TTTS Treatment Los Alamos NM

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 Los Alamos, NM that can help answer your questions about TTTS Treatment.

Patricia Ann Combs, MD
(505) 247-4894
3917 West Rd
Los Alamos, NM
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1988

Data Provided By:
David Dane Mc Pherson, MD
(715) 740-1100
Los Alamos, NM
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1987

Data Provided By:
Christine Carlos
(505) 662-4412
3917 West Rd
Los Alamos, NM
Specialty
Obstetrics & Gynecology

Data Provided By:
Dianne Johnson
(505) 563-2500
1010 Spruce St
Espanola, NM
Specialty
Obstetrics & Gynecology

Data Provided By:
Gaylord V Swan, MD
(505) 425-3569
1010 Spruce St
Espanola, NM
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1974

Data Provided By:
Howard Theodore Wadstrom, MD
(505) 662-2828
42 Loma Del Escolar St
Los Alamos, NM
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1956

Data Provided By:
Christine Elena Carlos, MD
(505) 662-4412
3917 West Rd Ste 250
Los Alamos, NM
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1979

Data Provided By:
Cordell K Halverson, MD
(505) 425-3569
1010 Spruce St
Espanola, NM
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1968
Hospital
Hospital: Espanola Hosp, Espanola, Nm; Northeastern Regional Hospital, Las Vegas, Nm
Group Practice: Rio Vista Ob-Gyn

Data Provided By:
Anne Marie O'Connor, MD
1010 Spruce St
Espanola, NM
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1997

Data Provided By:
Irving A Bunkin, MD FACS
PO Box 2281
Santa Fe, NM
Gender
Male
Education
Medical School: New York Univ
Graduation Year: 1937

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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