Case Report: Successful fetoscopic release of pseudoamniotic bands in twin-to-twin transfusion syndrome and twin reversed arterial perfusion sequence: report of two rare cases and review of the literature - Scorecard - MDSpire
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Case Report: Successful fetoscopic release of pseudoamniotic bands in twin-to-twin transfusion syndrome and twin reversed arterial perfusion sequence: report of two rare cases and review of the literature
Clinical Scorecard: Clinical Report: Effective Fetoscopic Intervention for Pseudoamniotic Bands in Cases of Twin-to-Twin Transfusion Syndrome and Twin Reversed Arterial Perfusion Sequence: A Review of Two Uncommon Instances and Relevant Literature
At a Glance
Category
Detail
Condition
Pseudoamniotic Band Syndrome (PABS)
Key Mechanisms
Iatrogenic amniotic disruption sequence following invasive fetal procedures.
Target Population
Monochorionic twin pregnancies, particularly those with TTTS and TRAP sequence.
Care Setting
Intrauterine fetal surgery and fetoscopic interventions.
Key Highlights
PABS can occur after invasive fetal procedures like fetoscopic laser therapy.
Two cases of PABS were successfully managed by fetoscopic band release.
Antenatal detection of PABS is low, with significant risks of fetal limb amputation.
Fetoscopic band release is technically feasible in twin pregnancies.
Serial ultrasound surveillance is recommended post-fetal interventions.
Guideline-Based Recommendations
Diagnosis
Antenatal assessment should include PABS evaluation, especially 4 weeks post-procedure.
Management
Fetoscopic band release is indicated for PABS in selected cases.
Monitoring & Follow-up
Regular ultrasound surveillance for fetal well-being and PABS assessment.
Risks
Without intervention, PABS can lead to fetal limb amputation and other complications.
Patient & Prescribing Data
Patients with monochorionic twin pregnancies undergoing invasive procedures.
Fetoscopic band release has shown successful outcomes in cases of PABS.
Clinical Best Practices
Conduct multidisciplinary discussions before surgical interventions.
Administer local anesthesia and prophylactic antibiotics during procedures.
Utilize amnioinfusion to enhance visualization during fetoscopic procedures.
