Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Diagnostic Medical Sonography
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Reas, A.
Right arrow Search for Related Content
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

The Role of Sonography in Selective Laser Photocoagulation Therapy for the Treatment of Severe Twin-to-Twin Transfusion Syndrome

A Literature Review

Amber Reas, BS RT(R)(M), BS RVT

Seattle University, Seattle, WA, reasa{at}seattleu.edu

Twin-to-twin transfusion syndrome (TTTS) is a serious complication occurring in a significant number of monochorionic twin pregnancies. Vascular anastamoses within the shared placenta lead to a potentially fatal hemodynamic imbalance from one twin to the other. Advances in sonography and endoscopic fetal surgery have led to treatment options, including selective laser photocoagulation of communicating vessels (SLPCV) and amnioreduction therapy. Recent research has allowed the development of a sonographically based staging system, which is being found useful in determining the optimal treatment method for individual cases based on the severity of TTTS by stage. This literature review aims to improve obstetrical sonographers’ understanding of the role they play in the overall evaluation of patients with TTTS and to offer suggestions and available techniques, as well as provide expectations, that may aid them in their evaluation of these patients, particularly during SLPCV therapy.

Key Words: amniocentesis • Doppler • laser coagulation • monochorionic twins • twin-to-twin transfusion syndrome • ultrasound • vascular anastamoses

Journal of Diagnostic Medical Sonography, Vol. 21, No. 3, 207-213 (2005)
DOI: 10.1177/8756479305274928
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?