Carbon Dioxide Fetoscopic Technique to Enhance Visualization in Cases of Placental Laser Ablation for Twin Twin Transfusion Syndrome
Dear Editor, we present a case of twin twin transfusion syndrome (TTTS) with carbon dioxide (CO2) insufflation enhancing visualization to complete fetoscopic laser ablation (FLA). 19-year-old P0 presented at 24 weeks with symptomatic stage 1 TTTS, with regular uterine contractions. Imaging revealed anterior placenta, maximum amniotic fluid (AF) vertical pockets of 12 and 1 cm in the recipient and donor sacs. Doppler studies of the umbilical artery, ductus venosus and middle cerebral arteries were normal.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Roopali Donepudi, Magdalena Sanz Cortes, Ahmed Nassr, Jimmy Espinoza, Michael A Belfort, Alireza A Shamshirsaz Tags: Correspondence Source Type: research