Abstract
Objective: The purpose of this report is to document endoscopically the occurrence of unintentional piercing of the dividing membrane in a monochorionic twin pregnancy with twin-twin transfusion syndrome (TTTS). Materials and Methods: The dividing membrane was visualized endoscopically during laser therapy in a patient with TTTS who had previously undergone therapeutic amniocentesis. The donor twin had no visible bladder, but the amniotic fluid volume had normalized after amniocentesis. Results: The suspected membrane perforation was identified endoscopically during laser surgery. Five areas of vascular communications were identified and photocoagulated. Conclusions: Sonographic evidence of normalization of the amniotic fluid volumes after therapeutic amniocentesis with persistent nonvisualization of the bladder of the donor twin should not be interpreted as a sign of improvement of TTTS, but rather as indirect evidence of unintentional perforation of the dividing membrane. This complication can be confirmed endoscopically.
| Original language | English |
|---|---|
| Pages (from-to) | 101-104 |
| Number of pages | 4 |
| Journal | Fetal Diagnosis and Therapy |
| Volume | 16 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 6 2001 |
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Keywords
- Amniocentesis
- Dividing membrane
- Fetoscopy
- Laser therapy
- Twin-twin transfusion syndrome
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Pediatrics, Perinatology, and Child Health
Cite this
Endoscopic documentation of unintentional perforation of the dividing membrane during amnioreduction for twin-twin transfusion syndrome. / Cooper, Rachel; Bornick, Patricia W.; Allen, Mary; Quintero, Rubén.
In: Fetal Diagnosis and Therapy, Vol. 16, No. 2, 06.03.2001, p. 101-104.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endoscopic documentation of unintentional perforation of the dividing membrane during amnioreduction for twin-twin transfusion syndrome
AU - Cooper, Rachel
AU - Bornick, Patricia W.
AU - Allen, Mary
AU - Quintero, Rubén
PY - 2001/3/6
Y1 - 2001/3/6
N2 - Objective: The purpose of this report is to document endoscopically the occurrence of unintentional piercing of the dividing membrane in a monochorionic twin pregnancy with twin-twin transfusion syndrome (TTTS). Materials and Methods: The dividing membrane was visualized endoscopically during laser therapy in a patient with TTTS who had previously undergone therapeutic amniocentesis. The donor twin had no visible bladder, but the amniotic fluid volume had normalized after amniocentesis. Results: The suspected membrane perforation was identified endoscopically during laser surgery. Five areas of vascular communications were identified and photocoagulated. Conclusions: Sonographic evidence of normalization of the amniotic fluid volumes after therapeutic amniocentesis with persistent nonvisualization of the bladder of the donor twin should not be interpreted as a sign of improvement of TTTS, but rather as indirect evidence of unintentional perforation of the dividing membrane. This complication can be confirmed endoscopically.
AB - Objective: The purpose of this report is to document endoscopically the occurrence of unintentional piercing of the dividing membrane in a monochorionic twin pregnancy with twin-twin transfusion syndrome (TTTS). Materials and Methods: The dividing membrane was visualized endoscopically during laser therapy in a patient with TTTS who had previously undergone therapeutic amniocentesis. The donor twin had no visible bladder, but the amniotic fluid volume had normalized after amniocentesis. Results: The suspected membrane perforation was identified endoscopically during laser surgery. Five areas of vascular communications were identified and photocoagulated. Conclusions: Sonographic evidence of normalization of the amniotic fluid volumes after therapeutic amniocentesis with persistent nonvisualization of the bladder of the donor twin should not be interpreted as a sign of improvement of TTTS, but rather as indirect evidence of unintentional perforation of the dividing membrane. This complication can be confirmed endoscopically.
KW - Amniocentesis
KW - Dividing membrane
KW - Fetoscopy
KW - Laser therapy
KW - Twin-twin transfusion syndrome
UR - http://www.scopus.com/inward/record.url?scp=0035101444&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035101444&partnerID=8YFLogxK
U2 - 10.1159/000053890
DO - 10.1159/000053890
M3 - Article
C2 - 11173957
AN - SCOPUS:0035101444
VL - 16
SP - 101
EP - 104
JO - Fetal Diagnosis and Therapy
JF - Fetal Diagnosis and Therapy
SN - 1015-3837
IS - 2
ER -