Faculty Advisor(s)
Karen Klimas
Abstract
Twin-to-twin transfusion syndrome (TTTS) is a rare condition found in identical twins in which the fetuses share a placenta. It is diagnosed between 16-24 weeks of gestation using ultrasound imaging and the Quintero staging system. The Quintero staging system includes 5 stages, which are categorized by sonographic findings to include abnormal Doppler findings, amount of amniotic fluid, as well as determining which twin is the recipient and which is the donor. The last stage determines if fetal demise in one or both twins has occurred. Dr. Quintero’s staging system has led to an agreement on the condition of the fetuses, as well as the development of treatment and/or management options that are available at each stage. Treatment options include fetoscopic laser coagulation and amnioreduction. TTTS affects 10-15% of monochorionic pregnancies and has a greater than 90% mortality rate when left untreated.
Publication Date
2020
Document Type
Poster
Department
Diagnostic Medical Sonography
Keywords
ultrasound, Quintero staging, twin-to-twin transfusion syndrome, identical twins, monochorionic pregnancies, fetoscopic laser coagulation
Disciplines
Medicine and Health Sciences
Recommended Citation
Girard, Mikayla Catherine, "Staging of Twin-To-Twin Transfusion Syndrome Using Ultrasound" (2020). Student Research Poster Presentations 2020. 70.
https://digitalcommons.misericordia.edu/research_posters2020/70