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1 List of abbreviations AA AV ASD BSID CHD CP DC Hb IUFD IVH LUMC MC MCA-PSV MDI NDI NND PDI PVL RA RVOTO TAPS TOPS TTTS VSD VV Arterio-arterial Arterio-venous Atrial septal defect Bayley Scales of Infant Development Congenital heart disease Cerebral palsy Dichorionic Hemoglobin Intrauterine fetal demise Intraventricular hemorrhage Leiden University Medical Center Monochorionic Middle cerebral artery peak systolic velocity Mental development index Neurodevelopmental impairment Neonatal death Psychomotor developmental index Periventricular leucomalacia Residual anastomoses Right ventricular outflow tract obstruction Twin anemia-polycythemia sequence Twin oligo-polyhydramnios sequence Twin-to-twin transfusion syndrome Ventricular septal defect Veno-venous 205

2 Twin-to-twin transfusion syndrome: from placental anastomoses to long-term outcome Authors and affiliations From the Division of Neonatology, Department of Obstetrics, Leiden University Medical Center, Leiden: Enrico Lopriore, Gerda van Wezel-Meijler, Frans Walther From the Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical Center, Leiden: Marieke Sueters, Annemieke Middeldorp, Frans Klumper, Dick Oepkes, Frank Vandenbussche, Humphrey Kanhai From the Department of Pediatric Cardiology, Leiden University Medical Center, Leiden: Regina Bökenkamp, Marry Rijlaarsdam From the Laser Center and Department of Obstetrics, Academic Medical Center, University of Amsterdam, Amsterdam: Jeroen van den Wijngaard, Martin van Gemert From the Department of Obstetrics and Gynecology, Bronovo Hospital, The Hague: Helene Nagel 206

3 Curriculum Vitae Enrico Lopriore Geboren op 20 juli 1968 te Rome, Ospedale Gemelli, samen met tweelingbroer Marco (dichoriaal) Lycée Français Vincent van Gogh, Den Haag Studie Biologie (propedeuse diploma), Rijksuniversiteit, Leiden Studie Geneeskunde en co-schappen, Rijksuniversiteit, Leiden 1991 Wetenschappelijk onderzoek in Honolulu, Hawaii, VS 1992 Stage Infectie ziekten in ziekenhuis in Sao Paulo, Brazilië 1992 Stage Infectie ziekten in lepra kolonie in Amazonia, Brazilië 1993 Stage Infectie ziekten in Siena, Italië House Officer Interne Geneeskunde en Chirurgie in Londen en Barnstaple, Engeland Opleiding Kindergeneeskunde, Vrije Universiteit, Amsterdam Fellow Neonatologie, Leids Universitair Medisch Centrum Promotie onderzoek (LETTS study), afdelingen Neonatologie en Verloskunde, Leids Universitair Medisch Centrum Vanaf 2004 Staflid Neonatologie, Leids Universitair Medisch Centrum 207

4 Twin-to-twin transfusion syndrome: from placental anastomoses to long-term outcome Publications 1. Lopriore E, van Burk F, Walther FJ, de Beaufort AJ. De Apgar score in de 21ste eeuw. Nederlands Tijdschrift voor Geneeskunde 2006; in press 2. Lopriore E, van Wezel-Meijler G, Middeldorp JM, Sueters M, Vandenbussche FP, Walther FJ. Neurodevelopmental outcome after laser therapy for twin-twin transfusion syndrome. American Journal of Obstetrics and Gynecology 2006; in press [letter] 3. Lopriore E, Sueters M, Vandenbussche FP. Chorionicity and the type of insertion of the intertwin dividing membrane. American Journal of Obstetrics and Gynecology 2006; Epub ahead of print [letter] 4. Middeldorp JM, Sueters M, Lopriore E, Klumper FJ, Oepkes D, Devlieger R, Kanhai HH, Vandenbussche FP. Fetoscopic laser surgery in 100 pregnancies with severe twin-to-twin transfusion syndrome in the Netherlands. Fetal Diagnosis and Therapy 2006; in press 5. Steggerda S, Lopriore E, Sueters M, Bartelings M, Vandenbussche FP, Walther FJ. Twinto-twin transfusion syndrome, vein of Galen malformation and transposition of the great arteries in a pair of monochorionic twins: pure coincidence or related association? Pediatric Developmental Pathology 2006; 9: Lopriore E, van den Wijngaard JP, Middeldorp JM, Oepkes D, Walther FJ, van Gemert MJ, Vandenbussche FP. Assessment of feto-fetal transfusion flow through placental arterio-venous anastomoses in a unique case of twin-to-twin transfusion syndrome. Placenta 2006; Epub ahead of print 7. Lopriore E, Middeldorp JM, Oepkes D, Klumper FJ, Walther FJ, Vandenbussche FP. Residual anastomoses after fetoscopic laser surgery in twin-to-twin transfusion syndrome: frequency, associated risks and outcome. Placenta 2006; Epub ahead of print 8. Lopriore E, Middeldorp JM, Oepkes D, Kankhai HH, Walther FJ, Vandenbussche FP. Twin anemia-polycythemia sequence in monochorionic twins without oligo-polyhydramnios sequence. Placenta 2006; Epub ahead of print 9. Lopriore E, Oepkes D. Foetale nood ten gevolge van insnoering van de navelstreng door een amnionstreng. Nederlands Tijdschrift voor Obstetrie en Gynaecologie 2006; 119: Lopriore E, van Wezel-Meijler G, Middeldorp JM, Sueters M, Vandenbussche FP, Walther FJ. Incidence, origin and character of cerebral injury in twin-to-twin transfusion syndrome. American Journal of Obstetrics and Gynecology 2006; 194:

