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Laser Ablation for Twin-Twin Transfusion Syndrome Outcomes

Twin-Twin Transfusion Syndrome – Experience Matters

The Fetal Center at Children’s Memorial Hermann Hospital utilizes the experience and expertise of the internationally recognized team of affiliated fetal surgeons to provide the highest level of care possible to patients. The team has collectively performed close to 900 laser ablations to treat Twin-Twin Transfusion Syndrome (TTTS).

Below is an overview of The Fetal Center’s clinical outcomes data for the treatment of TTTS. We strive to provide our patients and community with the most up-to-date information on our patient outcomes. Our hope is that the below data serves as a helpful resource to you when making informed decisions regarding your care. We encourage you to reach out to other healthcare centers to request and review their outcomes data in order to utilize the information available when choosing your healthcare options.

For more information about our data, contact Courtney Rupp, Practice Manager at The Fetal Center, at (832) 325-7288.

Download our outcomes data »

Overall Summary

Since 2011, The Fetal Center has performed 315 cases of laser photocoagulation for the treatment of TTTS at Children’s Memorial Hermann Hospital. The data below reflects surgical volume from September 2011 –June 2016 and represents 264 patients with known outcomes at 30 days post-delivery. Overall, survival of both babies is seen in 74 percent of cases, with survival of one twin in 14 percent of cases.

ttts-outcomes-total-laser

TTTS Survival Outcomes at 30 Days Post Delivery

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ttts-outcomes-twin-survival-30-days-post-delivery

Outcomes by TTTS Stage

 

The tables below reflect surgical volume from September 2011 –June 2016 and represents data from 264 patients with known outcomes at 30 days post-delivery.

ttts-outcomes-30-day-ttts-stage

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Outcomes by Cervical Length

In order to give patients the best chance for a positive outcome relevant to the severity of their condition, The Fetal Center is committed to a highly aggressive approach to the overall survival of all twin pregnancies.  We treat some of the rarest and high risk cases, including mothers with a cervical length of less than 1.5 cm, which increases a mother’s risk of spontaneous preterm birth by almost 50 percent, according to the American Journal of Obstetrics and Gynecology.

Note – Those with a cervical length of less than 1.5cm are at increased risk and should be seen by a physician as soon as possible. Please call The Fetal Center at 832.325.7288.

The below data reflects surgical volume from September 2011 –June 2016.  The data represents 264 patients with known outcomes at 30 days post-delivery, specifically highlighting outcomes based on mothers’ cervical length.  As noted below, a cervical length of ≥ 1.5 cm was found in 97% of all cases at The Fetal Center.

ttts-outcomes-30-day-Cervical-Length

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The data represents patient volume from September 2011 through June 2016.
Published July 2016.

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If you have any questions, use the online tool below to help us connect with you. To refer a patient or schedule an appointment, please contact our clinic using the information below.

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6410 Fannin, Suite 210
Houston, Texas 77030
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