What is FETO fetal transfusion syndrome?

What is FETO fetal transfusion syndrome?

Twin-to-twin transfusion syndrome (TTTS), also known as feto-fetal transfusion syndrome (FFTS), twin oligohydramnios-polyhydramnios sequence (TOPS) and stuck twin syndrome, is a complication of monochorionic multiple pregnancies (the most common form of identical twin pregnancy) in which there is disproportionate blood …

What is the survival rate of TTTS?

The majority of TTTS twins who have appropriate treatment during pregnancy will survive and the majority of survivors will be normal and healthy. If untreated, the survival rate for TTTS twins is approximately 10 to 15 percent. Once TTTS babies are born, blood supply sharing is no longer a factor.

Can TTTS be misdiagnosed?

Compared with cases with a correct diagnosis, ‘misdiagnosed’ TTTS patients were referred later (P = 0.018), and at a more advanced stage (Stage IV TTTS in 16.8% of ‘misdiagnosed’ cases vs 7.9% of cases with a correct diagnosis, P = 0.014, or Stage III or more in 72.0% of ‘misdiagnosed’ cases vs 59.3% of cases with a …

How long does TTTS surgery take?

Laser photocoagulation is an in utero surgical treatment for TTTS. The surgery is done in an operating room using spinal anesthesia, and typically takes 30-to-60 minutes. The procedure involves placing a very thin camera, called a fetoscope, into the uterus through a tiny 2-3mm incision in the skin.

What happens if one twin is smaller than the other?

Twins who share a placenta may: Have an uneven share of blood and nutrients between them. As a result, one twin may be much smaller. This is called selective intrauterine growth restriction.

Does TTTS go away?

Early screening and diagnosis can save lives The best course for your babies depends on the stage of TTTS and the time of diagnosis and treatment. If left untreated, 80 percent to 90 percent of twins with TTTS will die.

How successful is TTTS surgery?

Purpose: Severe, progressive twin-to-twin transfusion syndrome (TTTS) is associated with near-100% mortality if left untreated. Endoscopic laser ablation of placental vessels (ELA) is associated with 75% to 80% survival of at least one twin.

How early can you detect TTTS?

Twin-to-twin transfusion syndrome typically develops between weeks 16 and 26 of a woman’s pregnancy. But an ultrasound as early as 10 to 14 weeks can put doctors on alert that there is a twin gestation, and if they are sharing a placenta. TTTS is diagnosed by measuring levels of amniotic fluid.

Can TTTS stay at Stage 1?

The overall survival was 79%, 77%, 68%, and 84% in stage 1 TTTS managed expectantly, by amnioreduction, laser surgery if there is progression, and laser as first-line treatment, respectively. The optimal initial management of stage 1 TTTS remains in equipoise.

Can you get TTTS after 26 weeks?

Conclusion: In TTTS diagnosed after 26 weeks of gestation, amniodrainage and laser surgery both result in 100% survival. However, infants born after laser surgery have less major neonatal morbidity.

What is Solomon technique?

A modified FLA technique, known as the Solomon technique, which was first described by the Leiden group in The Netherlands, involves coagulation of the vascular equator of the chorionic surface after selective FLA9.