Twin anemia polycythemia sequence: a single center experience and literature review

Amirhossein Moaddab; Ahmed A. Nassr; Jimmy Espinoza; Rodrigo Ruano; Zhoobin H. Bateni; Amir A. Shamshirsaz; George T. Mandy; Stephen E. Welty; Hadi Erfani; Edwina J. Popek; Michael A. Belfort; Alireza A. Shamshirsaz

doi:10.1016/j.ejogrb.2016.08.033

Twin anemia polycythemia sequence: a single center experience and literature review

Amirhossein Moaddab, Ahmed A. Nassr, Jimmy Espinoza, Rodrigo Ruano, Zhoobin H. Bateni, Amir A. Shamshirsaz, George T. Mandy, Stephen E. Welty, Hadi Erfani, Edwina J. Popek, Michael A. Belfort, Alireza A. Shamshirsaz

Medical GYN and Obstetrics

Research output: Contribution to journal › Review article › peer-review

9 Scopus citations

Abstract

Twin anemia polycythemia sequence (TAPS) is defined by significant intertwin hemoglobin discordance without the amniotic fluid discordance that characterizes twin–twin-transfusion syndrome (TTTS) in monochorionic twin pregnancies. TAPS is an uncommon condition which can either occur spontaneously, or following fetoscopic laser ablation for TTTS. This complication is thought to result from chronic transfusion through very small placental anastomoses; however, the pathogenesis of TAPS remains unknown. Consequently, there is no consensus in the management of TAPS. In this article, three cases of TAPS are described and we review the literature on this uncommon pregnancy complication.

Original language	English (US)
Pages (from-to)	158-164
Number of pages	7
Journal	European Journal of Obstetrics and Gynecology and Reproductive Biology
Volume	205
DOIs	https://doi.org/10.1016/j.ejogrb.2016.08.033
State	Published - Oct 1 2016

Keywords

Blood transfusion
Partial blood exchange
Twin anemia polycythemia sequence
Twin to twin transfusion syndrome

ASJC Scopus subject areas

Reproductive Medicine
Obstetrics and Gynecology

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10.1016/j.ejogrb.2016.08.033

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Moaddab, A., Nassr, A. A., Espinoza, J., Ruano, R., Bateni, Z. H., Shamshirsaz, A. A., Mandy, G. T., Welty, S. E., Erfani, H., Popek, E. J., Belfort, M. A., & Shamshirsaz, A. A. (2016). Twin anemia polycythemia sequence: a single center experience and literature review. European Journal of Obstetrics and Gynecology and Reproductive Biology, 205, 158-164. https://doi.org/10.1016/j.ejogrb.2016.08.033

Moaddab, A, Nassr, AA, Espinoza, J, Ruano, R, Bateni, ZH, Shamshirsaz, AA, Mandy, GT, Welty, SE, Erfani, H, Popek, EJ, Belfort, MA & Shamshirsaz, AA 2016, 'Twin anemia polycythemia sequence: a single center experience and literature review', European Journal of Obstetrics and Gynecology and Reproductive Biology, vol. 205, pp. 158-164. https://doi.org/10.1016/j.ejogrb.2016.08.033

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title = "Twin anemia polycythemia sequence: a single center experience and literature review",

abstract = "Twin anemia polycythemia sequence (TAPS) is defined by significant intertwin hemoglobin discordance without the amniotic fluid discordance that characterizes twin–twin-transfusion syndrome (TTTS) in monochorionic twin pregnancies. TAPS is an uncommon condition which can either occur spontaneously, or following fetoscopic laser ablation for TTTS. This complication is thought to result from chronic transfusion through very small placental anastomoses; however, the pathogenesis of TAPS remains unknown. Consequently, there is no consensus in the management of TAPS. In this article, three cases of TAPS are described and we review the literature on this uncommon pregnancy complication.",

keywords = "Blood transfusion, Partial blood exchange, Twin anemia polycythemia sequence, Twin to twin transfusion syndrome",

author = "Amirhossein Moaddab and Nassr, {Ahmed A.} and Jimmy Espinoza and Rodrigo Ruano and Bateni, {Zhoobin H.} and Shamshirsaz, {Amir A.} and Mandy, {George T.} and Welty, {Stephen E.} and Hadi Erfani and Popek, {Edwina J.} and Belfort, {Michael A.} and Shamshirsaz, {Alireza A.}",

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doi = "10.1016/j.ejogrb.2016.08.033",

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T1 - Twin anemia polycythemia sequence

T2 - a single center experience and literature review

AU - Moaddab, Amirhossein

AU - Nassr, Ahmed A.

AU - Espinoza, Jimmy

AU - Ruano, Rodrigo

AU - Bateni, Zhoobin H.

AU - Shamshirsaz, Amir A.

AU - Mandy, George T.

AU - Welty, Stephen E.

AU - Erfani, Hadi

AU - Popek, Edwina J.

AU - Belfort, Michael A.

AU - Shamshirsaz, Alireza A.

PY - 2016/10/1

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N2 - Twin anemia polycythemia sequence (TAPS) is defined by significant intertwin hemoglobin discordance without the amniotic fluid discordance that characterizes twin–twin-transfusion syndrome (TTTS) in monochorionic twin pregnancies. TAPS is an uncommon condition which can either occur spontaneously, or following fetoscopic laser ablation for TTTS. This complication is thought to result from chronic transfusion through very small placental anastomoses; however, the pathogenesis of TAPS remains unknown. Consequently, there is no consensus in the management of TAPS. In this article, three cases of TAPS are described and we review the literature on this uncommon pregnancy complication.

AB - Twin anemia polycythemia sequence (TAPS) is defined by significant intertwin hemoglobin discordance without the amniotic fluid discordance that characterizes twin–twin-transfusion syndrome (TTTS) in monochorionic twin pregnancies. TAPS is an uncommon condition which can either occur spontaneously, or following fetoscopic laser ablation for TTTS. This complication is thought to result from chronic transfusion through very small placental anastomoses; however, the pathogenesis of TAPS remains unknown. Consequently, there is no consensus in the management of TAPS. In this article, three cases of TAPS are described and we review the literature on this uncommon pregnancy complication.

KW - Blood transfusion

KW - Partial blood exchange

KW - Twin anemia polycythemia sequence

KW - Twin to twin transfusion syndrome

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SN - 0301-2115

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JO - European Journal of Obstetrics and Gynecology and Reproductive Biology

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ER -

Twin anemia polycythemia sequence: a single center experience and literature review

Abstract

Keywords

ASJC Scopus subject areas

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