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

Dr.Daryl Kaan
(307) 362-1861
Ste A, 3000 College Drive
Rock Springs, WY
Gender
M
Education
Medical School: Creighton Univ Sch Of Med
Year of Graduation: 1989
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 1, reviews.

Data Provided By:
Peter George Allyn, MD
(307) 362-1861
3000 College Dr
Rock Springs, WY
Specialties
Obstetrics & Gynecology
Gender
Male
Languages
Spanish
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1981
Hospital
Hospital: Memorial Hospital Of Sweetwate, Rock Springs, Wy
Group Practice: College Hill Obstetrics

Data Provided By:
Daryl James Kaan, MD
3000 College Dr
Rock Springs, WY
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1989

Data Provided By:
Robert J. Fagnant
(307) 362-1861
College Hill Women's Health Center
Rock Springs, WY
Specialty
Urogynecology/Reconstructive Pelvic Surgery, Obstetrics, Gynecology and Preventive Primary Care, Ultrasonography
Education
English
Professional Memberships


Carl C Garner
(307) 358-2122
111 S 5th St
Douglas, WY
Specialty
Family Practice, Obstetrics & Gynecology

Data Provided By:
Peter George Allyn
(307) 362-1861
3000 College Dr
Rock Springs, WY
Specialty
Obstetrics & Gynecology

Data Provided By:
Daryl James Kaan
(307) 362-1861
3000 College Dr
Rock Springs, WY
Specialty
Obstetrics & Gynecology

Data Provided By:
Robert John Fagnant, MD
(307) 362-1861
3000 College Dr
Rock Springs, WY
Specialties
Obstetrics & Gynecology, Infectious Diseases
Gender
Male
Languages
Spanish
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1982
Hospital
Hospital: Memorial Hospital Of Sweetwate, Rock Springs, Wy
Group Practice: College Hill Obstetrics

Data Provided By:
Sherilyn Mc Dade Webb, MD
(307) 265-6286
3695 Leo Ln
Casper, WY
Specialties
Family Practice, Obstetrics
Gender
Female
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1991

Data Provided By:
Maura Jean Lofaro
(307) 733-8537
555 E Broadway
Jackson, WY
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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