TTTS Treatment Kailua Kona HI

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 Kailua Kona, HI that can help answer your questions about TTTS Treatment.

David Alan Arthurs, DO
(808) 327-4504
77-6466 Pualani St
Kailua Kona, HI
Specialties
Family Practice, Obstetrics
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1983
Hospital
Hospital: St Benedicts Family Med Ctr, Jerome, Id
Group Practice: Family Care Physicians

Data Provided By:
Melissa C Smith
(808) 334-4400
75-184 Hualalai Rd
Kailua Kona, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Nancy Kathryn Stukan, MD
(808) 322-3488
81-990 Halekii St Lwr Lvl
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1978

Data Provided By:
Robyn Margaret Cook, MD
(808) 322-2880
PO Box 9012
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Mayo Med Sch, Rochester Mn 55905
Graduation Year: 1989

Data Provided By:
Sira, Santad, Md - Sira Santad Inc
(808) 329-6447
Hualalai Medical Ctr # 202
Kailua Kona, HI

Data Provided By:
Santad Sira, MD
(808) 322-3434
Honalo Business Center
Kailua Kona, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mahidol Univ-Siriraj Hosp, Fac Of Med, Bangkok, Thailand
Graduation Year: 1970
Hospital
Hospital: Kona Hosp, Kealakekua, Hi
Group Practice: Sira Santad Inc

Data Provided By:
Russell Eugene Rees, MD
(808) 329-0907
75 5751 Kuakini Highway
Kailua Kona, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ De Monterrey, Fac De Med, Monterrey, Nuevo Leon, Mexico
Graduation Year: 1982

Data Provided By:
Edwin Payson Gramlich, MD
(808) 949-5305
PO Box 696
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1957

Data Provided By:
James A Ruiz
(808) 322-1733
81-990 Halekii St
Kealakekua, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
George Shimomura, MD
(808) 487-2497
99 128 Aiea Heights Drive South
Aiea, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1964

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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