transfusion syndrome. J Perinatol; 2013 Feb;33(2):112-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal and postnatal brain MRI in premature infants with twin-twin transfusion syndrome.
  • OBJECTIVE: To describe the findings on fetal and postnatal magnetic resonance imaging (MRI) in premature infants with twin-twin transfusion syndrome (TTTS) and to determine whether currently used staging systems and other fetal and postnatal factors correlate with brain injury in this population.
  • STUDY DESIGN: We performed a prospective study of 22 premature infants with TTTS whose mothers had fetal MRIs.
  • Brain injury was scored on fetal and postnatal MRIs using an injury scale incorporating hemorrhagic and nonhemorrhagic injury.
  • In all, 5/22 patients (23%) had brain injury seen on fetal MRI and 15/22 patients (68%) had brain injury seen on postnatal MRI.
  • [MeSH-major] Brain Injuries / diagnosis. Fetofetal Transfusion / diagnosis. Infant, Premature. Magnetic Resonance Imaging / methods. Prenatal Diagnosis / methods
  • [MeSH-minor] Cohort Studies. Confidence Intervals. Female. Follow-Up Studies. Gestational Age. Humans. Infant, Newborn. Infant, Premature, Diseases / diagnosis. Male. Maternal Age. Postnatal Care / methods. Predictive Value of Tests. Pregnancy. Pregnancy Outcome. Prenatal Care / methods. Prospective Studies. Statistics, Nonparametric. Survival Rate


6. 'Maternal Fetal Transfusion Syndrome': Top Publications. BioMedLib Review OC; ;MaternalFetalTransfusion:710540342. ISSN: 2331-5717. 2015/5/22; updates online.
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  • [Title] 'Maternal Fetal Transfusion Syndrome': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'maternal fetal transfusion syndrome'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 6 publications, and group two 658 publications.
  • Here are the top 3.
  • Van Mieghem T et al: Fetal and maternal hemodynamics in pregnancy: new insights in the cardiovascular adaptation to uncomplicated pregnancy, twin-to-twin transfusion syndrome and congenital diaphragmatic hernia.
  • Suzuki H et al: Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome.
  • Pfeiffer KA et al: [Maternal and fetal digoxin level in fetofetal transfusion syndrome (FFTS)].

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710540342.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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7. Suzuki H, Kuwata T, Ohkuchi A, Yada Y, Matsubara S, Suzuki M: Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome. Case Rep Obstet Gynecol; 2013;2013:345808
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Maternal Perception of Decreased Fetal Movement in One Twin: A Clue Leading to the Early Detection of Absent Variability due to Acute Twin-to-Twin Transfusion Syndrome.
  • Decreased fetal movement (DFM) perceived by pregnant women sometimes indicates imminent fetal jeopardy.
  • Male infants weighing 2060 g and 1578 g were delivered; hemoglobin was 20.7 versus 10.8 g/dL, respectively; cardiothoracic ratio was 70% versus 44%, respectively, indicating acute twin-to-twin transfusion syndrome (TTTS).
  • In conclusion, maternal perception of DFM indicated imminent fetal death or jeopardy caused by acute TTTS, suggesting that education regarding DFM for women with twin pregnancy may be clinically important.

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  • (PMID = 23984131.001).
  • [ISSN] 2090-6684
  • [Journal-full-title] Case reports in obstetrics and gynecology
  • [ISO-abbreviation] Case Rep Obstet Gynecol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3741951
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8. Jain V, Clarke G, Russell L, McBrien A, Hornberger L, Young C, Chandra S: A case of alloimmune thrombocytopenia, hemorrhagic anemia-induced fetal hydrops, maternal mirror syndrome, and human chorionic gonadotropin-induced thyrotoxicosis. AJP Rep; 2013 May;3(1):41-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A case of alloimmune thrombocytopenia, hemorrhagic anemia-induced fetal hydrops, maternal mirror syndrome, and human chorionic gonadotropin-induced thyrotoxicosis.
  • Fetal/neonatal alloimmune thrombocytopenia (FNAIT) can be a cause of severe fetal thrombocytopenia, with the common presentation being intracranial hemorrhage in the fetus, usually in the third trimester.
  • A very unusual case of fetal anemia progressed to hydrops.
  • This was further complicated by maternal Mirror syndrome and human chorionic gonadotropin-induced thyrotoxicosis.
  • Without knowledge of etiology, and possibly due to associated cardiac dysfunction, fetal transfusion resulted in fetal demise.
  • In cases with fetal anemia without presence of red blood cell antibodies, FNAIT must be ruled out as a cause prior to performing fetal transfusion.
  • Fetal heart may adapt differently to acute hemorrhagic anemia compared with a more subacute hemolytic anemia.

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  • (PMID = 23943709.001).
  • [ISSN] 2157-6998
  • [Journal-full-title] AJP reports
  • [ISO-abbreviation] AJP Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3699162
  • [Keywords] NOTNLM ; FNAIT / HPA 1a / NAIT / antiplatelet antibodies / intraperitoneal transfusion / intrauterine transfusion
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9. Chmait RH, Kontopoulos E, Bornick PW, Maitino T, Quintero RA: Triplets with feto-fetal transfusion syndrome treated with laser ablation: the USFetus experience. J Matern Fetal Neonatal Med; 2010 May;23(5):361-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Triplets with feto-fetal transfusion syndrome treated with laser ablation: the USFetus experience.
  • OBJECTIVE: We sought to assess outcomes of triplets with feto-fetal transfusion syndrome (FFTS) treated with selective laser photocoagulation of communicating vessels (SLPCV).
  • [MeSH-major] Fetofetal Transfusion / surgery. Laser Therapy / methods. Triplets
  • [MeSH-minor] Female. Fetal Therapies / methods. Fetal Therapies / statistics & numerical data. Humans. Pregnancy. Pregnancy, Multiple. Retrospective Studies. Syndrome. Treatment Outcome. Twins. United States

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  • (PMID = 19658042.001).
  • [ISSN] 1476-4954
  • [Journal-full-title] 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
  • [ISO-abbreviation] J. Matern. Fetal. Neonatal. Med.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article; Multicenter Study
  • [Publication-country] England
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10. Society for Maternal-Fetal Medicine, Simpson LL: Twin-twin transfusion syndrome. Am J Obstet Gynecol; 2013 Jan;208(1):3-18
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Twin-twin transfusion syndrome.
  • OBJECTIVE: We sought to review the natural history, pathophysiology, diagnosis, and treatment options for twin-twin transfusion syndrome (TTTS).
  • Evidence reports and guidelines published by organizations or institutions such as the National Institutes of Health, Agency for Health Research and Quality, American College of Obstetricians and Gynecologists, and Society for Maternal-Fetal Medicine were also reviewed, and additional studies were located by reviewing bibliographies of identified articles.
  • Steroids for fetal maturation should be considered at 24 0/7 to 33 6/7 weeks, particularly in pregnancies complicated by stage ≥III TTTS, and those undergoing invasive interventions.
  • [MeSH-major] Fetofetal Transfusion / diagnosis. Pregnancy, Twin. Prenatal Diagnosis / methods

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  • [Copyright] Copyright © 2013 Mosby, Inc. All rights reserved.
  • [CommentIn] Am J Obstet Gynecol. 2013 Aug;209(2):159-60 [23524171.001]
  • [CommentIn] Am J Obstet Gynecol. 2013 Aug;209(2):157-8 [23524169.001]
  • [CommentIn] Am J Obstet Gynecol. 2013 Aug;209(2):158 [23524172.001]
  • [CommentIn] Am J Obstet Gynecol. 2013 Aug;209(2):158-9 [23524174.001]
  • [ErratumIn] Am J Obstet Gynecol. 2013 May;208(5):392
  • (PMID = 23200164.001).
  • [ISSN] 1097-6868
  • [Journal-full-title] American journal of obstetrics and gynecology
  • [ISO-abbreviation] Am. J. Obstet. Gynecol.
  • [Language] eng
  • [Publication-type] Journal Article; Practice Guideline
  • [Publication-country] United States
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11. Crombleholme TM, Lim FY, Habli M, Polzin W, Jaekle R, Michelfelder E, Cnota J, Liu C, Kim MO: Improved recipient survival with maternal nifedipine in twin-twin transfusion syndrome complicated by TTTS cardiomyopathy undergoing selective fetoscopic laser photocoagulation. Am J Obstet Gynecol; 2010 Oct;203(4):397.e1-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Improved recipient survival with maternal nifedipine in twin-twin transfusion syndrome complicated by TTTS cardiomyopathy undergoing selective fetoscopic laser photocoagulation.
  • OBJECTIVE: The purpose of this study was to evaluate the effect of maternal nifedipine on fetal survival when started 24-48 hours before selective fetoscopic laser photocoagulation (SFLP).
  • STUDY DESIGN: We conducted a case control study of consecutive cases of twin-twin transfusion syndrome (TTTS) in which TTTS cardiomyopathy was treated with maternal nifedipine 24-48 hours before SFLP, compared with gestational age and stage-matched control cases.
  • There was a significant increase in overall fetal survival in nifedipine-treated cases compared with control cases (237/284 [83%] vs 232/308 [75%]; P = .015).
  • CONCLUSION: Maternal nifedipine is associated with improved recipient survival in TTTS that undergoes SFLP.
  • This is the first study to suggest a benefit of adjunctive maternal medical therapy in patients with TTTS who undergo SFLP.
  • [MeSH-major] Cardiomyopathies / drug therapy. Fetofetal Transfusion / mortality. Fetofetal Transfusion / surgery. Nifedipine / therapeutic use. Vasodilator Agents / therapeutic use


