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Kosovtsova N.V.

Ural Research Institute for Protection of Maternal and Childhood

Pospelova Ya.Yu.

Urals Scientific Research Institute for Maternal and Child Care

Pavlichenko M.V.

Urals Scientific Research Institute for Maternal and Child Care

Aitov A.E.

Ural Research Institute for Maternity and Child Care, Ministry of Public Health of the Russian Federation

Nesterov V.F.

Urals Scientific Research Institute for Maternal and Child Care

Ershov A.V.

Urals Scientific Research Institute for Maternal and Child Care

Experience of surgical correction of fetal-fetal transfusion syndrome in monoamniotic twins

Authors:

Kosovtsova N.V., Pospelova Ya.Yu., Pavlichenko M.V., Aitov A.E., Nesterov V.F., Ershov A.V.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2022;22(1): 85‑88

DOI: 10.17116/rosakush20222201185

Views: 926

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Table of contents

EXPERIENCE OF SURGICAL CORRECTION OF FETAL-FETAL TRANSFUSION SYNDROME IN MONOAMNIOTIC TWINS
EXPERIENCE OF SURGICAL CORRECTION OF FETAL-FETAL TRANSFUSION SYNDROME IN MONOAMNIOTIC TWINS

To cite this article:

Kosovtsova NV, Pospelova YaYu, Pavlichenko MV, Aitov AE, Nesterov VF, Ershov AV. Experience of surgical correction of fetal-fetal transfusion syndrome in monoamniotic twins. Russian Bulletin of Obstetrician-Gynecologist. 2022;22(1):85‑88. (In Russ.)
https://doi.org/10.17116/rosakush20222201185

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)
 
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A clinical case of the development of fetal fetal transfusion syndrome (FFTS) in monochorionic monoamniotic twins is presented. The management of a pregnant woman, the criteria for ultra-sound diagnosis of FFTS and fetoscopic laser correction operation at 23—24 weeks of gestation are presented.

Keywords:

fetal-fetal blood transfusion syndrome
monochorionic monoamniotic twins
perinatal mortality
laser photocoagulation

Authors:

Kosovtsova N.V.

Ural Research Institute for Protection of Maternal and Childhood

Pospelova Ya.Yu.

Urals Scientific Research Institute for Maternal and Child Care

Pavlichenko M.V.

Urals Scientific Research Institute for Maternal and Child Care

Aitov A.E.

Ural Research Institute for Maternity and Child Care, Ministry of Public Health of the Russian Federation

Nesterov V.F.

Urals Scientific Research Institute for Maternal and Child Care

Ershov A.V.

Urals Scientific Research Institute for Maternal and Child Care

Received:

09.06.2021

Accepted:

14.07.2021

List of references:

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  2. Shub A, Walker SP. Planned early delivery versus expectant management formonoamniotic twins. Cochrane Database Syst Rev. 2015;(4):CD-ROM 008820.
  3. Mikhailov A, Romanovsky A. Multiple pregnancy under ultrasound umbrella. Donald School J Ultrasound Obst Gynecol. 2011;5:3:219-230. 
  4. Shelaeva EV, Prokhorova VS, Arzhanova ON, Ohanyan KA, Bolotskikh VM. Interlacing of umbilical cords with monochorionic monoamniotic twins. Zhurnal akusherstva i zhenskikh boleznei. 2016;3:75-78. (In Russ.).
  5. Kuznetsov AA, Khalikov AD, Semenova MD, Romanovsky AN, Shlykova AV, Kashtanova TA, Savelyeva AA, Trofimova TN, Ovsyannikov FAA, Mikhailov AV. Magnetic resonance imaging in the diagnosis and assessment of the state of the surviving fetus in the syndrome of the death of one fetus from monochorionic twins. Translyatsionnaya meditsina. 2020;7:4:61-73. (In Russ.). https://doi.org/10.18705/2311-4495-2020-7-4-61-73
  6. Hack KE, Derks JB, Schaap AH, Lopriore E, Elias SG, Arabin B, Eggink AJ, Sollie KM, Mol BW, Duvekot HJ, Willekes C, Go AT, Koopman-Esseboom C, Vandenbussche FP, Visser GH. Perinatal outcome of monoamniotic twin pregnancies. Obstet Gynecol. 2009;113:353-360. 
  7. Morikawa M, Yamada T, Sato S, Minakami H. Prospective risk of intrauterine fetaldeath in monoamniotic twin pregnancies. Twin Res Hum Genet. 2012;15:522-526. 
  8. Glinianaia SV, Rankin J, Khalil A, Binder J, Waring G, Curado J, Pateisky P, Thilaganathan B, Sturgiss SN, Hannon T, Miller N, Martin D. Effect of monochorionicity on perinatal outcome and growth discordance in triplet pregnancy: collaborative multicenter study in England, 2000—2013. Ultrasound in Obstetrics & Gynecology. 2020;57:3:440-448.  https://doi.org/10.1002/uog.21987
  9. Jha P, Morgan TA, Kennedy A. US Evaluation of twin pregnancies: Importance of Chorionicity and Amnionicity. Radiographics. 2019;39:7:2146-2166. https://doi.org/10.1148/rg.2019190042
  10. Lockwood C, Odibo A. Monoamniotic twin pregnancy (including conjoined twins). Post TW, ed. UpToDate. Waltham, MA: UpToDate Inc.  https://www.uptodate.com [5 April 2019]
  11. Cordero L, Franco A, Joy S. Monochorionic monoamniotic twins: neonatal outcome. J Perinatol. 2006;26:170-175.  https://doi.org/10.1038/sj.jp.7211457
  12. Peeters SHP, Devlieger R, Middeldorp JM, deKoninck P, Deprest J, Lopriore E, Lewi L, Klumper FJ, Kontopoulos E, Quintero R, Oepkes D. Fetal surgery in complicated monoamniotic pregnancies: case series and systematic review of the literature. Prenat Diagn. 2014;34:586-591. 
  13. Hack KEA, van Gemert MJC, Lopriore E, Schaap AHP, Eggink AJ, Elias SG, van den Wijngaard JPHM, Vandenbussche FPHA, Derks JB, Visser GHA, Nikkels PGJ. Placental characteristics of monoamniotic twin pregnancies in relation to perinatal outcome. Placenta. 2009;30:62-65. 
  14. Murgano D, Khalil A, Prefumo F, Mieghem TV, Rizzo G, Heyborne KD, Melchiorre K, Peeters S, Lewi L, Familiari A, Lopriore E, Oepkes D, Murata M, Anselem O, Buca D, Liberati M, Hack K, Nappi L, Baxi LV, Scambia G, Acharya G, D’antonio F. Outcome of twin-to-twin transfusion syndrome in monochorionic monoamniotic twin pregnancy: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2020;55:3:310-317.  https://doi.org/10.1002/uog.21889
  15. Kosovtsova NV, Bashmakova NV, Mal’gina GB. Endoscopic correction of SFT in monoamniatic twins. Ekaterinburg. 2020. (In Russ.).

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