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Mehrlingsschwangerschaften und Dopplersonographie

  • K. Vetter
  • Ö. Kilavuz

Zusammenfassung

Mehrlingsschwangerschaften stellen eine Domäne der Dopplersonographie in der Schwangerschaft dar. Dies kommt u.a. dadurch zum Ausdruck, daß zumindest die Schwangerschaft mit diskordantem Wachstum der Kinder eine Indikation zur Dopplersonographie entsprechend den Mutterschaftsrichtlinien darstellt.

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Literatur

  1. Abuhamad AZ, Mari G, Copel JA, Cantwell CJ, Evans AT (1995) Umbilical artery flow velocity waveforms in mono-amniotic twins with cord entanglement. Obstet Gynecol 86:674–677PubMedCrossRefGoogle Scholar
  2. Achiron R, Rabinovitz R, Aboulafia Y, Diamant Y, Glaser J (1992) Intrauterine assessment of high-output cardiac failure with spontaneous remission of hydrops fetalis in twin-twin transfusion syndrome: use of two-dimensional echocardiography, Doppler ultrasound, and color flow mapping. J Clin Ultrasound 20:271–277PubMedCrossRefGoogle Scholar
  3. Aisenbrey GA, Catanzarite VA, Hurley TJ, Spiegel JH, Schrimmer DB, Mendoza A (1995) Monoamniotic and pseudomonoamniotic twins: sonographic diagnosis, detection of cord entanglement, and obstetric management. Obstet Gynecol 86:218–222PubMedCrossRefGoogle Scholar
  4. Arts NFT, Lohmann AHM (1971) The vascular anatomy of monochorionic diamniotic twin placentas and the transfusion syndrome. Europ J Obstet Gynecol 3:83–93Google Scholar
  5. Bajoria R, Wigglesworth J, Fisk NM (1995) Angioarchitecture of monochorionic placentas in relation to the twin-twin transfusion syndrome. Am J Obstet Gynecol 172:856–863PubMedCrossRefGoogle Scholar
  6. Belfort M, Moise K, Kirshon B, Saade G (1993) The use of color flow Doppler ultrasonography to diagnose umbilical cord entanglement in monoamniotic twin gestations. Am J Obstet Gynecol 168:601–604PubMedCrossRefGoogle Scholar
  7. Benson C, Bieber F, Genest D, Doubilet P (1989) Doppler demonstration of reversed umbilical blood flow in an acardiac twin. J Clin Ultrasound 17:291–295PubMedCrossRefGoogle Scholar
  8. Blickstein I (1990) The twin-twin transfusion syndrome. Obstet Gynecol 76:714–722PubMedCrossRefGoogle Scholar
  9. Degani S (1990) Fetal Doppler velocimetry in twins. Am J Obstet Gynecol 163:1100–1101PubMedCrossRefGoogle Scholar
  10. Degani S, Gonen R, Shapiro I, Paltiely Y, Sharf M (1992) Doppler flow velocity waveforms in fetal surveillance of twins: a prospective longitudinal study. J Ultrasound Med 11:537–541PubMedGoogle Scholar
  11. Degani S, Paltiely J, Lewinsky R, Shapiro I, Sharf M (1988) Fetal internal carotid artery flow velocity time waveforms in twin pregnancies. J Perinat Med 16:405–409PubMedCrossRefGoogle Scholar
  12. Devoe L, Ware D (1995) Antenatal assessment of twin gestation. Semin Perinatol 19:413–423PubMedCrossRefGoogle Scholar
  13. Dickinson JE, Newnham JP, Phillips JM (1995) The role of Doppler ultrasound in the prediction of therapeutic success in twin-twin transfusion syndrome. J Matern Fetal Invest 539–43Google Scholar