12. 'Transfusion Maternofetal': Top Publications. BioMedLib Review OC; ;TransfusionMaternofetal:710540349. ISSN: 2331-5717. 2015/6/22; updates online.
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  • [Title] 'Transfusion Maternofetal': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'transfusion maternofetal'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 10 publications, and group two 37 publications.
  • Here are the top 6.
  • Carapella-de Luca E et al: Maternofetal transfusion during delivery and sensitization of the newborn against the rhesus D-antigen.
  • Kaneda T et al: Detection of maternofetal transfusion by placental alkaline phosphatase levels.
  • Eimer H: [Studies on maternofetal transfusion in obstetric operations].
  • Goldmann SF et al: [Graft vs host reaction (GvHR) following perinatal maternofetal transfusion or following blood cell substitution: the diagnostic value of HLA testing].
  • Hindemann P: Maternofetal transfusion during delivery and RH-sensitisation of the newborn.
  • Niethammer D et al: Nature of reconstitution with histoincompatible maternal marrow in a case of severe combined immunodeficiency with graft-versus-host disease following maternofetal transfusion.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710540349.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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13. Tan WS, Guaran R, Challis D: Advances in maternal fetal medicine practice. J Paediatr Child Health; 2012 Nov;48(11):955-62; quiz 962
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Advances in maternal fetal medicine practice.
  • Maternal fetal medicine (MFM) is a subspecialty of obstetrics that focuses on identified risk pregnancies.
  • The role includes obstetric ultrasound for fetal assessment and diagnosis of anomalies, invasive prenatal diagnosis and management of pregnancies complicated by maternal medical disorders, multiple fetuses and the antenatal management of extreme prematurity.
  • Skill specialisation within MFM includes fetal interventions such as fetal shunting procedures, intrauterine transfusion, fetoscopic laser photocoagulation of anastomotic vessels for twin to twin transfusion syndrome and ex utero intrapartum treatment.
  • MFM specialists are actively involved in clinical and basic science research to improve maternal and neonatal outcomes.
  • [MeSH-minor] Education, Medical, Continuing. Female. Fetal Development / physiology. Fetal Diseases / diagnosis. Fetal Diseases / genetics. Fetal Diseases / ultrasonography. Humans. Pregnancy. Specialization

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  • [Copyright] © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
  • (PMID = 23126390.001).
  • [ISSN] 1440-1754
  • [Journal-full-title] Journal of paediatrics and child health
  • [ISO-abbreviation] J Paediatr Child Health
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Australia
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14. Ishii K, Nakata M, Wada S, Hayashi S, Murakoshi T, Sago H: Perinatal outcome after laser surgery for triplet gestations with feto-fetal transfusion syndrome. Prenat Diagn; 2014 Aug;34(8):734-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Perinatal outcome after laser surgery for triplet gestations with feto-fetal transfusion syndrome.
  • OBJECTIVE: The objective of this study is to evaluate the outcomes of fetoscopic laser photocoagulation (FLP) for a triplet gestation with feto-fetal transfusion syndrome (FFTS).
  • [MeSH-major] Fetofetal Transfusion / surgery. Laser Coagulation. Pregnancy, Triplet. Triplets

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  • [Copyright] © 2014 John Wiley & Sons, Ltd.
  • (PMID = 24659408.001).
  • [ISSN] 1097-0223
  • [Journal-full-title] Prenatal diagnosis
  • [ISO-abbreviation] Prenat. Diagn.
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study
  • [Publication-country] England
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15. Rustico MA, Lanna MM, Faiola S, Schena V, Dell'avanzo M, Mantegazza V, Parazzini C, Lista G, Scelsa B, Consonni D, Ferrazzi E: Fetal and maternal complications after selective fetoscopic laser surgery for twin-to-twin transfusion syndrome: a single-center experience. Fetal Diagn Ther; 2012;31(3):170-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal and maternal complications after selective fetoscopic laser surgery for twin-to-twin transfusion syndrome: a single-center experience.
  • OBJECTIVE: To report the incidence of fetal and maternal complications after selective fetoscopic laser surgery for twin-to-twin transfusion syndrome (TTTS).
  • Fetal complications (double and single intrauterine fetal death, recurrence of TTTS, twin anemia-polycythemia sequence (TAPS), reversal of TTTS, cerebral lesions in one twin) and maternal complications were recorded, and retrospectively analyzed.
  • Double and single fetal death occurred overall in 7.3 and 36.0% of cases, respectively.
  • Eighteen cases (12.0%) of fetal complications had a second procedure (6 repeat laser, 4 serial amnioreduction, 8 bipolar cord coagulation).
  • Major maternal complications occurred in 9 cases (6.0%), 3 of which required admission to intensive care unit.
  • CONCLUSIONS: Fetal complications are common after fetoscopic laser surgery.
  • [MeSH-major] Fetofetal Transfusion / surgery. Fetoscopy / adverse effects. Laser Therapy / adverse effects. Pregnancy Complications / etiology
  • [MeSH-minor] Anemia / etiology. Brain Diseases / etiology. Chi-Square Distribution. Female. Fetal Death. Gestational Age. Humans. Incidence. Intensive Care. Italy. Logistic Models. Odds Ratio. Polycythemia / etiology. Pregnancy. Pregnancy, Twin. Premature Birth / etiology. Recurrence. Reoperation. Retrospective Studies. Risk Assessment. Risk Factors. Time Factors. Treatment Outcome

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  • [Copyright] Copyright © 2012 S. Karger AG, Basel.
  • (PMID = 22456330.001).
  • [ISSN] 1421-9964
  • [Journal-full-title] Fetal diagnosis and therapy
  • [ISO-abbreviation] Fetal. Diagn. Ther.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] Switzerland
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16. Meriki N, Smoleniec J, Challis D, Welsh AW: Immediate outcome of twin-twin transfusion syndrome following selective laser photocoagulation of communicating vessels at the NSW Fetal Therapy Centre. Aust N Z J Obstet Gynaecol; 2010 Apr;50(2):112-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Immediate outcome of twin-twin transfusion syndrome following selective laser photocoagulation of communicating vessels at the NSW Fetal Therapy Centre.
  • OBJECTIVE: To audit the outcome for laser photocoagulation for twin-twin transfusion syndrome (TTTS) as managed by the New South Wales Fetal Therapy Centre (NSW FTC).
  • [MeSH-major] Fetofetal Transfusion / mortality. Fetofetal Transfusion / surgery. Laser Coagulation

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  • (PMID = 20522065.001).
  • [ISSN] 1479-828X
  • [Journal-full-title] The Australian & New Zealand journal of obstetrics & gynaecology
  • [ISO-abbreviation] Aust N Z J Obstet Gynaecol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Australia
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17. Zanardini C, Prefumo F, Fichera A, Botteri E, Frusca T: Fetal cardiac parameters for prediction of twin-to-twin transfusion syndrome. Ultrasound Obstet Gynecol; 2014 Oct;44(4):434-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal cardiac parameters for prediction of twin-to-twin transfusion syndrome.
  • OBJECTIVES: To assess myocardial performance index measured by conventional Doppler (MPI) and by tissue Doppler imaging (MPI') at 18 weeks' gestation in monochorionic diamniotic twins for the prediction of twin-to-twin transfusion syndrome (TTTS).

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  • [Copyright] Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.
  • [CommentIn] Ultrasound Obstet Gynecol. 2014 Oct;44(4):386-7 [25274544.001]
  • (PMID = 24919586.001).
  • [ISSN] 1469-0705
  • [Journal-full-title] Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • [ISO-abbreviation] Ultrasound Obstet Gynecol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; MPI / TDI / TTTS / fetal heart / monochorionic / myocardial performance index / tissue Doppler imaging
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18. Fox CE, Sekizawa A, Pretlove SJ, Chan BC, Okai T, Kilby MD: Maternal cell-free messenger RNA in twin pregnancies: the effects of chorionicity and severe twin to twin transfusion syndrome (TTTS). Acta Obstet Gynecol Scand; 2012 Oct;91(10):1206-11
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Maternal cell-free messenger RNA in twin pregnancies: the effects of chorionicity and severe twin to twin transfusion syndrome (TTTS).
  • OBJECTIVE: To investigate the effects of chorionicity and severe twin to twin transfusion (TTTS) on maternal circulating cell-free messenger RNA (cf-mRNA).
  • SETTING: A UK tertiary referral Fetal Medicine Center.
  • METHODS: Maternal cf-mRNA encoding glyceraldehyde 3-phosphate dehydrogenase (GAPDH), vascular endothelial growth factor receptor 1(VEGFR-1(Flt-1)), vascular endothelial growth factor A (VEGF-A), Endoglin, placental growth factor (PlGF), tyrosine kinase with immunoglobulin-like and EGF-like domains 1 (Tie-1), angiopoietin 1 (Ang-1) and angiopoietin 2 (Ang-2) were measured by a quantitative two-step real-time PCR assay after extraction from maternal plasma.
  • CONCLUSION: Maternal cf-mRNA could be reliably detected for GAPDH, PlGF, VEGF-A, Endoglin, Ang-1 and Ang-2 in twin pregnancies and a significant difference was demonstrated in VEGF-A, Endoglin and Ang-2 between uncomplicated twins and MC twin pregnancies complicated by TTTS.
  • If such alterations in maternal cf-mRNA precede the onset of clinically apparent disease, this may be used as an adjuvant blood test to complement ultrasound screening.
  • [MeSH-major] Cell-Free System. Chorion. Fetofetal Transfusion / blood. RNA, Messenger / blood

