TTTS Treatment Moundsville WV

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 Moundsville, WV that can help answer your questions about TTTS Treatment.

Elisa Miranda Sison Irisari
(304) 845-8555
119 Jefferson Avenue
Moundsville, WV
Specialty
Obstetrics & Gynecology

Data Provided By:
Elisa Miranda Sison, MD
PO Box D
Moundsville, WV
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1964

Data Provided By:
Harlan Sutandi, MD
(740) 633-4312
370 28th St
Bellaire, OH
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Indonesia, Fac Of Med, Jakarta, Jawa Barat, Indonesia
Graduation Year: 1964

Data Provided By:
John Joseph Battaglino, MD
(304) 242-7801
20 Medical Park Ste 301
Wheeling, WV
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1955

Data Provided By:
Erin V Stoehr
(304) 242-3900
10 Medical Park
Wheeling, WV
Specialty
Obstetrics & Gynecology

Data Provided By:
Oscar S Irisari, MD
(304) 845-8555
119 1/2 Jefferson Ave
Moundsville, WV
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1965

Data Provided By:
H John Reason, MD
(304) 843-1100
426 8th St Ste 304
Glen Dale, WV
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Western Ontario, Fac Of Med, London, Ont, Canada
Graduation Year: 1971

Data Provided By:
Catherine Carey Coleman
(304) 242-4660
30 Medical Park
Wheeling, WV
Specialty
Obstetrics & Gynecology

Data Provided By:
Samuel Joseph Bracken Jr, MD
(304) 242-3900
10 Medical Park Ste 300
Wheeling, WV
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1964

Data Provided By:
George Victor Jirak, MD
(304) 232-9000
2115 Chapline St Ste 206
Wheeling, WV
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1981

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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