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Updated: Aug 15, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
Iatrogenic monoamniotic twin gestation with progressive twin-twin transfusion syndrome
1Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Objective:
Intentional puncture of the membrane has been reported to be a promising new method for the management of twin-twin transfusion syndrome.
Case Report:
Treatment of twin-twin transfusion syndrome with serial amniocenteses resulted in unintentional puncture of the dividing membrane at 24 weeks of gestation. Fetal growth discordance increased, and twin-twin transfusion did not improve following the puncture. Intrauterine death of both fetuses at 27 weeks of gestation occurred.
Conclusion:
Amniotic septostomy for the treatment of twin-twin transfusion syndrome should be performed with serious consideration.
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09:52Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
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09:51Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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