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Re: Acardiac twin From: art fougner, md (evsono@pipeline.com) Wed Nov 19 07:35:44 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: pushing the cytotec (misoprostil) envelope (was pg for" Previous message: art fougner, md: "Re: Ovarian cyst" In reply to: Peter Wein: "Acardiac twin" Next in thread: T-H Bui, Clinical Genetics, Karolinska Hospital: "Re: Acardiac twin" Reply: T-H Bui, Clinical Genetics, Karolinska Hospital: "Re: Acardiac twin" At Wed, 19 Nov 1997, 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? > ><bigger>Peter Wein > ></bigger>Senior Lecturer > >Department of Obstetrics and Gynaecology suggest you NOT inject the acardiac twin - the reverse circulation may result in harm done to the normal one. best option may be to divide the cord of the acardiac using fetoscopy. this is being actively investigated by several groups and was reported at the recent world congress of the ISUOG in washington dc. good luck!!! art >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 -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: art fougner, md: "Re: pushing the cytotec (misoprostil) envelope (was pg for" Previous message: art fougner, md: "Re: Ovarian cyst" In reply to: Peter Wein: "Acardiac twin" Next in thread: T-H Bui, Clinical Genetics, Karolinska Hospital: "Re: Acardiac twin" Reply: T-H Bui, Clinical Genetics, Karolinska Hospital: "Re: Acardiac twin"

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