TTTS Treatment Mesa AZ

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 Mesa, AZ that can help answer your questions about TTTS Treatment.

Armity Simon, MD
(480) 860-2322
9070 E Desert Cove
Scottsdale, AZ
Business
Armity Simon, MD, PC
Specialties
Obstetrics & Gynecology
Insurance
Insurance Plans Accepted: Aetna, Blue Cross Blue Shield, Medicare, APIPA, Great West, United Health Care, Maricopa Foundation
Medicare Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: Yes

Doctor Information
Primary Hospital: Scottsdale Healthcare Shea
Residency Training: St. Joseph Mercy Hospital
Medical School: Indiana University School of Medicine, 1988
Additional Information
Member Organizations: American College of Obstetrics & Gynecology American Medical Association Member American Fertility Society Member Society of Laparoscopic Surgeons Member
Awards: Dean's Award-Indiana University School of Medicine President of Graduating Class Indiana School of Medicine Summa Cum Laude Phi Kappa Phi Honor Society-Indiana State University
Languages Spoken: English,Spanish,Persian

Data Provided By:
Sidney Eugene Semrad, DO
(480) 464-2101
1134 E University Dr
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1982

Data Provided By:
Raul Alberto Osorio, MD
(480) 834-3907
6553 E Baywood Ave Ste 203
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Male
Languages
Spanish
Education
Medical School: Univ De Zaragoza, Fac De Med, Zaragoza, Spain
Graduation Year: 1969
Hospital
Hospital: Banner Mesa Med Ctr, Mesa, Az; Banner Desert Med Ctr, Mesa, Az

Data Provided By:
Jo Merriwether Knatz
(480) 610-5300
4540 E Baseline Rd
Mesa, AZ
Specialty
Obstetrics & Gynecology

Data Provided By:
Tami R Bruce
(480) 898-9686
643 N Gilbert Rd
Mesa, AZ
Specialty
Internal Medicine, Pediatric Internist

Data Provided By:
Mary Jo Heinrichs, MD
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Oral Roberts Univ Sch Of Med, Tulsa Ok 74137
Graduation Year: 1990

Data Provided By:
Daniel J Dowswell, DO
(480) 969-3096
815 E University Dr
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1989

Data Provided By:
William Nelson Mantle, MD
3641 E Southern Ave
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1966

Data Provided By:
Jeffrey S Izenberg, DO
(480) 464-2101
215 South Tower South
Mesa, AZ
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Western U Hlt Sci Col Osteo Med Of The Pacific, Pomona Ca 91766
Graduation Year: 1993

Data Provided By:
Lisa R Huff
(480) 897-8000
6242 E Arbor Ave
Mesa, AZ
Specialty
Obstetrics & Gynecology

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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