Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Perinatal/Neonatal Case Presentation
  • Published:

Perinatal/Neonatal Case Presentation

An embolic complication in a donor twin with severe twin–twin transfusion syndrome after fetoscopic intervention

Journal of Perinatology volume 29, pages 250–251 (2009)Cite this article

Abstract

Necrotic injury of an extremity in a donor twin is a rare complication of twin–twin transfusion syndrome after selective fetoscopic laser photocoagulation. We present the case of a 20-year-old gravida 2, para 1 with a twin gestation with severe twin–twin transfusion syndrome (Quintero Stage 3B) who had treatment with selective fetoscopic laser photocoagulation. Selective fetoscopic laser photocoagulation may be associated with extremity necrosis in a donor twin.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. De Lia JE, Kuhlmann RS, Harstad TW, Cruikshank DP . Fetoscopic laser ablation of placental vessels in severe previable twin–twin transfusion syndrome. Am J Obstet Gynecol 1995; 172: 1202–1208; discussion 1208–11.

    Article  CAS  Google Scholar 

  2. Senat MV, Deprest J, Boulvain M, Paupe A, Winer N, Ville Y . Endoscopic laser surgery versus serial amnioreduction for severe twin-to-twin transfusion syndrome. N Engl J Med 2004; 351: 136–144.

    Article  CAS  Google Scholar 

  3. Crombleholme TM, Shera D, Lee H, Johnson M, D'Alton M, Porter F et al. A prospective, randomized, multicenter trial of amnioreduction vs selective fetoscopic laser photocoagulation for the treatment of severe twin–twin transfusion syndrome. Am J Obstet Gynecol 2007; 197: 396.e1–396.e9.

    Article  Google Scholar 

  4. Lopriore E, Sueters M, Middeldorp JM, Oepkes D, Vandenbussche FP, Walther FJ . Neonatal outcome in twin-to-twin transfusion syndrome treated with fetoscopic laser occlusion of vascular anastomoses. J Pediatr 2005; 147: 597–602.

    Article  Google Scholar 

  5. Schnater JM, van Zalen-Sprock RM, Schaap AH, Festen S, Aronson DC . Ileal atresia and thrombo-embolic liver calcifications diagnosed after treatment with intrauterine laser coagulation therapy for twin-to-twin transfusion syndrome: report of 2 cases. J Pediatr Surg 2005; 40: 875–876.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatrics, University of Kentucky Medical Center, Lexington, KY, USA

    H O Ballard, L Shook & L Burns

  2. Department of Obstetrics and Gynecology, University of Kentucky, Lexington, KY, USA

    K Y Lain

  3. Division of Pediatric General, Thoracic, and Fetal Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    T M Crombleholme

Authors
  1. H O Ballard
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L Shook
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. K Y Lain
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L Burns
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. T M Crombleholme
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H O Ballard.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ballard, H., Shook, L., Lain, K. et al. An embolic complication in a donor twin with severe twin–twin transfusion syndrome after fetoscopic intervention. J Perinatol 29, 250–251 (2009). https://doi.org/10.1038/jp.2008.182

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2008.182

Keywords

This article is cited by

Search

Advanced search

Quick links