  14. Divon M, Girz B, Sklar A, Guidetti D, Langer O (1989) Discordant twins — a prospective study of the diagnostic value of real-time ultrasonography combined with umbilical artery velocimetry. Am J Obstet Gynecol 161:757–760PubMedCrossRefGoogle Scholar
  15. Donnenfeld A, van de Woestijne J, Craparo F, Smith C, Ludomirsky A, Weiner S (1991) The normal fetus of an acardiac twin pregnancy: perinatal management based on echocardiographic and sonographic evaluation. Prenat Diagn 11:235–244PubMedCrossRefGoogle Scholar
  16. Donner C, Noel JC, Rypens F, Van Kerkern J, Avni F, Rodesch F (1995) Twin-twin transfusion syndrome — possible roles for Doppler ultrasound and amniocentesis. Prenat Diagn 15:60–63PubMedCrossRefGoogle Scholar
  17. Erskine RLA, Ritchie JWK, Murnaghan GA (1986) Antenatal diagnosis of placental anastomosis in a twin pregnancy using Doppler ultrasound. Br J Obstet Gynecol 93:955–959CrossRefGoogle Scholar
  18. Faber R, Viehweg B, Burkhardt U (1995) Prädiktive Wertigkeit dopplersonographischer Befunde bei Geminischwan-gerschaften. Zentralbl Gynaekol 117:353–357Google Scholar
  19. Farmakides G, Schulman H, Saldana L, Bracero L, Fleischer A, Rochelson B (1985) Surveillance of twin pregnancy with umbilical arterial velocimetry. Am J Obstet Gynecol 153:789–792PubMedGoogle Scholar
  20. Gaziano E, Knox G, Bendel R, Calvin S, Brandt D (1991) Is pulsed Doppler velocimetry useful in the management of multiple-gestation pregnancies? Am J Obstet Gynecol 164:1426–1431PubMedCrossRefGoogle Scholar
  21. Gerson A, Wallace D, Bridgens N, Ashmead G, Weiner S, Bolognese R (1987) Duplex Doppler ultrasound in the evaluation of growth in twin pregnancies. Obstet Gynecol 70:419–423PubMedGoogle Scholar
  22. Giles W, Trudinger B, Cook C, Connelly A (1988) Umbilical artery flow velocity waveforms and twin pregnancy outcome. Obstet Gynecol 72:894–897PubMedGoogle Scholar
  23. Giles W, Trudinger B, Cook C, Connelly A (1990) Doppler umbilical artery studies in the twin-twin transfusion syndrome. Obstet Gynecol 76:1097–1099PubMedGoogle Scholar
  24. Giles W, Trudinger B, Cook C, Connelly A (1990) Umbilical artery waveforms in triplet pregnancy. Obstet Gynecol 75:813–816PubMedGoogle Scholar
  25. Giles W, Trudinger B, Cook C, Connelly A (1993) Placental microvascular changes in twin pregnancies with abnormal umbilical artery waveforms. Obstet Gynecol 81:556–559PubMedGoogle Scholar
  26. Giles WB, Trudinger BJ, Cook CM (1985) Fetal umbilical artery flow velocity-time waveforms in twin pregnancies. Br J Obstet Gynaecol 92:490–497PubMedCrossRefGoogle Scholar
  27. Grab D, Hutter W, Haller T, Sterzik K, Terinde R (1993) Diskordantes Wachstum bei Geminigravidität — Stellenwert der Dopplersonographie. Geburtshilfe Frauenheilkd 53:42–48PubMedCrossRefGoogle Scholar
  28. Hastie S, Danskin F, Neilson J, Whittle M (1989) Prediction of the small for gestational age twin fetus by Doppler umbilical artery waveform analysis. Obstet Gynecol 74:730–733PubMedGoogle Scholar
  29. Hecher K, Jauniaux E, Campbell S, Deane C, Nicolaides K (1994) Artery-to-artery anastomosis in monochorionic twins. Am J Obstet Gynecol 171:570–572PubMedCrossRefGoogle Scholar
