alexa Early Radiofrequency Ablation for Twin Reversed Arterial Perfusion TRAP) Sequence: Case Report and Literature Review
ISSN: 2161-0932

Gynecology & Obstetrics
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Early Radiofrequency Ablation for Twin Reversed Arterial Perfusion TRAP) Sequence: Case Report and Literature Review

Kara Aitken1, James Andrews2, Tim Van Mieghem1, Rory Windrim1, John Kachura1 and Greg Ryan2*

1Department of Obstetrics and Gynaecology, Saint John Regional Hospital, Dalhousie University, Saint John, New Brunswick, Canada

2Fetal Medicine Unit, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada

*Corresponding Author:
Greg Ryan
Fetal Medicine Unit, Mount Sinai Hospital
University of Toronto, Toronto, Ontario, Canada
Tel: 14165868415
E-mail: [email protected]

Received date: June 19, 2014; Accepted date: August 31, 2014; Published date: September 05, 2014

Citation: Aitken K, Andrews J, Mieghem TV, Windrim R, Kachura J, et al. (2014) Early Radiofrequency Ablation for Twin Reversed Arterial Perfusion (TRAP) Sequence: Case Report and Literature Review. Gynecol Obstet (Sunnyvale) 4: 239. doi: 10.4172/2161-0932.1000239

Copyright: © 2014 Aitken K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: High output cardiac failure resulting in fetal death or severe prematurity is a common complication of twin reversed arterial perfusion (TRAP) sequence. Various minimally invasive prenatal interventions have been proposed to improve outcomes for the pump fetus. Uncertainty still exists regarding the optimal timing of these interventions. Early intervention may protect the pump twin against prematurity from complications of cardiac failure or unexpected fetal death, although it carries a risk of procedure related pregnancy loss. Expectant management with surveillance and performing an intervention later in gestation if necessary’ would potentially avoid some procedures but does not protect against unexpected fetal death.

Case: A healthy 30 year-old woman, gravida 2 para 1, was diagnosed with TRAP sequence at 13+1 weeks gestation. An uncomplicated ultrasound guided Radiofrequency Ablation (RFA) procedure ablating the vessels in the parasitic mass was performed at 15+0 weeks. The remainder of the pregnancy was uneventful and resulted in a term vaginal delivery of a healthy infant.

Conclusion: Based on our current knowledge of TRAP sequence and current instrumentation for fetal surgery, early occlusion of the vessels perfusing an acardiac fetus appears feasible and safe. Randomized trials on timing of intervention are urgently needed.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords