Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series

Twin Reverse Arterial Perfusion (TRAP) Sequence is a rare complication of monochorionic pregnancies. Without intervention, the viable pump twin in a case of TRAP Sequence may develop high output cardiac failure leading to an intrauterine fetal demise. We present 3 cases of TRAP Sequence pregnancy di...

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Main Authors: Kristina Martimucci, Theresa Kuhn, Robyn Bilinski, Jesus Alvarez-Perez
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/2521797
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author Kristina Martimucci
Theresa Kuhn
Robyn Bilinski
Jesus Alvarez-Perez
author_facet Kristina Martimucci
Theresa Kuhn
Robyn Bilinski
Jesus Alvarez-Perez
author_sort Kristina Martimucci
collection DOAJ
description Twin Reverse Arterial Perfusion (TRAP) Sequence is a rare complication of monochorionic pregnancies. Without intervention, the viable pump twin in a case of TRAP Sequence may develop high output cardiac failure leading to an intrauterine fetal demise. We present 3 cases of TRAP Sequence pregnancy diagnosed during the second or third trimesters of pregnancy. There are minimal sonographic tools for the guidance of a fetal therapeutic interventional procedure during the second trimester or timing of delivery during the third trimester to reduce morbidity and mortality of a viable fetus. Tei index may be a useful sonographic tool in the management of TRAP Sequence during the second or third trimester of pregnancy.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2018-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-640ccf6f29654da09d2d8a5a8553f1d62025-02-03T06:06:01ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/25217972521797Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case SeriesKristina Martimucci0Theresa Kuhn1Robyn Bilinski2Jesus Alvarez-Perez3Rutgers New Jersey Medical School, Department of Obstetrics, Gynecology and Women’s Health, Newark, NJ 07301, USARutgers New Jersey Medical School, Department of Obstetrics, Gynecology and Women’s Health, Newark, NJ 07301, USAHackensack University Medical Center, Department of Obstetrics and Gynecology, Hackensack, NJ 07601, USAHackensack University Medical Center, Department of Obstetrics and Gynecology, Hackensack, NJ 07601, USATwin Reverse Arterial Perfusion (TRAP) Sequence is a rare complication of monochorionic pregnancies. Without intervention, the viable pump twin in a case of TRAP Sequence may develop high output cardiac failure leading to an intrauterine fetal demise. We present 3 cases of TRAP Sequence pregnancy diagnosed during the second or third trimesters of pregnancy. There are minimal sonographic tools for the guidance of a fetal therapeutic interventional procedure during the second trimester or timing of delivery during the third trimester to reduce morbidity and mortality of a viable fetus. Tei index may be a useful sonographic tool in the management of TRAP Sequence during the second or third trimester of pregnancy.http://dx.doi.org/10.1155/2018/2521797
spellingShingle Kristina Martimucci
Theresa Kuhn
Robyn Bilinski
Jesus Alvarez-Perez
Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
Case Reports in Obstetrics and Gynecology
title Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
title_full Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
title_fullStr Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
title_full_unstemmed Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
title_short Use of the Tei Index in the Conservative Management of TRAP Sequence Pregnancies Diagnosed during the Periviable Period: A Case Series
title_sort use of the tei index in the conservative management of trap sequence pregnancies diagnosed during the periviable period a case series
url http://dx.doi.org/10.1155/2018/2521797
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