Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Enrico Lopriore; Femke Slaghekke; Johanna M. Middeldorp; Frans J. Klumper; Jan M. van Lith; Frans J. Walther; Dick Oepkes

doi:10.3791/3208

Journal

/

Medicine

/

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

JoVE Journal
Medicine

A subscription to JoVE is required to view this content. Sign in or start your free trial.

JoVE Journal Medicine

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

26,730 Views

•

09:52 min

•

September 05, 2011

DOI:

10.3791/3208-v

DOI:

10.3791/3208-v

•

09:52 min

September 05, 2011

•

7 Views

Enrico Lopriore¹, Femke Slaghekke², Johanna M. Middeldorp², Frans J. Klumper², Jan M. van Lith³, Frans J. Walther¹, Dick Oepkes²

¹Division of Neonatology, Department of Pediatrics,Leiden University Medical Center, ²Division of Fetal Therapy, Department of Obstetrics,Leiden University Medical Center, ³Department of Obstetrics,Leiden University Medical Center

Summary

Twin-to-twin transfusion syndrome and twin anemia polycythemia sequence are two potentially devastating problems in perinatal medicine. Both disorders occur only in monochorionic twins and result from unbalanced blood flow through placental vascular anastomoses. We provide a simple protocol to accurately evaluate the presence of vascular anastomoses using colored dye injection of placental vessels after birth.