{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T04:16:56Z","timestamp":1749269816626,"version":"3.40.5"},"reference-count":26,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2020]]},"abstract":"<b><i>Objectives:<\/i><\/b> To assess the hemodynamic influence of twin-twin transfusion syndrome (TTTS) on diastolic function, using left ventricle (LV) and right ventricle (RV) E\/e\u2019 measured in the same cardiac cycle using the dual-gate Doppler (DD) method. <b><i>Methods:<\/i><\/b> This study included 56 monochorionic twin pregnancies that underwent fetoscopic laser surgery (FLS) for TTTS in 2015\u20132018. E\/e\u2019 by the DD method was measured 24 h before and 4\u20137 days after FLS. <b><i>Results:<\/i><\/b> Recipients showed higher LV-E\/e\u2019 Z score in stage I-, II-, and III-recipients (IIIr) and higher RV-E\/e\u2019 Z score in stage III-donors and IIIr than donors (<i>p<\/i> &#x3c; 0.05). After FLS, LV-E\/e\u2019 Z score of recipients significantly decreased due to LV-E velocity Z score decrease (<i>p<\/i> &#x3c; 0.05). RV-E\/e\u2019 Z score after FLS significantly decreased due to RV-e\u2019 velocity Z score increase in recipients (<i>p<\/i> &#x3c; 0.05). <b><i>Conclusions:<\/i><\/b> E\/e\u2019 by the DD method helped assess cardiac changes of recipients. LV-E\/e\u2019 could assess early hemodynamic changes by TTTS, and RV-E\/e\u2019 can assess later influence on cardiac diastolic function. Furthermore, in recipient twins, the decrease in LV-E\/e\u2019 after FLS might reflect the improvement of volume overload and the decrease in RV-E\/e\u2019 might reflect the improvement of diastolic relaxation function in the RV.<\/jats:p>","DOI":"10.1159\/000501773","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T21:00:33Z","timestamp":1569963633000},"page":"261-267","source":"Crossref","is-referenced-by-count":6,"title":["Asymmetrical Hemodynamic Influence of Twin-Twin Transfusion Syndrome on Fetal E\/e\u2019 by the Dual Gate Doppler Method in Recipient Twins"],"prefix":"10.1159","volume":"47","author":[{"given":"Mayumi","family":"Takano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Nakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3007-5295","authenticated-orcid":false,"given":"Sumito","family":"Nagasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mineto","family":"Morita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,10,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.09.015"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.16008"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.03.042"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4393"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13442"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13351"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.15.1788"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.661983"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jep007"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/uog.18821"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1553405"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/uog.17480"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2011.04.010"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.12.003"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2004.057497"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.01.051"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200292"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.05.034"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.02.051"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s100240010124"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1203\/01.PDR.0000180558.03164.E8"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6227"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12871"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2004.07.003"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00220-8"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00642.x"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/501773","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/501773","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:45:13Z","timestamp":1745423113000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000501773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,1]]},"references-count":26,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4,7]]},"published-print":{"date-parts":[[2020,4,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000501773","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"type":"print","value":"1015-3837"},{"type":"electronic","value":"1421-9964"}],"subject":[],"published":{"date-parts":[[2019,10,1]]}}}