A Taiwan's experience: A case report and review of literature of successful early intrauterine treatment with radiofrequency ablation in twin reversed arterial perfusion (TRAP) sequence
| Autor: | Steven W. Shaw, Kok-Seong Chan, Ya-Chun Chuang, Tzu-Yi Lin |
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| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
medicine.medical_specialty Polyhydramnios Percutaneous Radiofrequency ablation Twin reversed arterial perfusion Acardiac twin law.invention 03 medical and health sciences R5-920 0302 clinical medicine law medicine Sequence (medicine) business.industry General Medicine medicine.disease Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology TRAP Sequence Complication business |
| Zdroj: | Journal of the Formosan Medical Association, Vol 120, Iss 6, Pp 1394-1399 (2021) |
| ISSN: | 0929-6646 |
| DOI: | 10.1016/j.jfma.2021.01.022 |
| Popis: | Acardiac twin or twin reversed arterial perfusion (TRAP) sequence is a rare medical complication of Monozygotic twins. Taiwanese Obstetricians usually treat TRAP sequence conservatively. Occasionally, repeated amnio-reduction is performed to decompress the polyhydramnios caused by the TRAP sequence, even though there was no correction of the pathophysiologic mechanism. Radiofrequency ablation is a minimally invasive, percutaneous technique that can effectively obliterate blood supply to an acardiac twin to preserve and protect the pump twin. This recent technique has never been used before for the treatment of the TRAP sequence in Taiwan. This article reported the first-hand experience of acardiac twin management with RFA in Taipei Chang Gung Memorial Hospital. |
| Databáze: | OpenAIRE |
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