SFX Get it!(opens in a new window)|View at Publisher| Export | Download | Add to List | More... Journal of Maternal-Fetal and Neonatal Medicine Volume 25, Issue 5, May 2012, Pages 456-460 Acute twin-twin transfusion syndrome in labor: Pathophysiology and associated factors (Review) Skupski, D.W.a , Sylvestre, G.b, Di Renzo, G.C.c, Grunebaum, A.a a Obstetrics and Gynecology, Weill Cornell Medical College/New York Hospital Queens, Flushing, NY, United States b Obstetrics and Gynecology, Weill Cornell Medical College/Jamaica Hospital Medical Center, Jamaica, NY, United States c Obstetrics and Gynecology, Centre for Perinatal and Reproductive Medicine, Santa Maria Della Misericordia University Hospital, Perugia, Italy View additional affiliations View references (39) Abstract 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." Articles were reviewed for clinical factors. Reference lists were carefully assessed for any additional articles. In order to rule out sudden progression of chronic TTTS as the cause, gestational age ≥31 weeks was chosen. Cases were classified into subsets of acute TTTS. Results: There were 150 publications from 1942-2010. There were 51 cases that were classified into four variants of acute TTTS. Four cases were difficult to classify, with hemoglobin levels that were high normal and low normal, high normal and anemic, or low normal and polycythemic. Three publications defined the incidence for acute perinatal TTTS of 1.8-5.5% of monochorionic twins. Common factors associated with acute perinatal TTTS included monochorionicity and labor. Conclusions: Monochorionicity and labor are common factors underlying the propensity to acute perinatal TTTS. A spectrum of severity is for acute TTTS was seen. Perinatal specialists and neonatologists should be aware of the possibility of acute TTTS during labor, so rapid volume replacement can be performed for neonatal resuscitation.
Acute twin-twin transfusion syndrome in labor: pathophysiology and associated factors.
DI RENZO, Giancarlo;
2012
Abstract
SFX Get it!(opens in a new window)|View at Publisher| Export | Download | Add to List | More... Journal of Maternal-Fetal and Neonatal Medicine Volume 25, Issue 5, May 2012, Pages 456-460 Acute twin-twin transfusion syndrome in labor: Pathophysiology and associated factors (Review) Skupski, D.W.a , Sylvestre, G.b, Di Renzo, G.C.c, Grunebaum, A.a a Obstetrics and Gynecology, Weill Cornell Medical College/New York Hospital Queens, Flushing, NY, United States b Obstetrics and Gynecology, Weill Cornell Medical College/Jamaica Hospital Medical Center, Jamaica, NY, United States c Obstetrics and Gynecology, Centre for Perinatal and Reproductive Medicine, Santa Maria Della Misericordia University Hospital, Perugia, Italy View additional affiliations View references (39) Abstract 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." Articles were reviewed for clinical factors. Reference lists were carefully assessed for any additional articles. In order to rule out sudden progression of chronic TTTS as the cause, gestational age ≥31 weeks was chosen. Cases were classified into subsets of acute TTTS. Results: There were 150 publications from 1942-2010. There were 51 cases that were classified into four variants of acute TTTS. Four cases were difficult to classify, with hemoglobin levels that were high normal and low normal, high normal and anemic, or low normal and polycythemic. Three publications defined the incidence for acute perinatal TTTS of 1.8-5.5% of monochorionic twins. Common factors associated with acute perinatal TTTS included monochorionicity and labor. Conclusions: Monochorionicity and labor are common factors underlying the propensity to acute perinatal TTTS. A spectrum of severity is for acute TTTS was seen. Perinatal specialists and neonatologists should be aware of the possibility of acute TTTS during labor, so rapid volume replacement can be performed for neonatal resuscitation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
