Acardiac twin

From: Peter Wein (p.wein@obstetrics_mercy.unimelb.EDU.AU)
Tue Nov 18 22:36:35 1997


We have a patient currently at 14 weeks, twin pregnancy with an acardiac twin (TRAPS). The mortality for the normal twin is probably about 50%.

Options:

1. Observe closely, ? serial amniocentesis if polyhydramnios develops.

2. Attempt to occlude umbilical artery of acardiac twin ? methods. We have no-one here expert in fetoscopy.

Has anyone injected the acardiac twin with an arterial sclerosant or percutaneously embolized its circulation?

<bigger>Peter Wein

</bigger>Senior Lecturer

Department of Obstetrics and Gynaecology

University of Melbourne, Mercy Hospital for Women

Clarendon Street, East Melbourne 3002

Australia

Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690





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