Re: Acardiac twin

From: Peter Wein (p.wein@obstetrics_mercy.unimelb.EDU.AU)
Wed Nov 19 00:41:45 1997


At 01:37 AM 19/11/97 -0600, you wrote:

>Peter Wein wrote:

>>

>> 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?

>--

>

>Try to find anastomoses beween the 2.

>If no anastomose you can do an air embolism (sterile) through intra

>cardiac injection.

>

>--

>Bernard Cristalli MD CNGOF

>AIHP - ACCA

>Paris - France

>http://www.obgyn.net/corresp/cristalli.htm

>

>

>

There must be anastamoses, Bernard, or the acardiac twin would have no blood flow!

<italic><color><param>0000,0000,8080</param><bigger><bigger><bigger>Peter Wein</bigger></bigger></bigger></color></italic>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:25:24 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.