Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
J Matern Fetal Neonatal Med. 2021 Jan;34(1):163-166. doi: 10.1080/14767058.2019.1571578. Epub 2019 Jan 31.
Proximate cord insertions (PxCIs) are a variant of umbilical cord insertions (CIs) that can be identified in monochorionic (MC) twins, making fetoscopic laser photocoagulation for twin-to-twin transfusion syndrome (TTTS) technically challenging. The existing literature is controversial for successful fetoscopic laser photocoagulation in TTTS cases with PxCIs. We presented two cases with TTTS complicated by PxCIs that underwent a successful laser ablation using our proposed technique.
近侧脐带插入（PxCIs）是脐带插入（CIs）的一种变体，可在单绒毛膜（MC）双胞胎中识别，这使得双胎输血综合征（TTTS）的胎儿镜激光凝固术具有技术挑战性。对于 PxCIs 合并 TTTS 病例的成功胎儿镜激光凝固术，现有文献存在争议。我们介绍了两例 TTTS 合并 PxCIs 的病例，采用我们提出的技术成功进行了激光消融。
