Twin-to-Twin Transfusion Syndrome and Fetoscopic Laser Surgery

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In this video, the specialists at Children’s Hospital Colorado explains what Twin-to-Twin Transfusion Syndrome (TTTS) is, the causes, stages and treatment of this syndrome. If left untreated, TTTS can cause significant problems for both twins, yet with a minimally invasive corrective surgery using advanced laser technology, the blood exchange between twins can be stopped and a healthy pregnancy can continue. Watch more to learn about TTTS and some of the most advanced imaging capabilities in the country.

The disorder of identical twin pregnancies happens when the twins share, or transfuse, blood unequally through the shared blood vessel connections within their placenta. This results in one twin donating more blood to the other, causing problems in both twins. While the exact cause of this disorder is not completely understood, it is known that it develops in the second trimester. There are 4 stages of this disorder, and while it can resolve itself during the first stage, if it progresses and remains untreated, TTTS can be fatal. With a minimally invasive corrective surgery using advanced laser technology, the blood exchange between twins can be stopped and a healthy pregnancy can continue.

The multidisciplinary specialists at the Colorado Fetal Care Center are available to you at a moment’s notice to provide the best possible care to you and your children. To learn about TTTS, some of the most advanced imaging capabilities in the country and our dedicated labor and delivery unit, watch more.

To learn more about the pathophysiology of Twin-to-Twin Transfusion Syndrome (TTTS) and fetoscopic laser surgery, visit our website:

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My husband and I lost our full term identical twins September 20, 1988. Now we understand that “acute” TTTS can happen. In 1988, they didn’t understand why both boys were over 6 1/2 lbs each because more often the babies are so different in weights. A few weeks after Matthew and Zachary were born and died, there was a successful surgery to correct the TTTS for the very first time. I think about that set of twins often. God bless all of those dealing with TTTS. It is heartbreaking doing everything the drs tell you and then lose both babies. The entire experience changed us forever.

auzziernvdl
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My twins had TTTS. They were born in 2010. Baby A was 4.9lbs & Baby B was 1.15lbs. Now 12 yrs later, Baby A is 100lbs & Baby B is 86lbs. A is tall B is short. They look more like sisters than twins. They are best friends😊

btfields
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With my twins, it wasn't diagnosed and when they were born 21 yrs ago at 33 weeks one was white and one was red, I feel lucky they survived and are fit and healthy today.

mariabyrne
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I am pregnant 8 weeks with twins. Knowing all the possible risks which freak me out. May God bless me with healthy babies🙏

celinepolicarpio
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Lost one of my twin girls. My surviving twin is now 20 and at University!!

deplorablegal
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it was beautifully demonstrated, calm and very informative. I love it. Thank you for this one!

cresn
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I’m here watching just bcuz I love twins. Pray for me to have one

sokhnawallofall
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I love TWINS God please 🙏 bless Mee to have them 🙏🏼🙏🏼

kasemekaserah
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Wow look at the leaps and bounds we've made in science

Dablkwidw
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I love twins, l wish in shaa Allah l got them

sarahnabbale
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I am 7 weeks pregnant with identical twins & I pray I get to hold both of them. I just had my first ultrasound 😭🥹

jessa
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I try read this in Dutta and get confused so Ty for made this video

sheintp
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God I appreciate you for this wonderful work you did

peaceaniedeh
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Thank you for the wonderful information

agnesmusowoya
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Very interesting to watch since i am only producing twins kids

mppen
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to let you know... I'm pregnant with twins😊

CLR_CeannaLiv_Ruby
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Hello me Dr of obs and gynae... How greatly u explain this stuff.... Thanks alot

sanagul
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Me and my Brother had ttts when we where born

underwracker
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GOD bless me with twins this year please 🙏🙏

harrietharrietmali
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One of my friends had twins back in 2006 they teenagers now she has 2 girls and 2 boys 4 kids in all I wish I would’ve started early like at 16 or 17 my van driver said he became a father at 17 so now he done

jenniferbarnwell