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Geburtshilfe Frauenheilkd 2020; 80(03): 264-268
DOI: 10.1055/a-0864-4710
GebFra Magazin
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Georg Thieme Verlag KG Stuttgart · New York

Twin Anemia-Polycythemia Sequence (Zwillings-Anämie-Polyzythämie-Sequenz)

Christian Bamberg
,
Philipp Deindl
,
Kurt Hecher
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Publication Date:
04 March 2020 (online)

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Die Twin Anemia-Polycythemia Sequence (TAPS) ist eine Komplikation bei monochorialen Mehrlingsschwangerschaften. Verursacht wird sie durch wenige, dünne arteriovenöse Anastomosen zwischen den umbilikalen Kreisläufen auf der Plazentaoberfläche. Außerdem sind protektive arterioarterielle Gefäßverbindungen fehlend oder nur sehr dünn. Es handelt sich um eine atypische, chronische Form der interfetalen Transfusion, bei der es zu signifikanten Hämoglobinunterschieden zwischen den beiden Zwillingen kommt. In der Folge treten eine chronische Anämie beim Donor und eine Polyzythämie beim Rezipienten auf.
 

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