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Twin-Twin Transfusion Syndrome (TTTS)

Total evaluations for TTTS

  • 87 - 2021
  • 1175 - Total

Fetal surgical interventions to treat TTTS

  • 57 - 2021
  • 752 - Total

Fetal surgical intervention to treat TTTS in triplet pregnancies

  • 2 - 2021
  • 32 - Total

The following data reflects selective fetoscopic laser photocoagulation (SFLP) cases, including those with selective fetal growth restriction, performed from January 2015 – December 2022.

 Overall TTTS survival

  • 90% survival of at least one twin
  • 67% survival of both twins
 Total Cases
Two Survivors 219 (67.2%)
One Survivor 73 (22.4%)
No Survivors 34 (10.4%)

Survival per Quintero stage

StageTwo SurvivorsOne SurvivorNo Survivors
I 39 (75%) 10 (19.2%) 3 (5.8%)
II 91 (73.4%) 18 (14.5%) 15 (12.1%)
III 126 (60%) 55 (26.2%) 29 (13.8%)
IV 13 (48.1%) 8 (29.6%) 6 (22.2%)

Survival by gestational age at procedure

Gestational age2 survivors1 survivor0 survivors
16-18 weeks 80 (59.7%) 32 (23.9%) 22 (16.4%)
19-21 weeks 111 (67.3%) 31 (18.8%) 23 (13.9%)
22-24 weeks 57 (67.1%) 21 (24.7%) 7 (8.2%)
25-27 weeks 15 (68.2%) 7 (31.8%) 0 (0%)
*This data excludes Triplets, TAPS, etc. Only includes true TTTS mo/di twins with and without sFGR
40 cases excluded: no 30 day outcomes available to us
GA represented in mean ± standard deviation