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Fetal Medicine

Transvaginal ultrasound identifies TRAP syndrome in the first trimester

Published in Women's Health Weekly, December 25th, 2003

Transvaginal ultrasound identifies TRAP syndrome in the first trimester.

According to published research from Germany, "the Twin-Reversed-Arterial-Perfusion-Syndrome (TRAP) is a rare complication of monocygotic multiple pregnancies. It is associated with a high perinatal mortality. One twin (recipient or acardius) is perfused by the other (donor) on the basis of vascular anastomoses."

"Several possible therapies have been suggested. One of them is the endoscopic laser coagulation of the umbilical artery. The success of this method seems to depend on an early diagnosis of TRAP in the first trimester, when no secondary complications are to be...

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