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The gold-standard treatment for TTTS is intrauterine fetoscopic laser photocoagulation (FLP) of placental vascular anastomoses, which halts the abnormal blood exchange and yields better outcomes [5]. Despite this therapy, twins who survive TTTS may experience major disability at birth likely secondary to hemodynamic changes that occur in utero or sequelae of prematurity, as the average gestational age at delivery is approximately 32 weeks [6].
JMIR Pediatr Parent 2024;7:e60039
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