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Complications of Monochorionic Diamniotic Twins: Stepwise Approach for Early Identification, Differential Diagnosis, and Clinical Management 被引量:2
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作者 Taita Micheletti Elisenda Eixarch +2 位作者 mar bennasar Josep maria martinez Eduard Gratacos 《Maternal-Fetal Medicine》 2021年第1期42-52,共11页
One in three monochorionic twins may develop complications during pregnancy. Monochorionic twins, especially monochorionic diamniotic (MCDA), present specific problems caused by the presence of interfetal placental an... One in three monochorionic twins may develop complications during pregnancy. Monochorionic twins, especially monochorionic diamniotic (MCDA), present specific problems caused by the presence of interfetal placental anastomoses. The first critical step in the management of MCDA twins is identification in the first trimester. Secondly, close follow-up every 2 weeks is mandatory to allow early diagnosis and timely treatment of twin-twin transfusion syndrome. Other potentially severe complications include selective fetal growth restriction, twin anemia polycythemia syndrome or single fetal death. Thirdly, a correct differential diagnosis is critical to establish the best therapy. This may represent a clinical challenge since MCDA twin complications often overlap. A simple diagnostic algorithm may be of great help to establish the right diagnosis and management option. In this review we summarize the main steps for the clinical follow-up, differential diagnosis, and targeted management of MCDA twins complications. 展开更多
关键词 Acute feto-fetal transfusion Discordant malformation Monochorionic diamniotic twin pregnancy Pregnancy TWIN Selective fetal growth restriction Single intrauterine fetal death Twin anemia-polycythemia sequence Twin-twin transfusion syndrome
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