Bài báo khoa học Tập 66 Số Vol 67. English Version No 2 11/06/2026

OUTCOMES OF PRENATAL INTERVENTION FOR MONOCHORIONIC DIAMNIOTIC TWIN PREGNANCIES COMPLICATED BY TWIN REVERSED ARTERIAL PERFUSION (TRAP) SEQUENCE IN HA NOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Phan Thi Huyen Thuong1,2, Do Tuan Dat1,3, Nguyen Thi Kieu Oanh2
1 Ha Noi Obstetrics and Gynecology Hospital
2 University of Medicine and Pharmacy - Vietnam National University
3 Ha Noi Medical University
DOI: 10.52163/yhc.v66i8.4070
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Từ khóa
Twin reversed arterial perfusion (TRAP) sequence, management of TRAP sequence, surgical treatment of TRAP sequence
Tóm tắt

Objective: To evaluate of prenatal management outcomes in monochorionic diamniotic twin pregnancies complicated by twin reversed arterial perfusion (TRAP) sequence in Ha Noi Obstetrics and Gynecology Hospital.

Material and Methods: An interventional study combined with longitudinal follow-up was conducted on 15 patients with acardiac twin in TRAP sequence who underwent selective umbilical cord laser photocoagulation, delivered at Hanoi Obstetrics and Gynecology Hospital, and whose neonates were followed for at least six months postpartum from January 2020 to December 2021.

Results: The mean gestational age at intervention was 19.05 ± 3.36 weeks, and the mean operative time was 40.1 ± 9.0 minutes. The intraoperative complication rate was 0%; there were no complications within 24 hours postoperatively, and 26.67% of cases developed complications within 7 days after surgery.

Conclusion: The average gestational age at intervention was approximately 19 weeks, with an average operative time of 40 minutes. The intraoperative complication rate was low.

Tài liệu tham khảo
[1]
Nguyễn Duy Ánh, et al., Giáo trình Sản phụ khoa: dành cho học viên Sau đại học (Tập 1), Nhà xuất bản Đại học Quốc gia Hà Nội, 2022. Google Scholar
[2]
Van Gemert, Martin JC, van den Wijngaard, Jeroen PHM, and Vandenbussche, Frank PHA, Twin reversed arterial perfusion sequence is more common than generally accepted, Birth Defects Research Part A: Clinical Molecular Teratology. 103(7), pp. 641-643, 2015. Google Scholar
[3]
Lewi, Liesbeth, et al., The outcome of twin reversed arterial perfusion sequence diagnosed in the first trimester, American journal of obstetrics gynecology. 203(3), pp. 213. e1-213. e4, 2010. Google Scholar
[4]
Phan Thị Huyền Thương, Đỗ Tuấn Đạt, Nguyễn Kiều Oanh, Đặc điểm siêu âm của các thai phụ song thai một bánh rau hai buồng ối mắc hội chứng song thai không tim tại Bệnh viện Phụ sản Hà Nội, Tạp chí Phụ sản. Tập 23 (3), 2025, pp. 32 - 36, 2025. Google Scholar
[5]
van Vugt, John MG and Shulman, Lee P, Prenatal medicine, CRC Press, 2016. Google Scholar
[6]
Vitucci, Annachiara, et al., Twin reversed arterial perfusion sequence: current treatment options, International journal of women's health, pp. 435-443, 2020. Google Scholar
[7]
Berg, C, et al., Early vs late intervention in twin reversed arterial perfusion sequence, Ultrasound in Obstetrics Gynecology. 43(1), pp. 60-64, 2014. Google Scholar
[8]
Hospital., C.S. Mott Children's, Twin Reversed Arterial Perfusion Sequence, University of Michigan Health System, 2016. Google Scholar
[9]
Steffensen, Thora S, et al., Placental pathology in trap sequence: clinical and pathogenetic implications, Fetal pediatric pathology. 27(1), pp. 13-29, 2008. Google Scholar