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  • [Copyright] © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
  • (PMID = 22862673.001).
  • [ISSN] 1600-0412
  • [Journal-full-title] Acta obstetricia et gynecologica Scandinavica
  • [ISO-abbreviation] Acta Obstet Gynecol Scand
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Angiopoietin-2; 0 / Antigens, CD; 0 / Biological Markers; 0 / ENG protein, human; 0 / RNA, Messenger; 0 / Receptors, Cell Surface; 0 / VEGFA protein, human; 0 / Vascular Endothelial Growth Factor A
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19. Fox CE, Lash GE, Pretlove SJ, Chan BC, Holder R, Kilby MD: Maternal plasma and amniotic fluid cytokines in monochorionic, diamniotic twin pregnancies complicated by twin-to-twin transfusion syndrome. Fetal Diagn Ther; 2014;35(4):280-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Maternal plasma and amniotic fluid cytokines in monochorionic, diamniotic twin pregnancies complicated by twin-to-twin transfusion syndrome.
  • Twin-to-twin transfusion syndrome (TTTS) is associated with asymmetric placental blood flow and intra-cardiac pressures.
  • Circulating T helper cell type 1 (TH1)/TH2 maternal cytokines and cytokine-related and angiogenic factors were measured in plasma and amniotic fluid before and after FLA by human FASTQuant or ELISA.
  • RESULTS: Median maternal plasma platelet-derived growth factor-BB was highest in uncomplicated DC twins (p = 0.049), whereas tissue inhibitor of metalloproteinases (TIMP)-1 was highest in TTTS twins (p = 0.003).
  • In TTTS amniotic fluid, interleukin (IL)-6, IL-1β, tumour necrosis factor-α, IL-10, IL-4, IL-8, interferon-γ, TIMP-1 and intercellular adhesion molecule-1 were significantly higher than maternal plasma concentrations.
  • DISCUSSION: TTTS is associated with minimal changes in cytokine levels when compared to uncomplicated twins, although the majority of cytokine levels were higher in amniotic fluid than maternal blood.
  • [MeSH-major] Amniotic Fluid / metabolism. Cytokines / metabolism. Fetofetal Transfusion / surgery

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  • [Copyright] © 2014 S. Karger AG, Basel.
  • (PMID = 24802980.001).
  • [ISSN] 1421-9964
  • [Journal-full-title] Fetal diagnosis and therapy
  • [ISO-abbreviation] Fetal. Diagn. Ther.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 0 / Cytokines
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20. Braun T, Brauer M, Fuchs I, Czernik C, Dudenhausen JW, Henrich W, Sarioglu N: Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome. Fetal Diagn Ther; 2010;27(4):191-203
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  • [Title] Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome.
  • INTRODUCTION: Mirror syndrome, also referred to as Ballantyne's syndrome, is normally defined as the development of maternal edema in association with fetal hydrops.
  • The incidence of mirror syndrome is low and few cases have been published.
  • We describe a case report in association with fetal Ebstein anomaly and provide a systematic review on the fetal associated conditions, maternal presentation and perinatal outcome reported for mirror syndrome.
  • DATA SOURCES: A PubMed database search was done until December 2008 (English, French or German) without any restriction of publication date or journal, using the following key words: Ballantyne syndrome, Mirror syndrome, Triple edema, Pseudotoxemia, Maternal hydrops syndrome, Pregnancy toxemia, Acute second trimester gestosis, and Early onset preeclampsia.
  • Reported cases were considered eligible when fetal associated conditions, maternal symptoms and fetal outcome were clearly described.
  • Mirror syndrome was associated with rhesus isoimmunization (29%), twin-twin transfusion syndrome (18%), viral infection (16%) and fetal malformations, fetal or placental tumors (37.5%).
  • Maternal key signs were edema (80-100%), hypertension (57-78%) and proteinuria (20-56%).
  • Severe maternal complications including pulmonary edema occurred in 21.4%.
  • Maternal symptoms disappeared 4.8-13.5 days after delivery.
  • DISCUSSION: Mirror syndrome is associated with a substantial increase in fetal mortality and maternal morbidity.
  • [MeSH-minor] Adult. Female. Humans. Pregnancy. Pregnancy Outcome. Rh Isoimmunization / complications. Syndrome

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  • [Copyright] Copyright 2010 S. Karger AG, Basel.
  • (PMID = 20357423.001).
  • [ISSN] 1421-9964
  • [Journal-full-title] Fetal diagnosis and therapy
  • [ISO-abbreviation] Fetal. Diagn. Ther.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Switzerland
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21. Sueters M, Oepkes D: Diagnosis of twin-to-twin transfusion syndrome, selective fetal growth restriction, twin anaemia-polycythaemia sequence, and twin reversed arterial perfusion sequence. Best Pract Res Clin Obstet Gynaecol; 2014 Feb;28(2):215-26
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Diagnosis of twin-to-twin transfusion syndrome, selective fetal growth restriction, twin anaemia-polycythaemia sequence, and twin reversed arterial perfusion sequence.
  • Monochorionic twin pregnancies are well known to be at risk for a variety of severe complications, a true challenge for the maternal-fetal medicine specialist.
  • The clinician needs to be aware of the definitions and symptoms of twin-to twin transfusion syndrome, selective fetal growth restriction, twin anaemia-polycythaemia sequence, and twin reversed arterial perfusion sequence, to be able to recognise each disease and take the required action.
  • [MeSH-major] Anemia / diagnosis. Fetal Growth Retardation / diagnosis. Fetofetal Transfusion / diagnosis. Polycythemia / diagnosis. Twins, Monozygotic. Ultrasonography, Prenatal

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  • [Copyright] Copyright © 2014 Elsevier Ltd. All rights reserved.
  • (PMID = 24433823.001).
  • [ISSN] 1532-1932
  • [Journal-full-title] Best practice & research. Clinical obstetrics & gynaecology
  • [ISO-abbreviation] Best Pract Res Clin Obstet Gynaecol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
  • [Keywords] NOTNLM ; Doppler / diagnosis / selective fetal growth restriction / twin anemia polycythemia sequence / twin reversed arterial perfusion sequence / twin-to-twin transfusion syndrome / ultrasound
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22. Fox CE, Lash GE, Pretlove SJ, Chan BC, Holder R, Kilby MD: Maternal plasma and amniotic fluid angiogenic factors and their receptors in monochorionic twin pregnancies complicated by twin-to-twin transfusion syndrome. Ultrasound Obstet Gynecol; 2010 Jun;35(6):695-701
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Maternal plasma and amniotic fluid angiogenic factors and their receptors in monochorionic twin pregnancies complicated by twin-to-twin transfusion syndrome.
  • OBJECTIVE: Angiogenic factors play a role in human placentation and may be aberrant in severe twin-to-twin transfusion syndrome (TTTS).
  • The aim of this study was to investigate the maternal plasma and amniotic fluid angiogenic factor and receptor concentrations in twin pregnancies complicated by TTTS and to evaluate the effects of fetoscopic laser ablation.
  • Circulating angiogenic factors and their receptors were measured in the maternal plasma and the recipient twin's amniotic fluid by enzyme-linked immunosorbent assay and/or FAST Quant human angiogenesis array.
  • This was independent of fetal size, amniotic fluid volumes or the number of apparent placental arteriovenous anastomoses.
  • In TTTS pregnancies, amniotic fluid VEGF-C, VEGF-A, Ang-1 and the sVEGFR-1/PlGF ratio were increased compared to paired maternal plasma concentrations (P < 0.0001) while amniotic fluid concentrations of PlGF, Ang-2 and soluble tyrosine kinase with immunoglobulin-like/epidermal growth factor-like domains 2 (sTie-2) were significantly lower than plasma concentrations (P < 0.0001).
  • No significant association between maternal plasma and amniotic fluid concentrations of angiogenic factors was noted.
  • CONCLUSION: Maternal angiogenic activity is decreased in severe TTTS, with an increased sVEGFR-1/PlGF ratio and concentrations of Ang-2 and VEGF-D in the maternal plasma compared to uncomplicated MC twin pregnancies.
  • Maternal circulating PlGF concentrations decrease and the sVEGFR-1/PlGF ratio increases transiently in response to fetoscopic laser ablation, but in general the angiogenic factor and receptor concentrations studied are altered little by this therapy.
  • [MeSH-major] Amniotic Fluid / metabolism. Angiogenesis Inducing Agents / blood. Fetofetal Transfusion / blood. Vascular Endothelial Growth Factor A / blood

