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Twinning Unicorns – Atypical Presentations of TTTS

Twinning Unicorns – Atypical Presentations of TTTS

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This week we’re going to be using the most recent episodes as building blocks to discuss atypical presentations of twin-twin transfusion syndrome or TTTS. Dr, Moise takes us through the following ‘unicorn’ presentations by covering the following:

  • Review of the classic Quintero staging system for TTTS
    • Stage I, II, III, IIID, IIIR, IIIDR, IV, V
  • Alternative TTTS staging systems that have been proposed
    • Cincinnati
    • CHOP
  • Case scenario of an atypical TTTS IIID
  • TTTS with sIUGR
    • Review definition of sIUGR
  • Cardiac dysfunction in the setting of monochorionic twins
  • Which combination of twin complications in monochorionic twins would be candidates for laser surgery
  • Monoamniotic twins with TTTS
    • Diagnosing TTTS with a spontaneous septostomy

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