5 Publications 11. Lopriore E, Sueters M, Middeldorp JM, Klumper FJ, Oepkes D, Vandenbussche FP. Twin pregnancies with two separate placental masses can still be monochorionic and have vascular anastomoses. American Journal of Obstetrics and Gynecology 2006; 194: Stroeken H, Sueters M, Lopriore E, Meerman RH, Vandenbussche FP. A terme perinatale sterfte bij mono- en dichoriale tweeling-zwangerschappen: een retrospectieve studie. Nederlands Tijdschrift voor Obstetrie en Gynaecologie 2005; 118: Lopriore E, Sueters M, Middeldorp JM, Oepkes D, Vandenbussche FP, Walther FJ. Neonatal outcome in twin-to-twin transfusion syndrome treated with fetoscopic laser occlusion of vascular anastomoses. Journal of Pediatrics 2005; 147: Middeldorp JM, Lopriore E, Vandenbussche FP. Foetoscopische lasercoagulatie van placentaire anastomosen als behandeling van het tweelingtransfusie syndroom. Nederlands Tijdschrift voor Kindergeneeskunde 2005; 4: Sueters M, Middeldorp JM, Oepkes D, Lopriore E, Vandenbussche FP. Twin-to-twin transfusion syndrome at 11 weeks of gestation. American Journal of Obstetrics and Gynecology 2005; 193: Lopriore E, Sueters M, Middeldorp JM, Vandenbussche FP, Walther FJ. Hemoglobin differences at birth in monochorionic twins without chronic twin-to-twin transfusion syndrome. Prenatal Diagnosis 2005; 25: Lopriore E, Middeldorp JM, Sueters M, Vandenbussche FP, Walther FJ. Twin-to-twin transfusion syndrome: from placental anastomoses to long-term neurodevelopmental outcome. Current Pediatric Reviews 2005; 3: van Kruijssen AM, Scherjon S, Lopriore E. Polyhydramnion, het eerste teken van het syndroom van Bartter, een case-report. Nederlands Tijdschrift voor Obstetrie en Gynecologie 2004; 117: Middeldorp A, Klumper F, Oepkes D, Lopriore E, Kanhai HH Vandenbussche FP. Eerste resultaten van foetoscopische laserbehandeling bij ernstig tweede trimester tweeling transfusie syndroom in Nederland. Nederlands Tijdschrift voor Geneeskunde 2004; 148: Lopriore E, van Burk F, Walther FJ, de Beaufort AJ. Correct use of the Apgar score for resuscitated and intubated newborn babies: questionnaire study. British Medical Journal 2004; 329: Lopriore E, Nagel HT, Vandenbussche FP, Walther FJ. Long-term outcome in twin-totwin transfusion syndrome. American Journal of Obstetrics and Gynecology 2003; 189:

6 Twin-to-twin transfusion syndrome: from placental anastomoses to long-term outcome 22. Adama van Scheltema PN, Klumper FJ, Vandenbussche FP, Lopriore E, Oepkes D. In utero therapie van foetale obstructieve uropathie; een case report. Nederlands Tijdschrift voor Obstetrie en Gynecologie 2003; 116: Lopriore E, Markhorst DG, Gemke RJ. Nosocomial pneumonia and tracheal colonization in mechanical ventilated children: the role of stress ulcer prophylaxis. Intensive Care Medicine 2002; 28: Lopriore E, Gemke RJ, Verhoeven NM, Jakobs C, Wanders RJ, Roeleveld-Versteeg AB, Poll-The BT. Carnitine-acylcarnitine translocase deficiency: phenotype, residual enzyme activity and outcome. European Journal of Paediatrics 2001; 160: Lopriore E, Markhorst DG, Sleeboom C. A breech-born neonate with congenital dislocation of the knees. Pediatric Clinics Amsterdam 2001; 12: Lopriore E, Markhorst DG. Diffuse Neonatal Hemangiomatosis: new views on diagnostic criteria and prognosis. Acta Paediatrica 1999; 88: Lopriore E, Kneepkens CM, Sleeboom C. Gastric duplication or liver cyst? Pediatric Clinics Amsterdam 1998; 9: Lopriore E, Vandenbussche FP, Tiersma ES, de Beaufort AJ, de Leeuw JP. Twin-to-twin transfusion syndrome: new perspectives. Journal of Pediatrics 1995; 127: Diwan A, Elm J, Palafox N, Hall W, Andre R, Lopriore E. Epidemiology of HIV and HTLV- 1 viruses in Hawaii and the Pacific Islands. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology 1993; 6:

7 Thanks to Stella, Elina, Daddo en Sara nunna Elisabetta e nunno Mario Alle participerende monochoriale tweelingen (en hun ouders) Stafleden en medewerkers neonatologie, verloskunde, medische psychologie 211

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List of abbreviations

List of abbreviations List of abbreviations AA AV BSID CP DV DVP EDF EFW Hb IUGR LUMC MCA-PSV MDI NDI NND PDI PVl RA TAPS TOPS TRAP TTTS UA UV VV arterioarterial arteriovenous Bayley scales of infant