Table 1.
Our criteria for performing fetoscopic laser photocoagulation
Conventional criteria |
Twin–twin transfusion syndrome at 16–26 weeks |
• Monochorionic twin pregnancy |
• Oligohydramnios with an MVP ≤ 2.0 cm in the donor |
• Polyhydramnios with an MVP ≥ 8.0 cm in the recipient |
• Gestational age between 16 + 0 and 25 + 6 weeks of gestation |
Nonconventional criteria |
Triplets |
• Dichorionic triamniotic triplets or monochorionic triamniotic triplets |
• Feto‐fetal transfusion syndrome (MVP ≤ 2.0 cm in the donor and ≥8.0 cm in the recipient) |
• Gestational age between 16 + 0 and 25 + 6 weeks of gestation |
Twin–twin transfusion syndrome after 26 weeks |
• Monochorionic twin pregnancy |
• Oligohydramnios with an MVP ≤ 2.0 cm in the donor |
• Polyhydramnios with an MVP ≥ 10.0 cm in the recipient |
• Gestational age between 26 + 0 and 27 + 6 weeks of gestation |
Selective intrauterine growth restriction with oligohydramnios |
• Monochorionic twin pregnancy |
• Estimated fetal weight ≤ −1.5 SD or intertwin estimated fetal weight discordance ≥25% |
• Absent or reverse end‐diastolic velocity in the umbilical artery in the smaller twin |
• Oligohydramnios with an MVP ≤ 2.0 cm in the smaller twin |
• Gestational age between 16 + 0 and 25 + 6 weeks of gestation |
MVP, maximum vertical pocket; SD, standard deviation.