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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Wiley
2018-01-01
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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. |
format | Article |
id | doaj-art-640ccf6f29654da09d2d8a5a8553f1d6 |
institution | Kabale University |
issn | 2090-6684 2090-6692 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
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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