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  • [Copyright] (c) 2009 ISUOG. Published by John Wiley & Sons, Ltd.
  • (PMID = 20069664.001).
  • [ISSN] 1469-0705
  • [Journal-full-title] Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • [ISO-abbreviation] Ultrasound Obstet Gynecol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Angiogenesis Inducing Agents; 0 / Biological Markers; 0 / VEGFA protein, human; 0 / Vascular Endothelial Growth Factor A
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23. Chai H, Fang Q, Huang X, Zhou Y, Luo Y: Prenatal management and outcomes in mirror syndrome associated with twin-twin transfusion syndrome. Prenat Diagn; 2014 Dec;34(12):1213-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prenatal management and outcomes in mirror syndrome associated with twin-twin transfusion syndrome.
  • OBJECTIVE: The aim of this article is to investigate the prevalence, clinical presentation, prenatal management, and prognosis of mirror syndrome associated with twin-twin transfusion syndrome (TTTS) treated by amnioreduction or selective fetocide.
  • The prevalence of mirror syndrome, defined as severe maternal edema related to fetal hydrops and placental edema, was calculated for TTTS, and data on clinical characteristics, treatment, and outcomes of the patients were reviewed.
  • RESULTS: We observed mirror syndrome in 4.85% (5/103) of pregnancies with TTTS and 26.32% (5/19) of pregnancies with TTTS Stage IV.
  • Most cases (4/5) of mirror syndrome associated with TTTS were diagnosed before 24 weeks of gestation.
  • Maternal hemoglobin, hematocrit, and plasma protein dropped after amnioreduction.
  • CONCLUSION: TTTS carries a high risk of mirror syndrome, a disease with significant materno-fetal mortality and morbidity.
  • Amnioreduction alone or with selective feticide in mirror syndrome may transiently aggravate anemia and hemodilution and lead to severe maternal complications.

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  • [Copyright] © 2014 John Wiley & Sons, Ltd.
  • (PMID = 25043377.001).
  • [ISSN] 1097-0223
  • [Journal-full-title] Prenatal diagnosis
  • [ISO-abbreviation] Prenat. Diagn.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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24. Papanna R, Mann LK, Molina S, Johnson A, Moise KJ: Changes in the recipient fetal Tei index in the peri-operative period after laser photocoagulation of placental anastomoses for twin-twin transfusion syndrome. Prenat Diagn; 2011 Feb;31(2):176-80
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Changes in the recipient fetal Tei index in the peri-operative period after laser photocoagulation of placental anastomoses for twin-twin transfusion syndrome.
  • OBJECTIVE: To assess serial changes in the Tei index of the recipient fetus secondary to fetoscopic laser photocoagulation of placental anastomoses (FLP) for twin-twin transfusion syndrome (TTTS) during the peri-operative period.
  • STUDY DESIGN: A prospective study of cases that underwent FLP at the Texas Children's Fetal Center was performed.
  • [MeSH-minor] Female. Fetofetal Transfusion / surgery. Fetofetal Transfusion / ultrasonography. Fetoscopy. Fetus / surgery. Humans. Perioperative Care. Pregnancy. Ultrasonography, Prenatal

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  • [Copyright] Copyright © 2011 John Wiley & Sons, Ltd.
  • (PMID = 21268037.001).
  • [ISSN] 1097-0223
  • [Journal-full-title] Prenatal diagnosis
  • [ISO-abbreviation] Prenat. Diagn.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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25. Eixarch E, Valsky D, Deprest J, Baschat AA, Lewi L, Ortiz JU, Martinez-Crespo JM, Gratacos E: Preoperative prediction of the individualized risk of early fetal death after laser therapy in twin-to-twin transfusion syndrome. Prenat Diagn; 2013 Nov;33(11):1033-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Preoperative prediction of the individualized risk of early fetal death after laser therapy in twin-to-twin transfusion syndrome.
  • OBJECTIVE: The aim of this study is to evaluate the independent and combined value of gestational age, fetal weight, fetoplacental Doppler, and myocardial performance index for the prediction of individual risk of early (≤7 days) intrauterine fetal death (IUFD) after laser therapy in twin-to-twin transfusion syndrome (TTTS).
  • Ultrasound evaluation within 24 h of surgery included estimated fetal weight discordance, umbilical artery, pulsatility index (PI) and diastolic flow evaluation, middle cerebral artery PI and middle cerebral artery peak systolic velocity, ductus venosus PI and atrial flow assessment, and modified myocardial performance index.
  • RESULTS: Intrauterine fetal death occurred in 17 (7.9%) of the recipients and 33 (15.3%) donors (p = 0.016).
  • In donors, reverse end diastolic flow in the umbilical artery (OR = 14.748, p = 0.033), estimated fetal weight discordance (OR = 1.054, p = 0.036), and gestational age (OR = 0.757, p = 0.046) were independent predictors.
  • CONCLUSION: In TTTS, preoperative fetal assessment can identify independent risk factors for early post-operative IUFD, particularly in donors.
  • [MeSH-major] Fetal Death / diagnosis. Fetal Death / etiology. Fetofetal Transfusion / mortality. Fetofetal Transfusion / surgery. Fetoscopy / mortality. Laser Therapy / mortality
  • [MeSH-minor] Female. Fetal Weight. Gestational Age. Humans. Individuality. Pregnancy. Preoperative Period. Prognosis. Retrospective Studies. Risk Factors. Twins, Monozygotic. Ultrasonography, Doppler. Ultrasonography, Prenatal


26. Hartmann KE, McPheeters ML, Chescheir NC, Gillam-Krakauer M, McKoy JN, Jerome R, Sathe NA, Meints L, Walsh WF: Evidence to inform decisions about maternal-fetal surgery: technical brief. Obstet Gynecol; 2011 May;117(5):1191-204
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Evidence to inform decisions about maternal-fetal surgery: technical brief.
  • OBJECTIVE: To summarize the state of research in maternal-fetal surgery regarding the surgical repair of abnormalities in fetuses in the womb.
  • DATA SOURCES: We searched MEDLINE from 1980 to 2010 for studies of maternal-fetal surgery for the following conditions: twin-twin transfusion syndrome, obstructive uropathy, congenital diaphragmatic hernia, myelomeningocele, thoracic lesions, cardiac malformations, and sacrococcygeal teratoma.
  • We compiled information about how fetal diagnoses were defined, maternal inclusion criteria, type of surgery, study design, country, setting, comparators used, length of follow-up, outcomes measured, and adverse events.
  • Twin-twin transfusion is the most studied condition, with 84 studies including 2,532 pregnancies.
  • Maternal outcome data were rare.
  • CONCLUSION: Although developing rapidly, maternal-fetal surgery research has yet to achieve the typical quality of studies and aggregate strength of evidence needed to optimally inform care.
  • [MeSH-major] Fetal Diseases / surgery. Fetal Therapies / methods
  • [MeSH-minor] Bronchopulmonary Sequestration / surgery. Cardiovascular Abnormalities / surgery. Cystic Adenomatoid Malformation of Lung, Congenital / surgery. Female. Fetofetal Transfusion / surgery. Hernia, Diaphragmatic / surgery. Hernias, Diaphragmatic, Congenital. Humans. Meningomyelocele / surgery. Pregnancy. Spinal Dysraphism / surgery. Teratoma / surgery. Treatment Outcome. Urogenital Abnormalities / surgery

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  • (PMID = 21471854.001).
  • [ISSN] 1873-233X
  • [Journal-full-title] Obstetrics and gynecology
  • [ISO-abbreviation] Obstet Gynecol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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27. Assaf SA, Khan A, Korst LM, Chmait RH: Fetal heart rate changes associated with sequential selective laser surgery for twin-twin transfusion syndrome. J Perinatol; 2010 Mar;30(3):188-91
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal heart rate changes associated with sequential selective laser surgery for twin-twin transfusion syndrome.
  • OBJECTIVE: To investigate perioperative changes in fetal heart rate (FHR) associated with sequential vs standard selective laser photocoagulation of communicating vessels for the treatment of twin-twin transfusion syndrome (TTTS).
  • [MeSH-major] Fetofetal Transfusion / surgery. Heart Rate, Fetal. Laser Coagulation / methods

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  • [ISSN] 1476-5543
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  • [ISO-abbreviation] J Perinatol
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28. García-Díaz L, Carreto P, Costa-Pereira S, Antiñolo G: Prenatal management and perinatal outcome in giant placental chorioangioma complicated with hydrops fetalis, fetal anemia and maternal mirror syndrome. BMC Pregnancy Childbirth; 2012;12:72
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prenatal management and perinatal outcome in giant placental chorioangioma complicated with hydrops fetalis, fetal anemia and maternal mirror syndrome.
  • BACKGROUND: Giant placental chorioangiomas have been associated with a number of severe fetal complications and high perinatal mortality.
  • CASE PRESENTATION: We report a case of giant chorioangioma with fetal hydrops, additionally complicated by severe anemia, mild cardiomegaly with hyperdinamic heart circulation and maternal mirror syndrome.
  • Intrauterine blood transfusion and amniodrainage was performed at 29 weeks.
  • Worsening of the fetal and maternal condition prompted us to proceed with delivery at 29 + 5 weeks.
  • Maternal course was favourable, mirror syndrome resolved in the second day and the patient was discharged four days following delivery.
  • CONCLUSIONS: In the case described here, fetal condition got worse despite of the anemia correction and amniodrainage.
  • Our outcome raises the issue whether additional intrauterine clinical intervention, as intersticial laser, should have been performed to stop further deterioration of the fetal condition when progressive severe hydrops develops.
  • [MeSH-minor] Adult. Blood Transfusion, Intrauterine. Cardiomegaly / complications. Cardiomegaly / ultrasonography. Cesarean Section. Edema. Female. Fetal Diseases / therapy. Fetal Diseases / ultrasonography. Hepatic Insufficiency. Humans. Hypokalemia. Hypoproteinemia. Oliguria. Pregnancy. Syndrome. Ultrasonography, Prenatal


