Twinning Unicorns – Atypical Presentations of TTTS

This week we’re going to be using the most recent episodes as building blocks to discuss atypical presentations of twin-twin transfusion syndrome or TTTS. Dr, Moise takes us through the following ‘unicorn’ presentations by covering the following:

• Review of the classic Quintero staging system for TTTS
  • Stage I, II, III, IIID, IIIR, IIIDR, IV, V
• Alternative TTTS staging systems that have been proposed
  • Cincinnati
  • CHOP
• Case scenario of an atypical TTTS IIID
• TTTS with sIUGR
  • Review definition of sIUGR
• Cardiac dysfunction in the setting of monochorionic twins
• Which combination of twin complications in monochorionic twins would be candidates for laser surgery
• Monoamniotic twins with TTTS
  • Diagnosing TTTS with a spontaneous septostomy