• J Clin Ultrasound · May 2013

    Case Reports

    Radiofrequency ablation as a minimally invasive procedure in the treatment of twin reversed arterial perfusion sequence in twin pregnancy.

    • Alexander Weichert, Karim Kalache, Patrick Hein, Martin Brauer, Larry Hinkson, and Wolfgang Henrich.
    • Department of Obstetrics, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117 Berlin, Germany.
    • J Clin Ultrasound. 2013 May 1; 41 (4): 245-7.

    AbstractTwin reversed arterial perfusion sequence is a rare anomaly of monochorionic multiple pregnancies affecting 1 of 35,000 pregnancies and 1% of monochorionic twin pregnancies. In this condition the affected twin has lethal malformations including poor or absent heart development and is reversely perfused by a structurally normal co-twin. We report a case of a 21-year-old woman with a monochorionic twin pregnancy affected by twin reversed arterial perfusion sequence. This case highlights the therapeutic options and the management by radiofrequency ablation, which has been shown to be an easy and reliable technique with a high success rate compared with technically demanding fetoscopic procedures.Copyright © 2012 Wiley Periodicals, Inc.

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