29. Ngamprasertwong P, Habli M, Boat A, Lim FY, Esslinger H, Ding L, Sadhasivam S: Maternal hypotension during fetoscopic surgery: incidence and its impact on fetal survival outcomes. ScientificWorldJournal; 2013;2013:709059
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  • [Title] Maternal hypotension during fetoscopic surgery: incidence and its impact on fetal survival outcomes.
  • In this retrospective cohort study, we aimed to determine the incidence of intraoperative maternal hypotension during fetoscopic surgery for twin-twin transfusion syndrome (TTTS) and to evaluate the impact of intraoperative hypotension on fetal survival.
  • The exposure of interest was maternal medical therapy with nifedipine for the treatment of fetal cardiomyopathy.
  • There were no statistically significant differences in acute fetal survival rate (within 5 days) and fetal survival rate at birth between hypotensive and nonhypotensive patients.
  • We concluded that preoperative exposure to nifedipine resulted in increased intraoperative maternal vasopressor requirement during fetoscopic surgery under epidural anesthesia.
  • In patients who had intraoperative maternal hypotension, there was no correlation between the presence of maternal hypotension and postoperative fetal survival.
  • [MeSH-major] Fetofetal Transfusion / mortality. Fetofetal Transfusion / surgery. Fetoscopy / mortality. Hypotension / mortality. Hypotension / prevention & control. Nifedipine / therapeutic use. Pregnancy Complications, Cardiovascular / mortality
  • [MeSH-minor] Adult. Cohort Studies. Female. Fetal Death / epidemiology. Humans. Incidence. Ohio / epidemiology. Pregnancy. Retrospective Studies. Risk Factors. Survival Rate. Treatment Outcome. Vasodilator Agents / administration & dosage

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  • [Cites] Eur J Obstet Gynecol Reprod Biol. 2001 Aug;97(2):122-40 [11451537.001]
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  • (PMID = 24228013.001).
  • [ISSN] 1537-744X
  • [Journal-full-title] TheScientificWorldJournal
  • [ISO-abbreviation] ScientificWorldJournal
  • [Language] eng
  • [Grant] United States / NCATS NIH HHS / TR / UL1 TR000077; United States / NCRR NIH HHS / RR / UL1-RR026314-01
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Vasodilator Agents; I9ZF7L6G2L / Nifedipine
  • [Other-IDs] NLM/ PMC3818981
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30. Duron VD, Watson-Smith D, Benzuly SE, Muratore CS, O'Brien BM, Carr SR, Luks FI: Maternal and fetal safety of fluid-restrictive general anesthesia for endoscopic fetal surgery in monochorionic twin gestations. J Clin Anesth; 2014 May;26(3):184-90
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  • [Title] Maternal and fetal safety of fluid-restrictive general anesthesia for endoscopic fetal surgery in monochorionic twin gestations.
  • STUDY OBJECTIVE: To review our experience with general anesthesia in endoscopic fetal surgery for twin-to-twin transfusion syndrome (TTTS), and to compare fetomaternal outcome before and after protocol implementation.
  • Perioperative parameters (IV fluid administration, vasopressor use, maternal hemoglobin [Hb] concentration); maternal complication rate (respiratory, hemorrhagic); pregnancy outcome; and fetal and neonatal survival were recorded.
  • Maternal pulmonary edema and any respiratory distress were seen in 5.5% and 12.7% of patients in the early group, respectively, and in none of the late group patients (P < 0.05; Chi-square analysis).
  • CONCLUSIONS: A significant risk of maternal respiratory complications exists after general anesthesia for endoscopic fetal surgery.
  • [MeSH-major] Anesthesia, General / methods. Fetofetal Transfusion / surgery. Fetoscopy / methods. Laser Therapy / methods

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24793703.001).
  • [ISSN] 1873-4529
  • [Journal-full-title] Journal of clinical anesthesia
  • [ISO-abbreviation] J Clin Anesth
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Fetal surgery / Fetoscopy / Pregnancy / Twin-to-twin transfusion syndrome
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31. Sifakis S, Koukoura O, Konstantinidou AE, Kikidi K, Prezerakou M, Kaminopetros P: Sonographic findings in severe fetomaternal transfusion. Arch Gynecol Obstet; 2010 Feb;281(2):241-5
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  • [Title] Sonographic findings in severe fetomaternal transfusion.
  • Fetomaternal hemorrhage (FMH) or fetomaternal transfusion syndrome is the leakage of fetal red blood cells into the maternal circulation.
  • Massive FMH can cause substantial fetal morbidity and mortality.
  • Sonographic evidence of severe FMH syndrome includes fetal hydrops and other fetal anemia-related findings.
  • The peak systolic velocity in the middle cerebral artery has extensively been used for the prediction of fetal anemia and for the timing of the first intrauterine intravascular transfusion (IIVT).
  • We present a case of severe FMH syndrome that was diagnosed during the 24th week of pregnancy.
  • The actual increase in the fetal Hb after each transfusion was much lower than the expected.
  • The management of fetal anemia caused by severe FMH is difficult, and the anemic fetuses do not respond well to serial IIVTs as the transfer of blood to the maternal circulation continues.
  • [MeSH-major] Blood Transfusion, Intrauterine / standards. Fetomaternal Transfusion / ultrasonography
  • [MeSH-minor] Adult. Female. Fetal Death. Fetus. Hemoglobins / analysis. Humans. Pregnancy

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  • (PMID = 19462175.001).
  • [ISSN] 1432-0711
  • [Journal-full-title] Archives of gynecology and obstetrics
  • [ISO-abbreviation] Arch. Gynecol. Obstet.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Hemoglobins
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32. Assaf SA, Randolph LM, Benirschke K, Wu S, Samadi R, Chmait RH: Discordant blood chimerism in dizygotic monochorionic laser-treated twin-twin transfusion syndrome. Obstet Gynecol; 2010 Aug;116 Suppl 2:483-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Discordant blood chimerism in dizygotic monochorionic laser-treated twin-twin transfusion syndrome.
  • BACKGROUND: Twin-twin transfusion syndrome occurs in 10% of monozygotic monochorionic twin gestations and results from an unbalanced exchange of blood from the donor to the recipient fetus through placental anastomoses.
  • CASE: We present a case of twin-twin transfusion syndrome with differing fetal sex treated with in utero laser surgery.
  • CONCLUSION: Despite in utero separation of the fetal circulations remote from delivery, hematologic chimerism persisted after birth.
  • We speculate that the greater degree of blood chimerism in the recipient compared with the donor was related to the pathophysiology of twin-twin transfusion syndrome before laser surgery.
  • [MeSH-major] Blood Group Antigens. Chimerism. Fetofetal Transfusion / surgery

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  • [CommentIn] Obstet Gynecol. 2010 Nov;116(5):1219 [20966719.001]
  • [CommentIn] Obstet Gynecol. 2010 Aug;116 Suppl 2:475-6 [20664423.001]
  • (PMID = 20664426.001).
  • [ISSN] 1873-233X
  • [Journal-full-title] Obstetrics and gynecology
  • [ISO-abbreviation] Obstet Gynecol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Blood Group Antigens
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33. Korpraphong S, Tanawattanacharoen S: Outcome of pregnancies complicated by twin-twin transfusion syndrome in King Chulalongkorn Memorial Hospital. J Med Assoc Thai; 2010 Oct;93(10):1137-44
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Outcome of pregnancies complicated by twin-twin transfusion syndrome in King Chulalongkorn Memorial Hospital.
  • OBJECTIVE: To study perinatal outcomes of pregnancies complicated by twin-twin transfusion syndrome (TTTS), which were treated with the authors' intervention modalities.
  • Maternal outcomes of these populations were also explored.
  • Perinatal survival, neonatal morbidities, and maternal outcomes were recorded and analyzed.
  • There was no maternal mortality in the present study The most common maternal morbidity was preeclampsia (6/25; 24%).
  • [MeSH-major] Fetofetal Transfusion. Pregnancy Outcome
  • [MeSH-minor] Adult. Female. Fetal Death. Gestational Age. Humans. Infant, Newborn. Pregnancy. Pregnancy Complications. Pregnancy, Multiple. Prognosis. Prospective Studies. Retrospective Studies. Severity of Illness Index. Survival Analysis. Survival Rate. Thailand / epidemiology. Twins, Monozygotic. Ultrasonography, Doppler. Ultrasonography, Prenatal. Young Adult

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  • (PMID = 20973315.001).
  • [ISSN] 0125-2208
  • [Journal-full-title] Journal of the Medical Association of Thailand = Chotmaihet thangphaet
  • [ISO-abbreviation] J Med Assoc Thai
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Thailand
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34. Chmait RH, Kontopoulos EV, Quintero RA: Sequential laser surgery for twin-twin transfusion syndrome. Am J Perinatol; 2014 Sep;31 Suppl 1:S13-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Sequential laser surgery for twin-twin transfusion syndrome.
  • Treatment of twin-twin transfusion syndrome (TTTS) via the sequential selective laser photocoagulation of communicating vessels (SQLPCV) technique involves lasering the arteriovenous communications from the donor twin to the recipient twin first, followed by the arteriovenous communications from the recipient twin to the donor.
  • Occluding the vascular communications in this particular order may result in transient intraoperative net transfusion to the donor twin and facilitate hemodynamic equilibrium, particularly to the volume depleted donor twin.

