A novel fetoscopic sign of poor prognosis for the growth restricted twin.

What is it about?

To describe a fetoscopic finding of ominous prognosis during laser ablation of placental anastomoses in monochorionic diamniotic (MCDA) twin pregnancies complicated with Severe Selective Fetal Growth Restriction (sFGR) type II: a changing color in a placental arteriovenous (AV) anastomosis.

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Why is it important?

MCDA twin pregnancies complicated with a severe sFGR type II with no superimposed TTTS and which showed during fetoscopic surgery a fluctuant change of color at the level of an AV anastomosis had a high mortality rate of the small twin.