Z Geburtshilfe Neonatol 2015; 219(01): 22-27
DOI: 10.1055/s-0034-1382002
Review
© Georg Thieme Verlag KG Stuttgart · New York

Management of Complicated Monochorionic Twin Pregnancies

Management komplizierter monochorialer Zwillingsschwangerschaften
J. Degenhardt
1   Department of OB/GYN, Division of Prenatal Medicine, Justus-Liebig University and UKGM, Campus Giessen, Giessen, Germany
,
C. Enzensberger
2   Department of OB/GYN, Division of Prenatal Medicine, UKGM, Campus Marburg, Marburg, Germany
,
A. Tenzer
1   Department of OB/GYN, Division of Prenatal Medicine, Justus-Liebig University and UKGM, Campus Giessen, Giessen, Germany
,
A. Kawecki
1   Department of OB/GYN, Division of Prenatal Medicine, Justus-Liebig University and UKGM, Campus Giessen, Giessen, Germany
,
T Kohl
3   German Center for Fetal Surgery & Minimally Invasive Therapy (DZFT), Justus-Liebig University, Giessen, Germany
,
R. Axt-Fliedner
1   Department of OB/GYN, Division of Prenatal Medicine, Justus-Liebig University and UKGM, Campus Giessen, Giessen, Germany
2   Department of OB/GYN, Division of Prenatal Medicine, UKGM, Campus Marburg, Marburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
03 March 2015 (online)

Abstract

Multiple gestation is associated with an increased risk for adverse pregnancy outcome. Monochorionic twins are at risk for complications specific to these pregnancies, such as twin-twin transfusion syndrome (TTTS) or twin reverse arterial perfusion (TRAP) sequence. In this article we give an overview on prenatal diagnosis, treatment and outcome of twin pregnancies complicated by TTTS and TRAP sequence.

Zusammenfassung

Mehrlingsschwangerschaften im allgemeinen gehen mit einem erhöhten Risiko prä- und perinataler Komplikationen einher. Bei monochoria­len Zwillingen besteht darüber hinaus das Risiko für die Entwicklung spezifischer Probleme wie eines feto-fetalen Transfusionssyndroms (FFTS) oder der Twin-Reverse-Arterial-Perfusion (TRAP) –Sequenz.

Im vorliegenden Artikel geben wir einen Überblick über pränatale Diagnose, Behandlungsmöglichkeiten und postnatales Outcome von monochorialen Zwillingen mit FFTS oder TRAP-Sequenz.