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  • [Copyright] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
  • (PMID = 24936936.001).
  • [ISSN] 1098-8785
  • [Journal-full-title] American journal of perinatology
  • [ISO-abbreviation] Am J Perinatol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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35. Turgut A, Demirci O, Demirci E, Uludoğan M: Comparison of maternal and neonatal outcomes in women with HELLP syndrome and women with severe preeclampsia without HELLP syndrome. J Prenat Med; 2010 Jul;4(3):51-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Comparison of maternal and neonatal outcomes in women with HELLP syndrome and women with severe preeclampsia without HELLP syndrome.
  • OBJECTIVE: To examine and to compare postpartum maternal and neonatal complications and morbidities in women with HELLP syndrome (HELLP group) and women with severe preeclampsia without HELLP syndrome (severe preeclamptic group).
  • METHODS: In this retrospective study, 111 patients in the HELLP group were matched with 467 patients in the severe preeclamptic group according to maternal and neonatal complications and morbidities.
  • RESULTS: The rate of transfusion of blood products and acute renal failure was significantly greater in women with HELLP syndrome.
  • One maternal mortality (0.9 % ) was found in women withHELLP syndrome, and no maternal mortality in women in severe preeclamptic group a.
  • It was found that HELLP syndrome cases had significantly lower gestational age and fetal bodyweight.
  • The simultaneous presence of HELLP syndrome and preeclampsia, along with oliguria, ascites, thrombocytopenia, elevated liver enzymes and caesarean delivery, was associated with post-partum complications.
  • CONCLUSION: This study shows that maternal and neonatal morbidity and mortality are increased in pregnancies complicated by severe preeclampsia with HELLP syndrome.

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  • (PMID = 22439062.001).
  • [ISSN] 1971-3290
  • [Journal-full-title] Journal of prenatal medicine
  • [ISO-abbreviation] J Prenat Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
  • [Other-IDs] NLM/ PMC3279181
  • [Keywords] NOTNLM ; HELLP syndrome / maternal mortality. / neonatal outcome / pre-eclampsia
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36. Stamilio DM, Fraser WD, Moore TR: Twin-twin transfusion syndrome: an ethics-based and evidence-based argument for clinical research. Am J Obstet Gynecol; 2010 Jul;203(1):3-16
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Twin-twin transfusion syndrome: an ethics-based and evidence-based argument for clinical research.
  • Aspects of twin-twin transfusion syndrome (TTTS) diagnosis, treatment alternatives, and research opportunities were considered during a consensus conference that was held by the North American Fetal Therapy Network in 2009.
  • [MeSH-major] Fetofetal Transfusion / physiopathology. Pregnancy, Multiple. Twins, Monozygotic

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  • [Copyright] Copyright (c) 2010 Mosby, Inc. All rights reserved.
  • [CommentIn] Am J Obstet Gynecol. 2010 Jul;203(1):1-2 [20609700.001]
  • (PMID = 20171601.001).
  • [ISSN] 1097-6868
  • [Journal-full-title] American journal of obstetrics and gynecology
  • [ISO-abbreviation] Am. J. Obstet. Gynecol.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 81
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37. Swiatkowska-Freund M, Pankrac Z, Preis K: Results of laser therapy in twin-to-twin transfusion syndrome: our experience. J Matern Fetal Neonatal Med; 2012 Oct;25(10):1917-20
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Results of laser therapy in twin-to-twin transfusion syndrome: our experience.
  • OBJECTIVE: The authors of this paper present the results of laser treatment in twin-to-twin transfusion syndrome.
  • The incidence of preterm rupture of membranes (4 cases - 4.3%), dual intrauterine fetal demise (7 cases - 7.4%) and miscarriage or delivery (8 cases - 8.5%) during the first week after surgery were the main reasons of pregnancy loss in the analyzed group.
  • CONCLUSIONS: Despite a lower incidence of dual neonatal survivals than in other series, the results of the first years of experience with laser treatment of twin-twin transfusion syndrome are encouraging, and prompt us to improve our surgical skills to achieve better outcomes.
  • [MeSH-major] Fetofetal Transfusion / surgery. Fetoscopy. Laser Coagulation

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  • (PMID = 22372441.001).
  • [ISSN] 1476-4954
  • [Journal-full-title] 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
  • [ISO-abbreviation] J. Matern. Fetal. Neonatal. Med.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
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38. Goa S, Mimura K, Kakigano A, Tomimatsu T, Kinugasa-Taniguchi Y, Endo M, Kanagawa T, Kimura T: Normalisation of angiogenic imbalance after intra-uterine transfusion for mirror syndrome caused by parvovirus B19. Fetal Diagn Ther; 2013;34(3):176-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Normalisation of angiogenic imbalance after intra-uterine transfusion for mirror syndrome caused by parvovirus B19.
  • We report a case of mirror syndrome caused by parvovirus B19, which resolved after intra-uterine transfusion.
  • Mirror syndrome is a rare condition characterised by a triad of foetal hydrops, generalized maternal oedema and placentomegaly.
  • Although the mechanism underlying the onset of this syndrome is unknown, it probably shares a common pathophysiologic origin with pre-eclampsia.
  • The sFlt-1/PlGF ratio decreased immediately after intra-uterine transfusion, followed by resolution of both maternal and foetal symptoms.
  • This suggests that the sFlt-1/PlGF ratio may help to predict the post-treatment course of mirror syndrome.
  • [MeSH-minor] Adult. Blood Transfusion, Intrauterine. Chorionic Gonadotropin / blood. Edema / complications. Female. Humans. Pregnancy. Pregnancy Proteins / blood. Syndrome. Vascular Endothelial Growth Factor Receptor-1 / blood

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  • [Copyright] Copyright © 2013 S. Karger AG, Basel.
  • (PMID = 23711762.001).
  • [ISSN] 1421-9964
  • [Journal-full-title] Fetal diagnosis and therapy
  • [ISO-abbreviation] Fetal. Diagn. Ther.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
  • [Chemical-registry-number] 0 / Chorionic Gonadotropin; 0 / Pregnancy Proteins; 144589-93-5 / placenta growth factor; EC 2.7.10.1 / FLT1 protein, human; EC 2.7.10.1 / Vascular Endothelial Growth Factor Receptor-1; Parvovirus antenatal infection
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39. Skupski DW, Sylvestre G, Di Renzo GC, Grunebaum A: Acute twin-twin transfusion syndrome in labor: pathophysiology and associated factors. J Matern Fetal Neonatal Med; 2012 May;25(5):456-60
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Acute twin-twin transfusion syndrome in labor: pathophysiology and associated factors.
  • OBJECTIVE: To review reported cases of acute twin-twin transfusion syndrome (TTTS) in monochorionic twin pregnancies to help define variants of disease and determine associated factors.
  • METHODS: PubMed literature review using the search terms, "acute" and "twin transfusion."
  • [MeSH-major] Fetofetal Transfusion / physiopathology. Obstetric Labor Complications / physiopathology

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  • (PMID = 22081903.001).
  • [ISSN] 1476-4954
  • [Journal-full-title] 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
  • [ISO-abbreviation] J. Matern. Fetal. Neonatal. Med.
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
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40. Aghajanian P, Assaf SA, Korst LM, Miller DA, Chmait RH: Fetal middle cerebral artery Doppler fluctuations after laser surgery for twin-twin transfusion syndrome. J Perinatol; 2011 May;31(5):368-72
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetal middle cerebral artery Doppler fluctuations after laser surgery for twin-twin transfusion syndrome.
  • OBJECTIVE: The objective of this study was to compare alterations in the middle cerebral artery (MCA) pulsatility index (PI) and mean velocity (V (mean)) after laser surgery for twin-twin transfusion syndrome (TTTS).
  • [MeSH-minor] Female. Fetofetal Transfusion / physiopathology. Fetofetal Transfusion / surgery. Fetus. Homeostasis. Humans. Laser Therapy. Perioperative Care. Placental Circulation. Pregnancy. Pregnancy Complications, Hematologic / physiopathology. Pregnancy Complications, Hematologic / surgery. Pregnancy Trimester, Second


