'Starry Starry Night' - Twin Anemia Polycythemia Sequence (TAPS) - Part 1

*SPECIAL GUEST* - Dr. Ramesha Papanna – Part 1 of 2

 Join us as we head down another aisle of Twins R’ Us but this time with a very special guest who is joining us for this two-part series on Twin Anemia Polycythemia Sequence (TAPS)!

This week Dr. Papanna walks us through the following topics on TAPS: 

• Defining TAPS
• Pathophysiology of TAPS
• Difference between spontaneous TAPS and TAPS after a laser for TTTS
• How TAPS is detected
• • Rate of occurrence of TAPS in monochorionic twin pregnancies
• The original definition and staging of TAPS from the Leiden group in 2007
• • Fetal vs. neonatal criteria
  • • MCA Doppler discordance
  • Staging mirror TTTS staging
• The three stages of population-based disease
• • Screening – deploying a particular test on a large population to pick up on potential disease
  • Diagnosis – confirmatory test
  • Outcome –the effect of the diagnosis on
• Common ultrasound findings in TAPS
• • ‘Starry Liver’
  • Placental thickness
  • Discordant MCAs
• Placental vessel anastomosis types involved in TAPS

Tune in next week for Part 2!