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- W1973116834 abstract "Results: 438 consecutive FFTS cases were treated at 15 to 26 weeks. PABS developed in eight cases (1.8%). The affected twin was always the former recipient. The diagnosis was made prenatally in two of eight cases (25%). All cases survived the perinatal period. PABS affected fetal leg, arm or foot. In five (62.5%) and seven (87.5%) cases, PABS occurred following premature rupture of membranes and intrauterine demise of the donor, respectively. No maternal, fetal or peri-operative risk factor could be identified. Conclusions: This complication is related to invasive procedure and is probably different in the physiopathology from the intrinsic malformative theory, suggesting that the anomalies and the fibrous bands have a common origin, caused by an anomaly of the developing germinal disc of the early embryo. The sequence of events in our series involved rupture of the amnion (5/8), fetal demise of the donor after laser fetoscopy (7/8) and prematurity (7/8). The latter is consistent with a particular role of membranes in this condition. Awareness and targeted serial ultrasound evaluation in this high-risk group may improve prenatal diagnosis, counseling and management of PABS following FLS." @default.
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- W1973116834 date "2007-09-21" @default.
- W1973116834 modified "2023-10-16" @default.
- W1973116834 title "OP15.05: Spontaneous intertwin dividing membranes rupture and membranes detachment in twin-twin transfusion syndrome" @default.
- W1973116834 doi "https://doi.org/10.1002/uog.4562" @default.
- W1973116834 hasPublicationYear "2007" @default.
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