  30. Hecher K, Reinhold U, Gbur K, Hackeloer B (1996) Unterbrechung des umbilikalen Blutflusses bei einem akardischen Zwilling durch endoskopische Laserkoagulation. Geburtshilfe Frauenheilkd 56:97–100PubMedCrossRefGoogle Scholar
  31. Hecher K, Ville Y, Nicolaides K (1995) Color Doppler ultrasonography in the identification of communicating vessels in twin-twin transfusion syndrome and acardiac twins. J Ultrasound Med 14:37–40PubMedGoogle Scholar
  32. Ishimatsu J, Nakanami H, Hamada T, Yakushiji M (1993) Color and pulsed Doppler ultrasonography of reversed umbilical blood flow in an acardiac twin. Asia Oceania J Obstet Gynaecol 19:271–275PubMedCrossRefGoogle Scholar
  33. Jakobi P, Weiner Z, Goren T, Thaler I (1994) Systolic notch in umbilical artery flow velocity waveforms associated with a tight true knot of the cord. J Matern Fetal Invest 4:119–121Google Scholar
  34. Jensen O (1992) Doppler velocimetry in twin pregnancy. Eur J Obstet Gynecol Reprod Biol 45:9–12PubMedCrossRefGoogle Scholar
  35. Jensen O (1993) Doppler velocimetry and umbilical cord blood gas assessment of twins. Eur J Obstet Gynecol Reprod Biol 49:155–159PubMedCrossRefGoogle Scholar
  36. Jou H, Ng K, Teng R, Hsieh F (1993) Doppler sonographic detection of reverse twin-twin transfusion after intrauterine death of the donor. J Ultrasound Med 12:307–309PubMedGoogle Scholar
  37. Kirkinen P, Herva R, Rasanen J, Airaksinen J, Ikaheimo M (1989) Documentation of paradoxical umbilical blood supply of an acardiac twin in the antepartum state. J Perinat Med 17:63–65PubMedGoogle Scholar
  38. Kuller JA, Coulson CC, McCoy MC, Altman GC, Thorp JM, Katz VL (1994) Prenatal diagnosis of renal agenesis in a twin gestation. Prenatal Diagn 14:1090–1092CrossRefGoogle Scholar
  39. Kurmanavicius J, Hebisch G, Huch R, Huch A (1992) Umbilical artery blood flow velocity waveforms in twin pregnancies. J Perinat Med 20:307–312PubMedCrossRefGoogle Scholar
  40. Lachapelle M, Leduc L, Cote J, Grignon A, Fouron J (1997) Potential value of fetal echocardiography in the differential diagnosis of twin pregnancy with presence of polyhydramnios-oligohydramnios syndrome. Am J Obstet Gynecol 177:388–394PubMedCrossRefGoogle Scholar
  41. Lander M, Oosterhof H, Aarnoudse J (1993) Death of one twin followed by extremely variable flow velocity waveforms in the surviving fetus. Gynecol Obstet Invest 36:127–128PubMedCrossRefGoogle Scholar
  42. Machin G, Still K, Lalani T (1996) Correlations of placental vascular anatomy and clinical outcomes in 69 monochorionic twin pregnancies. Am J Med Genet 61:229–236PubMedCrossRefGoogle Scholar
  43. Mari G, Kirshon B, Abuhamad A (1993) Fetal renal artery flow velocity waveforms in normal pregnancies and pregnancies complicated by polyhydramnios and oligohydramnios. Obstet Gynecol 81:560–564PubMedGoogle Scholar
  44. Nimrod C, Davies D, Harder J, Dempster C, Dodd G, McDicken N, Nicholson S (1987) Doppler ultrasound prediction of fetal outcome in twin pregnancies. Am J Obstet Gynecol 156:402–406PubMedGoogle Scholar
