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典型文献
Twin Reversed Arterial Perfusion Sequence: Prenatal Diagnosis and Treatment
文献摘要:
Twin reversed arterial perfusion sequence, a severe and unique complication of monochorionic multiple pregnancy, is characterized by vascular anastomosis and abnormal or absent cardiac development in the twins. This article reviewed its pathogenesis, prenatal ultrasound diagnosis, and management. The pump twin’s chances for survival can be maximized by proper management. The optimal timing of the interventions remains a debate, although the latest studies encourage early intervention, i.e., in the first trimester. The most preferred approach is to interrupt the vascular supply to the acardius, such as through ultrasound-guided laser coagulation and radiofrequency ablation of the intrafetal vessels.
文献关键词:
Prenatal diagnosis;TRAP sequence;Acardiac twin;Pump twin;Fetal therapy
作者姓名:
Ye Xiaoqing;Wang Jiayan;Lu Jing;Li Nan;Ding Wenping;Fu Yuxia;Chen Min
作者机构:
Department of Ultrasound, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou 510623, China;Department of Fetal Medicine and Prenatal Diagnosis, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China;Obstetrics and Gynecology Institute of Guangzhou, Guangzhou 510150, China;The Medical Centre for Critical Pregnant Women in Guangzhou, Guangzhou 510150 China;Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou 510150, China;Key Laboratory for Reproduction and Genetics of Guangdong Higher Education Institutes, Guangzhou 510150, China;Department of Obstetrics and Gynecology, The First Affiliated Hospital of Xiamen University, Xiamen 361000, China;Department of Diagnostic Ultrasound, Wuhan Women and Children Medical Care Center, Wuhan 430030, China;Reproductive Medicine Center, The First People’s Hospital of Kashgar Prefecture, Kashgar 844000, China
引用格式:
[1]Ye Xiaoqing;Wang Jiayan;Lu Jing;Li Nan;Ding Wenping;Fu Yuxia;Chen Min-.Twin Reversed Arterial Perfusion Sequence: Prenatal Diagnosis and Treatment)[J].母胎医学杂志(英文),2022(04):262-267
A类:
acardius,intrafetal,Acardiac
B类:
Twin,Reversed,Arterial,Perfusion,Sequence,Prenatal,Diagnosis,Treatment,reversed,arterial,perfusion,sequence,severe,unique,complication,monochorionic,multiple,pregnancy,characterized,by,vascular,anastomosis,abnormal,absent,development,twins,This,article,reviewed,its,pathogenesis,prenatal,ultrasound,diagnosis,management,pump,chances,survival,can,be,maximized,proper,optimal,timing,interventions,remains,debate,although,latest,studies,encourage,early,first,trimester,most,preferred,approach,interrupt,supply,such,through,guided,laser,coagulation,radiofrequency,ablation,vessels,TRAP,Pump,Fetal,therapy
AB值:
0.705309
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