About this trial
The purpose of this study is to evaluate the use of diode laser photocoagulation of the communicating vessels in twin-to- twin transfusion syndrome (TTTS) with respect to maternal, fetal and neonatal outcomes.
Eligibility criteria
Qualifiers
Single placenta (Monochorionic)
Polyhydramnios present in recipient twin (Greater than 8 cm maximum vertical pocket below 20 weeks and greater than a 10 cm pocket for greater than 20 weeks gestational age)
Oligohydramnios present in donor twin (Less than 2 cm maximum vertical pocket)
Prominent bladder in the recipient/ non-filling bladder in the donor
Disqualifiers
Patients unwilling to participate in the study or to be followed up
Presence of major congenital anomalies incompatible with survival
Active pre-term labor Ruptured membranes
Chorioamnionitis
Trial design
Treatments tested in this trial
- Fetoscopic laser ablation
Treatment groups
Locations
2Sponsors and collaborators
Seattle Children's Hospital
Lead sponsor