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Updated: Aug 11, 2026

Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
Acardiac twin
Athita Chanthasenanont1, Densak Pongrojpaw
1Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand.
Acardiac twin is a rare complication of monozygotic twin pregnancies occurring in 1% of monochorionic twin gestations with an incidence of 1 in 35,000 births. Without treatment, the perinatal mortality of the pump twin is about 50-70%. The optimal management of acardiac twin pregnancies is controversial. Management options include elective termination, observation with close antepartum surveillance (serial cardiotocography, ultrasonography and echocardiography) and surgical interventions
Acardiac twin is a rare complication of monozygotic twin pregnancies occurring in 1% of monochorionic twin gestations with an incidence of 1 in 35,000 births. Without treatment, the perinatal mortality of the pump twin is about 50-70%. The optimal management of acardiac twin pregnancies is controversial. Management options include elective termination, observation with close antepartum surveillance (serial cardiotocography, ultrasonography and echocardiography) and surgical interventions
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