Twin to Twin Transfusion syndrome is a disease of the placenta in identical twins. The twins share both blood and nutrients. The placenta shunts more blood and nutrients to one twin while starving the other twin. There is only a 20% of survival and most all who survive are pre-term. My girls survived and we were diagnosed at 17 weeks. They were born at 30 weeks, 1lb 15 oz and 2 lbs 14 oz.
Twin-twin transfusion syndrome (TTTS).
twin to twin transfusion - one twin takes more blood than the other causing one to weigh more.
Amnioreduction and destroying abnormal blood vessel connections in the placenta of TTTS twins.
One twin pumps the circulating blood for both twins because of placenta defects. Affecting up to 15% of twins sharing a placenta, TTTS can lead to a variety of problems including heart failure.
Urinary tract obstructions (males); diaphragmatic hernia and cystic adenomatoid malformation; sacrococcygeal teratoma; twin-twin transfusion syndrome; twin:twin reverse arterial perfusion.
transfusion is required for you. Or you will die.
The infant survival rate following prenatal treatment for TTTS is about 70%. Since TTTS is a progressive disorder, early intervention may prevent later complications.
DefinitionTwin-to-twin transfusion syndrome (TTTS) is a rare condition that occurs only in identical twins while they are in the womb.Alternative NamesTTTS; Fetal transfusion syndromeCauses, incidence, and risk factorsTTTS occurs when blood moves from one twin to the other. The twin that loses the blood is called the donor twin. The twin that receives the blood is called the recipient twin.Both infants may have problems depending on the severity of the transfusion. The donor twin may have too little blood, and the other may have too much blood. The donor twin may need a blood transfusion, while the recipient twin may need to have the amount of blood in his or her body reduced.SymptomsThe donor twin is usually born smaller that the other twin, usually with paleness, anemia, and dehydration.The recipient twin is born larger, with redness, too much blood, and increased blood pressure. Because of the increased blood volume, the recipient twin may develop cardiac failure and also require medications to strengthen heart function.The unequal size of identical twins is referred to as discordant twins.Signs and testsThis condition is usually diagnosed by ultrasound during pregnancy.After birth, the infants will receive the following tests:Blood clotting studies, including prothrombin time (PT) and partial thromboplastin time (PTT)Comprehensive metabolic panel to determine electrolyte balanceComplete blood countChest x-rayTreatmentTreatment may require repeated amniocentesis during pregnancy. Fetal laser surgery may be done to interrupt the flow of blood from one twin to the other.After birth, treatment depends on the infant's specific symptoms. The donor twin may need a blood transfusion to treat anemia.The recipient twin may need to have the volume of body fluid reduced. This may involve an exchange transfusion.Medications may be given to treat heart failure in the recipient twin.Expectations (prognosis)If the twin-to-twin transfusion is mild, full recovery is expected for both babies. However, severe cases may result in the death of a twin.ReferencesEvans MI, Yaron Y, Deprest J, et al. Fetal therapy. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 10.
Transfusion is a noun.
J. A. F. Napier has written: 'Handbook of blood transfusion therapy' -- subject(s): Transfusion, Blood Transfusion, Blood 'Blood transfusion therapy' -- subject(s): Transfusion, Blood
Automaton Transfusion was created in 2008.
The duration of Automaton Transfusion is 1.17 hours.