  45. Ohno Y, Ando H, Tanamura A, Kurauchi O, Mizutani S, Tomoda Y (1994) The value of Doppler ultrasound in the diagnosis and management of twin-to-twin transfusion syndrome. Arch Gynecol Obstet 255:37–42PubMedCrossRefGoogle Scholar
  46. Pavlova M, Fouron J, Proulx F, Lessard M (1996) Importance of intrauterine diagnosis of rudimentary autonomic circulation in an acardiac twin. Arch Mal Coeur Vaiss 89:629–632PubMedGoogle Scholar
  47. Peek M, McCarthy A, Kyle P, Sepulveda W, Fisk N (1997) Medical amnioreduction with sulindac to reduce cord complications in monoamniotic twins. Am J Obstet Gynecol 176:334–336PubMedCrossRefGoogle Scholar
  48. Pretorius D, Manchester D, Barkin S, Parker S, Nelson T (1988) Doppler ultrasound of twin transfusion syndrome. J Ultrasound Med 7:117–124PubMedGoogle Scholar
  49. Raga F, Ballester M, Osborne N, Bonilla-Musoles F (1995) Role of color flow Doppler ultrasonography in diagnosing velamentous insertion of the umbilical cord and vasa previa. A report of two cases. J Reprod Med 40:804–808PubMedGoogle Scholar
  50. Reisner DP, Mahony BS, Petty CN et al (1993) Stuck twin syndrome: Outcome in thirty-seven consecutive cases. Am J Obstet Gynecol 169:991–995PubMedCrossRefGoogle Scholar
  51. Rizzo G, Arduini D, Romanini C (1994) Cardiac and extracardiac flows in discordant twins. Am J Obstet Gynecol 170:1321–1327PubMedCrossRefGoogle Scholar
  52. Saldana L, Eads M, Schaefer T (1987) Umbilical blood waveforms in fetal surveillance of twins. Am J Obstet Gynecol 157:712–715PubMedGoogle Scholar
  53. Schatz F (1882) Zur Frage über die Quelle des Fruchtwassers und über Embryones papyracei. Arch Gynaekol 19:329CrossRefGoogle Scholar
  54. Schatz F (1900) Die Gefäßverbindungen der Plazentakreisläufe eineiiger Zwillinge, ihre Entwicklung und ihre Folgen. Arch Gynaekol 60:201, 559–584CrossRefGoogle Scholar
  55. Shah Y, Gragg L, Moodley S, Williams G (1992) Doppler velocimetry in concordant and discordant twin gestations. Obstet Gynecol 80:272–276PubMedGoogle Scholar
  56. Shalev E, Zalel Y, Ben-Ami M, Weiner E (1992) First-trimester ultrasonic diagnosis of twin reversed arterial perfusion sequence. Prenat Diagn 12:219–222PubMedCrossRefGoogle Scholar
  57. Vetter K (1993) Considerations on growth discordant twins. J Perinat Med 21:267–272PubMedCrossRefGoogle Scholar
  58. Vogel M (1995) Atlas der morpholgischen Plazentadiagnostik. 2 ed. Springer, BerlinGoogle Scholar
  59. Weiner CP, Ludomirski A (1994) Diagnosis, pathophysiology, and treatment of chronic twin-to-twin transfusion syndrome. Fetal Diagn Ther 9:283–290PubMedCrossRefGoogle Scholar
  60. Yamada A, Kasugai M, Ohno Y, Ishizuka T, Mizutani S, Tomoda Y (1991) Antenatal diagnosis of twin-twin transfusion syndrome by Doppler ultrasound. Obstet Gynecol 78:1058–1061PubMedGoogle Scholar
  61. Zosmer N, Bajoria R, Weiner E, Rigby M, Vaughan J, Fisk N (1994) Clinical and echographic features of in utero cardiac dysfunction in the recipient twin in twin-twin transfusion syndrome. Br Heart J 72:74–79PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • K. Vetter
  • Ö. Kilavuz

There are no affiliations available

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