TTTS Treatment Hendersonville NC

This page provides relevant content and local businesses that can help with your search for information on TTTS Treatment. You will find informative articles about TTTS Treatment, including "Twin-to-Twin Transfusion Syndrome (TTTS)". Below you will also find local businesses that may provide the products or services you are looking for. Please scroll down to find the local resources in Hendersonville, NC that can help answer your questions about TTTS Treatment.

Dr.Kathryn Patten
(828) 687-3800
27 Doctors Drive
Hendersonville, NC
Gender
F
Education
Medical School: East Carolina Univ Sch Of Med
Year of Graduation: 1995
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
H Eugene Dennison, MD
(800) 475-2259
630 5th Ave W
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1961

Data Provided By:
Jeanette Forsberg West
(828) 654-6001
80 Doctors Dr
Hendersonville, NC
Specialty
Obstetrics & Gynecology

Data Provided By:
Michael Clayton Jones, MD
(828) 692-0238
835 Fleming St
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1986

Data Provided By:
Kent John Scherr, MD
513 N Justice St
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1996

Data Provided By:
James Jacob Nigriny, MD
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1965

Data Provided By:
Gene Lavere Krishingner, MD
(828) 693-1729
113 Westview Dr
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1998

Data Provided By:
Dr. Das
(828) 687-3800
27 Doctors Drive
Hendersonville, NC
Gender
F
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Margaret R. Pardee Memorial
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Stephen Ward Hildebrand, MD
(828) 684-2234
50 Hospital Dr Ste 3B
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1989

Data Provided By:
Calvin Earl Thomas, MD
(828) 692-6262
512 6th Ave W
Hendersonville, NC
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1992

Data Provided By:
Data Provided By:

Twin-to-Twin Transfusion Syndrome (TTTS)

Written by Administrator   

Twin-to-Twin Transfusion Syndrome (TTTS) is a disease of the placenta. It affects pregnancies with monochorionic (shared placenta) multiples when blood passes disproportionately from one baby to the other through connecting blood vessels within their shared placenta. One baby, the recipient twin, gets too much blood overloading his or her cardiovascular system, and may die from heart failure. The other baby, the donor twin or stuck twin, does not get enough blood and may die from severe anemia. Left untreated, mortality rates near 100%.

Cause of Twin-to-Twin Transfusion Syndrome (TTTS)

The cause of TTTS is attributed to unbalanced flow of blood through vascular channels that connect the circulatory systems of each twin via the common placenta. The shunting of blood through the vascular communications leads to a net flow of blood from one twin (the donor) to the other twin (the recipient). The donor twin develops oligohydramnios (low amniotic fluid) and poor fetal growth, while the recipient twin develops polyhydramnios (excess amniotic fluid), heart failure, and hydrops. If left untreated, the pregnancy may be lost due to lack of blood getting to the smaller twin, fluid overload and heart failure in the larger twin, and/or preterm (early) labor leading to miscarriage of the entire pregnancy.

Some general treatment approaches consist of using laser energy to seal off the blood vessels that shunt blood between the fetuses. Because the surgical approach is via an operative fetoscope, there is minimal risk to the mother. Laser therapy for TTTS has been shown to provide improved pregnancy outcomes compared to alternative therapies. Although all treatment options should be discussed with your fetal surgeon.

Frequency of Twin-to-Twin Transfusion Syndrome (TTTS)

1 in 7 monochorionic pregnancies are afflicted with TTTS.

Diagnosis and Staging of Twin-to-Twin Transfusion Syndrome (TTTS)

The in utero diagnosis of TTTS is established by ultrasound. First, the presence of a shared placenta (monochorionic) confirmed. Ultrasounds performed earlier in the pregnancy may be useful in establishing the chorionicity (number of placentas). Ultrasound findings such as a single placenta, same fetal sex, and a "T-sign" in which the dividing membrane inserts perpendicular to the placenta are helpful in diagnosing a monochorionic twin gestation.

TTTS is then diagnosed simply by assessing the discordance of amniotic fluid volume on either side of the dividing fetal membranes. The maximum vertical pocket (MVP) of amniotic fluid volume must be greater than or equal to 8.0 centimeters in the recipient's sac, and less than or equal to 2.0 centimeters in the donor's sac.

Although TTTS is diagnosed via ultrasound, women with a monochorionic or monoamniotic pregnancy can be alerted to certain symptoms that may require medical attention. Symptoms may include a sudden ...

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