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

2,000 Participants
are divided into 1 treatment group

Locations

2
Seattle Childrens Hospital98015, SeattleWashington, United States
University of Washington98195, SeattleWashington, United States

Sponsors and collaborators

Seattle Children's Hospital

Lead sponsor