{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:42:20Z","timestamp":1781800940469,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T00:00:00Z","timestamp":1713657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Antenatal management of monochorionic pregnancies complicated by twin anemia polycythemia sequence (TAPS) remains sub\u2010optimally defined. Our objective was to evaluate the safety and efficacy of fetoscopic selective laser photocoagulation with respect to fetal and neonatal survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A case series is reported with patients referred to the Texas Children's Fetal Center for evaluation and management of suspected spontaneous TAPS without concomitant twin\u2010to\u2010twin syndrome from 2014 to 2023. All evaluations were performed by our team and patients with stage II\u2010IV TAPS were offered expectant management, intrauterine transfusion, or laser therapy. Cases of post\u2010laser TAPS were excluded from this study. Pregnancy and neonatal outcomes were obtained from electronic medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During a 10\u2010year time period, 18 patients presented to our center for the management of TAPS. Thirteen patients had stage II\u2013IV TAPS (13\/18, 72%) and elected to proceed with laser photocoagulation. All procedures were completed, and \u201csolomonization\u201d was performed for 12\/13. Normalization of middle cerebral artery Dopplers in both fetuses was noted after all cases. There was one intrauterine fetal death of the 26 viable fetuses after laser treatment, which was complicated by selective growth restriction. Most patients (12\/13) were delivered by Cesarean section at a mean gestational age of 29\u00a0\u00b1\u00a03\u00a0weeks. Subsequently, there was one ex\u2010donor neonatal death in an infant who had prenatal hydrops. Overall, 30\u2010day postnatal survival was 24\/26 fetuses (92.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the setting of spontaneous TAPS, laser therapy is feasible and appears to be an effective approach with overall favorable perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6576","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T12:53:56Z","timestamp":1713704036000},"page":"965-970","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perinatal outcomes of fetoscopic selective laser photocoagulation for spontaneous twin\u2010anemia polycythemia sequence"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0431-5280","authenticated-orcid":false,"given":"Jessian L.","family":"Munoz","sequence":"first","affiliation":[{"name":"Division of Fetal Therapy and Surgery Department of Obstetrics and Gynecology Baylor College of Medicine and Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1313-1192","authenticated-orcid":false,"given":"Cara","family":"Buskmiller","sequence":"additional","affiliation":[{"name":"Division of Fetal Therapy and Surgery Department of Obstetrics and Gynecology Baylor College of Medicine and Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0265-9859","authenticated-orcid":false,"given":"Magdalena","family":"Sanz Cortes","sequence":"additional","affiliation":[{"name":"Division of Fetal Therapy and Surgery Department of Obstetrics and Gynecology Baylor College of Medicine and Texas Children's Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roopali V.","family":"Donepudi","sequence":"additional","affiliation":[{"name":"Division of 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