41. Stirnemann JJ, Quibel T, Essaoui M, Salomon LJ, Bussieres L, Ville Y: Timing of delivery following selective laser photocoagulation for twin-to-twin transfusion syndrome. Am J Obstet Gynecol; 2012 Aug;207(2):127.e1-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Timing of delivery following selective laser photocoagulation for twin-to-twin transfusion syndrome.
  • OBJECTIVE: We sought to compare intrauterine risks with postnatal outcome in monochorionic pregnancies operated by fetoscopic laser surgery for twin-to-twin transfusion syndrome.
  • CONCLUSION: Our results did not identify an optimal cut-off for elective preterm delivery in laser-operated twin-to-twin transfusion syndrome.
  • [MeSH-major] Fetofetal Transfusion / surgery. Laser Coagulation. Risk Assessment
  • [MeSH-minor] Abruptio Placentae / epidemiology. Anemia / epidemiology. Brain Injuries / epidemiology. Cesarean Section / statistics & numerical data. Chorioamnionitis / epidemiology. Cohort Studies. Delivery, Obstetric / statistics & numerical data. Female. Fetal Death / epidemiology. Fetal Distress / epidemiology. Follow-Up Studies. Gestational Age. Humans. Infant Mortality. Infant, Newborn. Labor, Induced / statistics & numerical data. Pregnancy. Premature Birth / prevention & control. Recurrence

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  • [Copyright] Copyright © 2012 Mosby, Inc. All rights reserved.
  • (PMID = 22840722.001).
  • [ISSN] 1097-6868
  • [Journal-full-title] American journal of obstetrics and gynecology
  • [ISO-abbreviation] Am. J. Obstet. Gynecol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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42. Papanna R, Habli M, Baschat AA, Bebbington M, Mann LK, Johnson A, Ryan G, Walker M, Lewis D, Harman C, Crombleholme T, Moise KJ Jr: Cerclage for cervical shortening at fetoscopic laser photocoagulation in twin-twin transfusion syndrome. Am J Obstet Gynecol; 2012 May;206(5):425.e1-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cerclage for cervical shortening at fetoscopic laser photocoagulation in twin-twin transfusion syndrome.
  • OBJECTIVE: The purpose of this study was to evaluate the benefit of cervical cerclage for cervical length ≤ 25 mm at the time of fetoscopic laser photocoagulation (FLP) for twin-twin transfusion syndrome.
  • STUDY DESIGN: A multicenter, retrospective cohort study was conducted with 163 patients with a short cervix before FLP for twin-twin transfusion syndrome.
  • [MeSH-major] Cerclage, Cervical. Fetofetal Transfusion / surgery. Fetoscopy. Laser Coagulation. Uterine Cervical Incompetence / surgery

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  • [Copyright] Copyright © 2012 Mosby, Inc. All rights reserved.
  • (PMID = 22444790.001).
  • [ISSN] 1097-6868
  • [Journal-full-title] American journal of obstetrics and gynecology
  • [ISO-abbreviation] Am. J. Obstet. Gynecol.
  • [Language] eng
  • [Grant] United States / NCATS NIH HHS / TR / UL1 TR000077
  • [Publication-type] Evaluation Studies; Journal Article; Multicenter Study
  • [Publication-country] United States
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43. Roberts D, Neilson JP, Kilby MD, Gates S: Interventions for the treatment of twin-twin transfusion syndrome. Cochrane Database Syst Rev; 2014;1:CD002073
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Interventions for the treatment of twin-twin transfusion syndrome.
  • BACKGROUND: Twin-twin transfusion syndrome, a condition affecting monochorionic twin pregnancies, is associated with a high risk of perinatal mortality and morbidity.
  • A number of treatments have been introduced to treat the condition but it is unclear which intervention improves maternal and fetal outcome.
  • OBJECTIVES: The objective of this review was to evaluate the impact of treatment modalities in twin-twin transfusion syndrome.
  • AUTHORS' CONCLUSIONS: Endoscopic laser coagulation of anastomotic vessels should continue to be considered in the treatment of all stages of twin-twin transfusion syndrome to improve neurodevelopmental outcomes.Further research targeted towards assessing the effect of treatment on milder (Quintero stage 1 and 2) and more severe (Quintero stage 4) forms of twin-twin transfusion syndrome is required.
  • [MeSH-major] Fetofetal Transfusion / therapy

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  • [UpdateOf] Cochrane Database Syst Rev. 2008;(1):CD002073 [18254001.001]
  • (PMID = 24482008.001).
  • [ISSN] 1469-493X
  • [Journal-full-title] The Cochrane database of systematic reviews
  • [ISO-abbreviation] Cochrane Database Syst Rev
  • [Language] eng
  • [Publication-type] Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review
  • [Publication-country] England
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44. Liu XX, Lau Tk, Wang HF, Wong Sm, Leung Ty: [Fetoscopic guided laser occlusion for twin-to-twin transfusion syndrome in 33 cases]. Zhonghua Fu Chan Ke Za Zhi; 2012 Aug;47(8):587-91
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Fetoscopic guided laser occlusion for twin-to-twin transfusion syndrome in 33 cases].
  • OBJECTIVE: To evaluate the clinical effect of fetoscopic laser occlusion of chorioangiopagous vessels (FLOC) for monochorionic diamniotic twins (MCDA) pregnancies complicated with twin-to-twin transfusion syndrome(TTTS).
  • METHODS: The clinical data of 33 consecutive cases of TTTS from Mainland China, who had FLOC in the Department of Obstetrics and Gynaecology of Prince of Wales Hospital (The Chinese University of Hong Kong) from November 2003 to December 2010, were reviewed and analyzed for peri-operative complications, perinatal outcomes and fetal survival rate.
  • (1) Pregnancy characteristics: the mean maternal age was 30; the median gestational age at FLOC was 23(+4) weeks; according to the Quintero staging system, 3 cases were Quintero staging I, 14 cases were Quintero staging II, 7 cases were Quintero staging III and 9 cases were Quintero staging IV.
  • For the 3 stage I cases, FLOC was performed for severe maternal symptoms of polyhyramnios or severe fetal cardiac dysfunction. (2) COMPLICATIONS: intraoperative complications occurred in 5 patients including four uterine bleedings at the puncture site, one placental vascular anastomosis bleeding.
  • Postoperative complications occurred in 6 patients including 2 abortions and 1 intrauterine death within one week after operation, 2 abortions and 1 amniotic band syndrome occurred from two to four weeks after operation. (3) Perinatal outcome and fetal survival rate: the median interval of 33 patients between FLOC and delivery was 9(+4) weeks; the median gestational age at delivery was 31(+6) weeks; the gestation at delivery was less than 24 weeks in 6% (2/33), 24 to 28 weeks in 21% (7/33), 28 to 32 weeks in 18% (6/33), 32 to 37 weeks in 55% (18/33).
  • [MeSH-major] Fetofetal Transfusion / surgery. Fetoscopy. Laser Coagulation / methods. Twins, Monozygotic

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  • (PMID = 23141178.001).
  • [ISSN] 0529-567X
  • [Journal-full-title] Zhonghua fu chan ke za zhi
  • [ISO-abbreviation] Zhonghua Fu Chan Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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45. Gandhi M, Papanna R, Teach M, Johnson A, Moise KJ Jr: Suspected twin-twin transfusion syndrome: how often is the diagnosis correct and referral timely? J Ultrasound Med; 2012 Jun;31(6):941-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Suspected twin-twin transfusion syndrome: how often is the diagnosis correct and referral timely?
  • OBJECTIVES: The purpose of this study was to describe a single center's experience with referrals suspected to have twin-twin transfusion syndrome.
  • METHODS: A retrospective review was performed for patients with suspected twin-twin transfusion syndrome referred to a fetal treatment center between November 1, 2006, and June 1, 2010.
  • RESULTS: Of the 324 patients referred for twin-twin transfusion syndrome, the diagnosis was confirmed in 249 (77%): Quintero stage I in 28 (11%), stage II in 50 (20%), stage III in 150 (60%), stage IV in 15 (6%), and stage V in 6 (2%).
  • The other 75 patients who were referred for suspected twin-twin transfusion syndrome had a diagnosis of either a discordant amniotic fluid volume that did not meet the criteria for Quintero stage I twin-twin transfusion syndrome (56%) or selective intrauterine growth restriction (44%).
  • CONCLUSIONS: Our data suggest that patients with confirmed twin-twin transfusion syndrome are referred with advanced stages of disease (69% stages III-V), with 59% of referrals made after 20 weeks' gestation.
  • [MeSH-major] Fetofetal Transfusion / mortality. Fetofetal Transfusion / ultrasonography. Referral and Consultation / utilization. Ultrasonography, Prenatal / statistics & numerical data

