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J. J. Stirnemann, B. Nasr, M. Essaoui, L. Bussieres and Y. Ville A nomogram for perioperative prognostic risk-assessment in twin–twin transfusion syndrome Prenatal Diagnosis 33

Article first published online: 21 NOV 2012 | DOI: 10.1002/pd.4015

What's already known about this topic?

  • Perioperative prognosis of TTTS is ill-defined.
  • Prognostic factors include doppler anomalies, IUGR, short cervix, gestational age and surgical intraoperative factors.

What does this study add?

  • Significant and independent perioperative prognostic factors comprise obstetric, intrafetal and surgical factors.
  • A reasonable set of predictors allows for risk stratification either before or just after laser surgery for the perinatal survival of one or two twins.
  • These factors are different depending on the type of outcome that is analyzed.
  • However the performance of such a prognostic model remains limited.

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