{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T09:39:23Z","timestamp":1762076363422,"version":"build-2065373602"},"reference-count":29,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: This paper\u2019s intent is to describe the neonatal hemodynamic characteristics of recipient twins of monochorionic pregnancies complicated with twin-to-twin transfusion syndrome (TTTS), born without prenatal fetoscopic selective laser coagulation (FSLC). Methods: Retrospective analysis of hemodynamic characteristics was performed during the first five days of life of recipient twins from untreated TTTS. Results: Forty-two recipient twins were included and divided into three groups: no hemodynamic impairment (NoHI) (n = 15, 36%), isolated high blood pressure (HighBP) (n = 12, 28%), and cardiac failure group (CF) (n = 15, 36%). Patients of both CF and HighBP groups had high systolic blood pressure during the first 12 h of life and ventricular hypertrophy at early echocardiography. Cardiac failure occurred at a median age of 14 h (IQR = 6\u201324) and was followed by a drop in systolic and diastolic blood pressure. Acute kidney injury was more frequent (93% vs. 25%, p &lt; 0.001) and severe (p &lt;0.001) in the CF group than in the HighBP group. The mortality rate in the CF group was 40%. Factors associated with CF were twin anemia-polycythemia sequence (p = 0.012), very preterm birth (p = 0.040), and polycythemia (p = 0.002). Conclusion: One-third of recipient twins born without prenatal FSLC developed life-threatening cardiac failure during the first 24 h of life.<\/jats:p>","DOI":"10.3390\/children9111766","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T03:24:34Z","timestamp":1668655474000},"page":"1766","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neonatal Hemodynamic Characteristics of the Recipient Twin of Twin-To-Twin Transfusion Syndrome Not Treated with Fetoscopic Laser Surgery"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8734-7263","authenticated-orcid":false,"given":"Edouard","family":"Chambon","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taymme","family":"Hachem","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elodie","family":"Salvador","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Rigourd","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Bellanger","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Stirnemann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"},{"name":"UFR de m\u00e9decine, Universit\u00e9 Paris Cit\u00e9, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0668-7945","authenticated-orcid":false,"given":"Elsa","family":"Kermorvant-Duchemin","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"},{"name":"UFR de m\u00e9decine, Universit\u00e9 Paris Cit\u00e9, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Tissieres","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, APHP Bic\u00eatre University Hospital, 94270 Le Kremlin-Bic\u00eatre, France"},{"name":"UFR de m\u00e9decine, Universit\u00e9 de Paris Saclay, 94270 Le Kremlin-Bic\u00eatre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Ville","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Fetal Medicine, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"},{"name":"UFR de m\u00e9decine, Universit\u00e9 Paris Cit\u00e9, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1872-4176","authenticated-orcid":false,"given":"Alexandre","family":"Lapillonne","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, APHP Necker-Enfants Malades University Hospital, 75015 Paris, France"},{"name":"UFR de m\u00e9decine, Universit\u00e9 Paris Cit\u00e9, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1053\/j.semperi.2005.10.001","article-title":"Twin\u2013Twin Transfusion Syndrome: Where Do We Go from Here?","volume":"29","author":"Harkness","year":"2005","journal-title":"Semin. 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