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  • (PMID = 22644691.001).
  • [ISSN] 1550-9613
  • [Journal-full-title] Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • [ISO-abbreviation] J Ultrasound Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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46. Skupski DW, Luks FI, Walker M, Papanna R, Bebbington M, Ryan G, O'Shaughnessy R, Moldenhauer J, Bahtiyar O, North American Fetal Therapy Network (NAFTNet): Preoperative predictors of death in twin-to-twin transfusion syndrome treated with laser ablation of placental anastomoses. Am J Obstet Gynecol; 2010 Oct;203(4):388.e1-388.e11
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Preoperative predictors of death in twin-to-twin transfusion syndrome treated with laser ablation of placental anastomoses.
  • OBJECTIVE: To determine preoperative predictive factors for donor and recipient death after laser ablation of placental vessels in twin-to-twin transfusion syndrome.
  • STUDY DESIGN: Retrospective analysis of North American Fetal Therapy Network center laser procedures, 2002-2009.
  • Factors significantly associated with donor fetal death were low donor estimated fetal weight (odds ratio [OR], 0.69; 95% confidence interval [CI], 0.55-0.87) and reversed end diastolic velocity in the umbilical artery (OR, 4.0; 95% CI, 1.54-10.2); for recipient fetal death-low recipient estimated fetal weight (OR, 0.65; 95% CI, 0.44-0.95), recipient reversed "a" wave in the ductus venosus (OR, 2.39; 95% CI, 1.27-4.51) and hydrops (OR, 3.7; 95% CI, 1.1-12.7); for recipient neonatal death-low donor estimated fetal weight (OR, 0.54; 95% CI, 0.30-0.95), high recipient estimated fetal weight (OR, 1.55; 95% CI, 1.06-2.26) and recipient reversed end diastolic velocity in the umbilical artery (OR, 7.8; 95% CI, 1.03-59.3).
  • CONCLUSION: Preoperative findings predict fetal and neonatal demise in twin-to-twin transfusion syndrome treated with laser therapy.
  • [MeSH-major] Arteriovenous Anastomosis / surgery. Fetal Death / etiology. Fetofetal Transfusion / surgery. Laser Therapy. Placenta / surgery
  • [MeSH-minor] Blood Flow Velocity / physiology. Female. Fetal Weight. Fetoscopy. Humans. Hydrops Fetalis / epidemiology. Logistic Models. Pregnancy. Pregnancy Reduction, Multifetal. Preoperative Period. Retrospective Studies. Risk Factors. Ultrasonography, Prenatal. Umbilical Arteries / physiopathology

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  • [Copyright] Copyright © 2010 Mosby, Inc. All rights reserved.
  • (PMID = 20691964.001).
  • [ISSN] 1097-6868
  • [Journal-full-title] American journal of obstetrics and gynecology
  • [ISO-abbreviation] Am. J. Obstet. Gynecol.
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study
  • [Publication-country] United States
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47. Ruano R, Rodo C, Peiro JL, Shamshirsaz AA, Haeri S, Nomura ML, Salustiano EM, de Andrade KK, Sangi-Haghpeykar H, Carreras E, Belfort MA: Fetoscopic laser ablation of placental anastomoses in twin-twin transfusion syndrome using 'Solomon technique'. Ultrasound Obstet Gynecol; 2013 Oct;42(4):434-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Fetoscopic laser ablation of placental anastomoses in twin-twin transfusion syndrome using 'Solomon technique'.
  • OBJECTIVE: To document perinatal outcomes following use of the 'Solomon technique' in the selective photocoagulation of placental anastomoses for severe twin-twin transfusion syndrome (TTTS).
  • [MeSH-major] Fetofetal Transfusion / surgery. Fetoscopy / methods. Laser Coagulation / methods

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  • [Copyright] Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.
  • [CommentIn] Ultrasound Obstet Gynecol. 2014 Aug;44(2):244 [25088513.001]
  • [CommentIn] Ultrasound Obstet Gynecol. 2014 Feb;43(2):239-40 [24497424.001]
  • [CommentIn] Ultrasound Obstet Gynecol. 2014 Feb;43(2):238-9 [24497423.001]
  • (PMID = 23616360.001).
  • [ISSN] 1469-0705
  • [Journal-full-title] Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • [ISO-abbreviation] Ultrasound Obstet Gynecol
  • [Language] eng
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article; Multicenter Study
  • [Publication-country] England
  • [Keywords] NOTNLM ; fetal surgery / fetoscopy / laser ablation / monochorionic twin pregnancy / twin anemia-polycythemia sequence / twin oligopolyhydramnios sequence / twin-twin transfusion syndrome
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48. Skupski DW, Luks FI, Papanna R, Walker M, Bebbington M, Ryan G, O'Shaughnessy R, Moldenhauer J, Bahtiyar O, North American Fetal Therapy Network (NAFTNet): Laser ablation of placental anastomoses in twin-to-twin transfusion syndrome: preoperative predictors of death by recursive partitioning. Prenat Diagn; 2013 Mar;33(3):279-83
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Laser ablation of placental anastomoses in twin-to-twin transfusion syndrome: preoperative predictors of death by recursive partitioning.
  • OBJECTIVE: The aim of this study was to develop a simple clinical algorithm for prediction of donor and recipient death using 'yes'or 'no' questions through the process of recursive partitioning for patients undergoing laser therapy for twin to twin transfusion syndrome (TTTS).
  • CONCLUSION: Recursive partitioning improves the specificity and refines the prediction of donor fetal and neonatal demise in TTTS treated with laser therapy.
  • [MeSH-major] Arteriovenous Anastomosis / surgery. Fetofetal Transfusion / surgery. Laser Therapy. Placenta / surgery

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  • [Copyright] © 2013 John Wiley & Sons, Ltd.
  • (PMID = 23386469.001).
  • [ISSN] 1097-0223
  • [Journal-full-title] Prenatal diagnosis
  • [ISO-abbreviation] Prenat. Diagn.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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49. Baud D, Windrim R, Van Mieghem T, Keunen J, Seaward G, Ryan G: Twin-twin transfusion syndrome: a frequently missed diagnosis with important consequences. Ultrasound Obstet Gynecol; 2014 Aug;44(2):205-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Twin-twin transfusion syndrome: a frequently missed diagnosis with important consequences.
  • OBJECTIVE: To evaluate the incidence and consequences of 'misdiagnosed' cases of twin-twin transfusion syndrome (TTTS).
  • TTTS stage, gestational age at referral, overall survival, fetal and perinatal mortality, gestational age at delivery, operating time and maternal complications were compared.
  • They also delivered more prematurely (30.3 weeks' gestation vs 31.5 weeks' gestation, P = 0.04) and fetal and neonatal mortality were higher (neonatal death within 7 days: 19.6% vs 6.0%, P < 0.001).
  • When the diagnosis was incorrect, major maternal complications and intensive care unit admissions were increased.
  • Early accurate recognition of both chorionicity and TTTS, with timely referral to a fetal therapy center, are key to ensuring optimal maternal and fetal outcomes.

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  • [Copyright] Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.
  • (PMID = 24549628.001).
  • [ISSN] 1469-0705
  • [Journal-full-title] Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • [ISO-abbreviation] Ultrasound Obstet Gynecol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Keywords] NOTNLM ; TTTS / fetal surgery / fetoscopy / laser / misdiagnosis / monochorionic twin / twin-twin transfusion
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50. Ishii K, Taguchi T, Yamamoto R, Murata M, Sasahara J, Mitsuda N: Laser therapy for twin-twin transfusion syndrome in the absence of fetoscopically visible placental vascular anastomoses. Fetal Diagn Ther; 2013;34(3):192-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Laser therapy for twin-twin transfusion syndrome in the absence of fetoscopically visible placental vascular anastomoses.
  • Fetoscopic laser photocoagulation (FLP) was performed at 22 weeks of gestation for a pregnancy complicated with twin-twin transfusion syndrome (TTTS) and an anterior placenta.
  • [MeSH-major] Fetofetal Transfusion / therapy. Laser Therapy

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  • (PMID = 24008354.001).
  • [ISSN] 1421-9964
  • [Journal-full-title] Fetal diagnosis and therapy
  • [ISO-abbreviation] Fetal. Diagn. Ther.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Switzerland
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2. Definitions


3. Related RMF webpages
1. maternal fetal transfusion syndrome
2. syndrome twin transfusion maternal
3. hemorrhage fetal fetal maternal
4. maternal fetal relations
5. maternal fetal exchange
6. histocompatibility maternal fetal
7. fetal maternal hemorrhage nos
8. intravascular blood transfusion intrauterine fetal
9. cesarean section for fetal maternal hemorrhage
10. pregnancy fetal damage from maternal disease
11. anemia due to rh maternal fetal incompatibility
12. maternal obesity syndrome disorder
13. c pregnancy placental transfusion syndrome
14. fetal alcohol syndrome
15. fetal warfarin syndrome disorder
16. persistent fetal circulation syndrome
17. fetal hydantoin syndrome disorder
18. hereditary persistence of fetal hemoglobin hpfh syndrome
19. fetal blood loss from fetal hemorrhage into co twin
20. transfusion complications
21. transfusion leukocyte
22. fetomaternal transfusion
23. fetofetal transfusion
24. erythrocyte transfusion
25. platelet transfusion
26. leukocyte transfusion
27. transfusion nos
28. blood transfusion
29. lymphocyte transfusion
30. transfusion hemodilution
31. transfusion gamma globulin of
32. transfusion of plasma procedure
33. complications transfusion sepsis
34. complications transfusion shock
35. rhesus transfusion reaction
36. administration circulatory transfusion
37. air embolism transfusion
38. blood of collection for transfusion
39. bt blood transfusion
40. complications transfusion infection
41. complications transfusion hemolysis
42. blood transfusion autologous
43. blood transfusion intrauterine
44. transfusion hemosiderosis disorder
45. transfusion of blood surrogate
46. component transfusion blood
47. complications transfusion embolism
48. transfusion of other serum
49. transfusion of other substance
50. infant in exchange transfusion

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