RT Journal Article
T1 Multidisciplinary Approach in the Diagnosis and Treatment of Twin Anemia Polycythemia Sequence in Monochorionic Twin Pregnancies: Case Report
A1 Fortún-Agud, Marina
A1 Marfil-González, María
A1 Monis-Rodríguez, Susana
A1 Suarez-Arana, Maria
A1 Blasco-Alonso, Marta
A1 Jiménez-López, Jesús Salvador
A1 Narbona-Arias, Isidro
K1 Embarazo - Complicaciones y secuelas
K1 Anemia
AB Twin anemia–polycythemia sequence (TAPS) in monochorionic twin pregnancies is apotentially serious complication caused by unidirectional vascular anastomoses in the placenta,resulting in one anemic donor twin and one polycythemic recipient twin. Diagnosis of this conditionis achieved through Doppler ultrasound assessment of the difference between the MoM of the peaksystolic velocity of the middle cerebral artery between the twins, establishing the diagnosis with adelta value >0.5 MoM. Management of this situation is individualized and may include intrauterinetransfusions, intrauterine laser treatment, and expectant management through ultrasound monitoringof both fetuses to prevent complications. In severe cases, pregnancy termination may be necessary. Itis essential that these pregnancies are managed by a multidisciplinary team of professionals, includingobstetricians specialized in fetal medicine and neonatologists, to ensure the best possible outcomefor both the mother and the fetuses. Early detection and treatment are crucial in the managementof pregnancies complicated by twin anemia–polycythemia sequence. The main objective of thisarticle is to conduct a review of the existing literature on the anemia–polycythemia sequence inmonochorionic pregnancies, emphasizing the exceptional nature of the presented case due to itsspontaneous occurrence, which has a very low prevalence compared to post-laser TAPS cases. It alsodiscusses the different treatment options, highlighting the importance of expectant management andindividualization in each case.
PB MDPI
SN 2075-1729
YR 2024
FD 2024-08-27
LK https://hdl.handle.net/10630/44738
UL https://hdl.handle.net/10630/44738
LA eng
NO Fortún Agud M, Marfil González M, Monis Rodríguez S, Suarez Arana M, Blasco Alonso M, Jimenez Lopez J, Narbona Arias I. Multidisciplinary Approach in the Diagnosis and Treatment of Twin Anemia Polycythemia Sequence in Monochorionic Twin Pregnancies: Case Report. Life. 2024; 14(9):1071. https://doi.org/10.3390/life14091071
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 28 feb 2026