Book contents
- Fetal Therapy
- Fetal Therapy
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1: General Principles
- Section 2: Fetal Disease: Pathogenesis and Treatment
- Red Cell Alloimmunization
- Structural Heart Disease in the Fetus
- Fetal Dysrhythmias
- Manipulation of Fetal Amniotic Fluid Volume
- Fetal Infections
- Fetal Growth and Well-being
- Preterm Birth of the Singleton and Multiple Pregnancy
- Complications of Monochorionic Multiple Pregnancy: Twin-to-Twin Transfusion Syndrome
- Chapter 31 Twin-to-Twin Transfusion Syndrome: Placental and Fetal Pathogenesis
- Chapter 32 Twin-to-Twin Transfusion Syndrome: Treatment by Fetoscopic Laser Coagulation of the Placental Vascular Anastomoses on the Chorionic Plate
- Chapter 33 Interventions for Early and Late Twin-Twin Transfusion Syndrome
- Chapter 34 Diagnosis and Treatment in Twin Anemia Polycythemia Sequence
- Chapter 35 Neurological and Long-Term Neurodevelopmental Outcome after Fetal Therapy in Complicated Monochorionic Twins
- Complications of Monochorionic Multiple Pregnancy: Fetal Growth Restriction in Monochorionic Twins
- Complications of Monochorionic Multiple Pregnancy: Twin Reversed Arterial Perfusion Sequence
- Complications of Monochorionic Multiple Pregnancy: Multifetal Reduction in Multiple Pregnancy
- Fetal Urinary Tract Obstruction
- Pleural Effusion and Pulmonary Pathology
- Surgical Correction of Neural Tube Anomalies
- Fetal Tumors
- Congenital Diaphragmatic Hernia
- Fetal Stem Cell Transplantation
- Gene Therapy
- Section III: The Future
- Index
- References
Chapter 34 - Diagnosis and Treatment in Twin Anemia Polycythemia Sequence
from Complications of Monochorionic Multiple Pregnancy: Twin-to-Twin Transfusion Syndrome
Published online by Cambridge University Press: 21 October 2019
Book contents
- Fetal Therapy
- Fetal Therapy
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section 1: General Principles
- Section 2: Fetal Disease: Pathogenesis and Treatment
- Red Cell Alloimmunization
- Structural Heart Disease in the Fetus
- Fetal Dysrhythmias
- Manipulation of Fetal Amniotic Fluid Volume
- Fetal Infections
- Fetal Growth and Well-being
- Preterm Birth of the Singleton and Multiple Pregnancy
- Complications of Monochorionic Multiple Pregnancy: Twin-to-Twin Transfusion Syndrome
- Chapter 31 Twin-to-Twin Transfusion Syndrome: Placental and Fetal Pathogenesis
- Chapter 32 Twin-to-Twin Transfusion Syndrome: Treatment by Fetoscopic Laser Coagulation of the Placental Vascular Anastomoses on the Chorionic Plate
- Chapter 33 Interventions for Early and Late Twin-Twin Transfusion Syndrome
- Chapter 34 Diagnosis and Treatment in Twin Anemia Polycythemia Sequence
- Chapter 35 Neurological and Long-Term Neurodevelopmental Outcome after Fetal Therapy in Complicated Monochorionic Twins
- Complications of Monochorionic Multiple Pregnancy: Fetal Growth Restriction in Monochorionic Twins
- Complications of Monochorionic Multiple Pregnancy: Twin Reversed Arterial Perfusion Sequence
- Complications of Monochorionic Multiple Pregnancy: Multifetal Reduction in Multiple Pregnancy
- Fetal Urinary Tract Obstruction
- Pleural Effusion and Pulmonary Pathology
- Surgical Correction of Neural Tube Anomalies
- Fetal Tumors
- Congenital Diaphragmatic Hernia
- Fetal Stem Cell Transplantation
- Gene Therapy
- Section III: The Future
- Index
- References
Summary
Twin anemia polycythemia sequence (TAPS) is a chronic form of feto-fetal transfusion in monochorionic twins, characterized by large hemoglobin difference at birth. TAPS donors are pale as a result of the chronic anemia, whereas TAPS recipients are plethoric caused by the polycythemia (Figure 34.1). TAPS may occur spontaneously in 2–5% of monochorionic twin pregnancies (spontaneous TAPS), or may develop in 2–16% of monochorionic twins with twin-twin transfusion syndrome (TTTS) treated with fetoscopic laser surgery (post-laser TAPS). The cause of post-laser TAPS is the presence of small residual anastomoses [1–5]. The diagnosis of TAPS is relatively new, as the first reports were only published in 2007 [6]. Since then, the worldwide knowledge regarding the pathogenesis, diagnosis, management and outcome of TAPS has greatly expanded.
- Type
- Chapter
- Information
- Fetal TherapyScientific Basis and Critical Appraisal of Clinical Benefits, pp. 367 - 372Publisher: Cambridge University PressPrint publication year: 2020
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