Incidence, origin, and character of cerebral injury in twin-to-twin transfusion syndrome treated with fetoscopic laser surgery

American Journal of Obstetrics and Gynecology
Enrico LoprioreFrans J Walther

Abstract

The objective of the study was to determine the incidence, origin, and character of cerebral lesions in monochorionic twins with twin-to-twin transfusion syndrome treated with fetoscopic laser surgery. This was a prospective study of monochorionic twins with twin-to-twin transfusion syndrome treated with fetoscopic laser surgery and monochorionic twins without twin-to-twin transfusion syndrome delivered at our center between June 2002 and September 2005, using cranial ultrasonography. Incidence of antenatally acquired severe cerebral lesions in the twin-to-twin transfusion syndrome group was 10% (8/84) and 2% (2/108) in the non-twin-to-twin transfusion syndrome group (P = .02). Incidence of severe cerebral lesions at discharge was 14% (12/84) in the twin-to-twin transfusion syndrome group and 6% (6/108) in the non-twin-to-twin transfusion syndrome group (P = .04). Antenatal injury was responsible for severe cerebral lesions in 67% (8/12) of the twin-to-twin transfusion syndrome group. Incidence of severe cerebral lesions in twin-to-twin transfusion syndrome treated with fetoscopic laser surgery is high and results mainly from antenatal injury.

References

Jul 31, 1992·Behavioural Brain Research·L S de VriesL M Dubowitz
Apr 16, 1998·American Journal of Obstetrics and Gynecology·M L DenbowN M Fisk
Mar 24, 1999·Early Human Development·M Hack, A A Fanaroff
Jan 25, 2000·Journal of Perinatology : Official Journal of the California Perinatal Association·R A QuinteroM Kruger
May 30, 2002·Developmental Medicine and Child Neurology·Isaac Blickstein
Nov 9, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A S BatsY Ville
Apr 25, 2003·American Journal of Obstetrics and Gynecology·Corinna S BanekPeter Bartmann
Aug 9, 2003·Pediatric Radiology·Mayass El AyoubiMichèle Monset-Couchard
Aug 9, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M R van Gelder-HaskerJ I P de Vries
Jan 30, 2004·American Journal of Obstetrics and Gynecology·Adedayo L AdegbiteRekha Bajoria
Jun 12, 2004·Fetal Diagnosis and Therapy·Stephen R CarrMichael Plevyak
Mar 1, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Adedayo L AdegbiteRekha Bajoria

❮ Previous
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Citations

Dec 19, 2006·Taiwanese Journal of Obstetrics & Gynecology·Yao-Lung Chang
Aug 3, 2012·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Enrico LoprioreFrans J Walther
Sep 1, 2006·Photomedicine and Laser Surgery
Nov 17, 2007·Current Opinion in Obstetrics & Gynecology·Ling Yee Wee, Ida Muslim
Aug 29, 2009·PloS One·Karien E A HackGerard H A Visser
Apr 27, 2013·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Monique E De Paepe, Francois I Luks
Jun 30, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·S L MerharJ L Leach
Feb 4, 2012·AJNR. American Journal of Neuroradiology·T TaruiP E Grant
Feb 12, 2013·Seminars in Pediatric Surgery·Nahla KhalekMichael W Bebbington
Jul 26, 2011·Early Human Development·Enrico LoprioreFrans J Walther
Dec 15, 2010·Early Human Development·S van der WeidenE Lopriore
Feb 10, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·J Stirnemann
Mar 22, 2008·Seminars in Fetal & Neonatal Medicine·E Lopriore, D Oepkes
Mar 14, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Robert B CincottaFung Yee Chan
Jun 7, 2007·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Susan P WalkerUNKNOWN Victorian Fetal Therapy Service
May 23, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·J M MiddeldorpD Oepkes
Jul 24, 2013·The Journal of Obstetrics and Gynaecology Research·Enrico LoprioreDick Oepkes
Dec 11, 2013·The Journal of Obstetrics and Gynaecology Research·Masanao OohashiTsuyomu Ikenoue
Jan 1, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·B WeiszS Lipitz
Apr 27, 2010·American Journal of Obstetrics and Gynecology·Enrico LoprioreFrans J Walther
Dec 4, 2012·American Journal of Obstetrics and Gynecology·UNKNOWN Society for Maternal-Fetal Medicine, Lynn L Simpson
Jun 12, 2013·American Journal of Obstetrics and Gynecology·Ramen H ChmaitJoseph G Ouzounian
Jan 15, 2014·American Journal of Obstetrics and Gynecology·Jeanine M M van KlinkEnrico Lopriore
Oct 2, 2012·American Journal of Obstetrics and Gynecology·Douglas L VanderbiltRamen H Chmait
Mar 10, 2007·American Journal of Obstetrics and Gynecology·Enrico LoprioreFrans J Walther
May 1, 2007·American Journal of Obstetrics and Gynecology·Mary E Norton
Apr 4, 2006·American Journal of Obstetrics and Gynecology·Kenneth J Moise
Aug 9, 2006·American Journal of Obstetrics and Gynecology·Enrico LoprioreFrans J Walther
Aug 1, 2008·American Journal of Obstetrics and Gynecology·Enrico LoprioreDick Oepkes
May 4, 2016·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Jeanine M M van KlinkEnrico Lopriore
Jun 28, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·J StirnemannY Ville
Mar 20, 2009·Placenta·N M FiskM H F Sullivan
Jan 25, 2017·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·Roberto Noya GalluzoEdward Araujo Júnior
Apr 3, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H PerryUNKNOWN International Collaboration to Harmonise Outcomes for Twin-Twin Transfusion Syndrome (CHOOSE)
May 15, 2007·Stroke; a Journal of Cerebral Circulation·Manon J N L BendersLinda S de Vries
Aug 24, 2012·Obstetrics and Gynecology·Marjolijn SpruijtEnrico Lopriore

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