Significance of Donor Anuria Differs between Monoamniotic and Diamniotic Twin–Twin Transfusion Syndrome
Abstract Development of severe twin–twin transfusion syndrome (TTTS) in diamniotic–monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and...
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Veröffentlicht in: | Placenta (Eastbourne) 2007-05, Vol.28 (5), p.523-526 |
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creator | Schaap, A.H.P van den Wijngaard, J.P.H.M Nikkels, P.G.J van den Broek, A.J.M Snieders, I van Gemert, M.J.C |
description | Abstract Development of severe twin–twin transfusion syndrome (TTTS) in diamniotic–monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and intrauterine fetal death (IUFD) in either or both twins. In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS. |
doi_str_mv | 10.1016/j.placenta.2006.09.003 |
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In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS.</description><identifier>ISSN: 0143-4004</identifier><identifier>EISSN: 1532-3102</identifier><identifier>DOI: 10.1016/j.placenta.2006.09.003</identifier><identifier>PMID: 17084449</identifier><identifier>CODEN: PLACDF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Amnioreduction ; Anuria - etiology ; Biological and medical sciences ; Computer Simulation ; Embryology: invertebrates and vertebrates. Teratology ; Female ; Fetofetal Transfusion - pathology ; Fetofetal Transfusion - physiopathology ; Fundamental and applied biological sciences. 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In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS.</description><subject>Adult</subject><subject>Amnioreduction</subject><subject>Anuria - etiology</subject><subject>Biological and medical sciences</subject><subject>Computer Simulation</subject><subject>Embryology: invertebrates and vertebrates. Teratology</subject><subject>Female</subject><subject>Fetofetal Transfusion - pathology</subject><subject>Fetofetal Transfusion - physiopathology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Monoamniotic twin pregnancy</subject><subject>Obstetrics and Gynecology</subject><subject>Placenta - pathology</subject><subject>Pregnancy</subject><subject>Twins, Dizygotic</subject><subject>Twin–twin transfusion syndrome</subject><subject>Vascular anastomosis</subject><issn>0143-4004</issn><issn>1532-3102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFu1DAQQC1ERbeFX6hygVvCOHHs5IKoWihIrTjscrYcZ4y8JPZiJ1R74x_4Q76kjnZpJS6cRrbfjEdvhpALCgUFyt9ui92gNLpJFSUAL6AtAKpnZEXrqswrCuVzsgLKqpwBsFNyFuMWAFpGyxfklApoGGPtiti1_eassVo5jZk32bV3PmSXbg5WZdfWGAwx63C6R3TZXXpUo7N-sjpTrk_A43Fzb92fX7-XkG2CctHM0XqXrfeuD37El-TEqCHiq2M8J18_fthcfcpvv9x8vrq8zTWr6ZTXraANCF6D0a2hleaUK8aFrnvTN5XpRGug1tBxBbzDuu_q5b5rDGtEWZXVOXlzqLsL_seMcZKjjRqHQTn0c5QCGOWCiwTyA6iDjzGgkbtgRxX2koJcJMut_CtZLpIltDJJTokXxx_mbsT-Ke1oNQGvj4CKWg0m2dA2PnGNYGUFSwfvDxwmHz8tBhm1xTSI3gbUk-y9_X8v7_4poQfr0jiH77jHuPVzcMm2pDKWEuR6WYllI4ADlIuuB13dtK0</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Schaap, A.H.P</creator><creator>van den Wijngaard, J.P.H.M</creator><creator>Nikkels, P.G.J</creator><creator>van den Broek, A.J.M</creator><creator>Snieders, I</creator><creator>van Gemert, M.J.C</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Significance of Donor Anuria Differs between Monoamniotic and Diamniotic Twin–Twin Transfusion Syndrome</title><author>Schaap, A.H.P ; van den Wijngaard, J.P.H.M ; Nikkels, P.G.J ; van den Broek, A.J.M ; Snieders, I ; van Gemert, M.J.C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-5971807650fc9f13c616a467c5dfd83fb79f05c0b6a06be5db5fd83b8f4872323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Amnioreduction</topic><topic>Anuria - etiology</topic><topic>Biological and medical sciences</topic><topic>Computer Simulation</topic><topic>Embryology: invertebrates and vertebrates. Teratology</topic><topic>Female</topic><topic>Fetofetal Transfusion - pathology</topic><topic>Fetofetal Transfusion - physiopathology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hemoglobins - metabolism</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Monoamniotic twin pregnancy</topic><topic>Obstetrics and Gynecology</topic><topic>Placenta - pathology</topic><topic>Pregnancy</topic><topic>Twins, Dizygotic</topic><topic>Twin–twin transfusion syndrome</topic><topic>Vascular anastomosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schaap, A.H.P</creatorcontrib><creatorcontrib>van den Wijngaard, J.P.H.M</creatorcontrib><creatorcontrib>Nikkels, P.G.J</creatorcontrib><creatorcontrib>van den Broek, A.J.M</creatorcontrib><creatorcontrib>Snieders, I</creatorcontrib><creatorcontrib>van Gemert, M.J.C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Placenta (Eastbourne)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schaap, A.H.P</au><au>van den Wijngaard, J.P.H.M</au><au>Nikkels, P.G.J</au><au>van den Broek, A.J.M</au><au>Snieders, I</au><au>van Gemert, M.J.C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of Donor Anuria Differs between Monoamniotic and Diamniotic Twin–Twin Transfusion Syndrome</atitle><jtitle>Placenta (Eastbourne)</jtitle><addtitle>Placenta</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>28</volume><issue>5</issue><spage>523</spage><epage>526</epage><pages>523-526</pages><issn>0143-4004</issn><eissn>1532-3102</eissn><coden>PLACDF</coden><abstract>Abstract Development of severe twin–twin transfusion syndrome (TTTS) in diamniotic–monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and intrauterine fetal death (IUFD) in either or both twins. In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>17084449</pmid><doi>10.1016/j.placenta.2006.09.003</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Amnioreduction Anuria - etiology Biological and medical sciences Computer Simulation Embryology: invertebrates and vertebrates. Teratology Female Fetofetal Transfusion - pathology Fetofetal Transfusion - physiopathology Fundamental and applied biological sciences. Psychology Hemoglobins - metabolism Humans Internal Medicine Monoamniotic twin pregnancy Obstetrics and Gynecology Placenta - pathology Pregnancy Twins, Dizygotic Twin–twin transfusion syndrome Vascular anastomosis |
title | Significance of Donor Anuria Differs between Monoamniotic and Diamniotic Twin–Twin Transfusion Syndrome |
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