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Fetoscopic Laser Photocoagulation for TTTS

Fetal laser intervention is offered to women carrying a multiple gestation complicated by Twin-to-Twin Transfusion Syndrome. For general information on TTTS click here.

The initial referral involves a complete ultrasound assessment of each baby, and a cervical measurement. The Maternal-Fetal Medicine (MFM) specialist will discuss the findings with you that day and confirm the diagnosis. A fetal echocardiogram for each baby is also performed, often on the same day. Both the MFM and the Fetal surgeon will meet with you if laser intervention is a safe option for you and your babies.

Considerations for laser therapy include:

  • Diagnosis of TTTS-Quintero II stage or greater
  • Gestational age 16 to 26 weeks
  • Normal cervical length
  • No other significant anomalies present in either baby
  • Good maternal health
  • Maternal BMI

The procedure is most-often performed using epidural anesthesia and light sedation in the operating room. Both the Maternal-Fetal Medicine doctors and the Fetal surgeons work together mapping the connecting vessels on the placenta before using the laser to seal them. Each mother and each pregnancy is unique therefore the hospital-stay and follow-up monitoring schedule is adjusted accordingly.

For an appointment, please contact the Fetal Diagnostic Center at 734-763-4264.

... your partner in fetal surgery