Abstract
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. Preliminary evidence suggests that the SQLPCV technique may result in improved perinatal outcomes compared with the standard selective (SLPCV) laser surgical approach. In this article, we describe the pathophysiological basis for this surgical approach, delineate the surgical technique, review the literature, and elaborate on the outstanding questions of the SQLPCV treatment of TTTS.
| Original language | English |
|---|---|
| Journal | American Journal of Perinatology |
| Volume | 31 |
| Issue number | SUPPL. 1 |
| DOIs | |
| State | Published - Jan 1 2014 |
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Keywords
- laser photocoagulation of communicating vessels
- laser surgery
- operative fetoscopy
- TTTS
- twin-twin transfusion syndrome
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology
Cite this
Sequential laser surgery for twin-twin transfusion syndrome. / Chmait, Ramen H.; Kontopoulos, Eftichia V.; Quintero, Rubén A.
In: American Journal of Perinatology, Vol. 31, No. SUPPL. 1, 01.01.2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sequential laser surgery for twin-twin transfusion syndrome
AU - Chmait, Ramen H.
AU - Kontopoulos, Eftichia V.
AU - Quintero, Rubén A.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - 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. Preliminary evidence suggests that the SQLPCV technique may result in improved perinatal outcomes compared with the standard selective (SLPCV) laser surgical approach. In this article, we describe the pathophysiological basis for this surgical approach, delineate the surgical technique, review the literature, and elaborate on the outstanding questions of the SQLPCV treatment of TTTS.
AB - 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. Preliminary evidence suggests that the SQLPCV technique may result in improved perinatal outcomes compared with the standard selective (SLPCV) laser surgical approach. In this article, we describe the pathophysiological basis for this surgical approach, delineate the surgical technique, review the literature, and elaborate on the outstanding questions of the SQLPCV treatment of TTTS.
KW - laser photocoagulation of communicating vessels
KW - laser surgery
KW - operative fetoscopy
KW - TTTS
KW - twin-twin transfusion syndrome
UR - http://www.scopus.com/inward/record.url?scp=84906791223&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84906791223&partnerID=8YFLogxK
U2 - 10.1055/s-0034-1382774
DO - 10.1055/s-0034-1382774
M3 - Article
AN - SCOPUS:84906791223
VL - 31
JO - American Journal of Perinatology
JF - American Journal of Perinatology
SN - 0735-1631
IS - SUPPL. 1
ER -