IMR Press / CEOG / Volume 44 / Issue 2 / DOI: 10.12891/ceog3812.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Clinical management of twin reversed arterial perfusion cases: insights into a complex and challenging twinning
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1 Spitalli Universitar Obstetrik -Gjinekologjik “Koco Gliozheni”’ Blvd “ Bajram Curri” Tirana, Albania
2 Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Cleveland, Ohio, USA
Clin. Exp. Obstet. Gynecol. 2017, 44(2), 319–325;
Published: 10 April 2017

Twin reversed arterial perfusion (TRAP) sequence occurs in approximately 1% of monozygotic pregnancies. The proposed pathogenesis is the association of paired artery-to-artery and vein-to-vein anastomoses through the placenta combined with delayed cardiac function of one of the embryos early in pregnancy. Presently the most commonly used technique for TRAP sequence is intrauterine radiofrequency ablation (RFA) of the cord of the recipient twin. This report shares the authors’ experience in managing similar cases, the rationale leading to clinical decisions, the timing of the RFA procedure, the potential complications associated with TRAP, and the outcome of these two cases.
Twin reversed arterial perfusion
Radiofrequency ablation
Monozygotic twinning
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