TTTS Treatment Laramie WY

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 Laramie, WY that can help answer your questions about TTTS Treatment.

Kathryn Kenton Kohler, MD
(307) 745-8991
204 McCollum St
Laramie, WY
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1977

Data Provided By:
Robert Michael Shine, MD
(307) 745-8991
186 Corthell Rd
Laramie, WY
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
Kathryn D. Kenton Kohler
(307) 745-8991
"The Women's Clinic"
Laramie, WY
Specialty
Obstetrics, Gynecology and Preventive Primary Care, Ultrasonography, Infertility
Education
English, Spanish
Professional Memberships
Ivinson Memorial Hospital

Cora Frances Salvino , MD
(307) 235-1503
2710 Harney St Ste 100
Laramie, WY
Specialty
Obstetrics & Gynecology
Gender
Female

Sam T Scaling
(307) 577-4225
1125 East Second Street
Casper, WY
Specialty
Obstetrics & Gynecology

Data Provided By:
Kathryn D K Kohler, MD FACS
(307) 745-8991
204 McCollum St
Laramie, WY
Gender
Male
Education
Medical School: Utah
Graduation Year: 1977

Data Provided By:
Travis Don Klingler, MD
204 McCollum St Ste 104
Laramie, WY
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1998

Data Provided By:
Walter Gerald Saunders , MD
(307) 672-2298
Laramie, WY
Specialty
Obstetrics & Gynecology
Gender
Male

Klingler, Travis D, MD - Womens Clinic
(307) 745-8991
204 Mccollum St Ste 104
Laramie, WY

Data Provided By:
Edward W Kunckel, MD FACS
(307) 235-3326
3601 Valley Rd
Casper, WY
Gender
Male
Education
Medical School: Illinois(chicago)
Graduation Year: 1940

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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