PICTORIAL ESSAY
Early Interstitial Laser for Twin Reversed Arterial Perfusion (TRAP) Sequence
Chanchal Singh1 ● Meenakshi Bannerjee1 ● Manju Gupta2
Dr Chanchal Singh is a MD (ObGyn), MRCOG, FICOG, Senior Consultant, Fetal Medicine at Birthright, Rainbow Hospitals, Malviya Nagar, New Delhi, India. Dr Meenakshi Bannerjee is a MBBS, MS (ObGyn), Senior Consultant, Obstetrics and Gynaecology at Birthright, Rainbow Hospitals, Malviya Nagar, New Delhi, India. Dr Manju Gupta is a MBBS, MS (ObGyn), Consultant, Obstetrics and Gynaecology at Jaypee Hospital, Noida, Uttar Pradesh, India.
Chanchal Singh [chanchalsngh@gmail.com]
1 Birthright, By Rainbow Hospitals, Malviya Nagar, New Delhi, India
2 Jaypee Hospital, Noida, Uttar Pradesh, India
About the Author
Dr Chanchal Singh has done MBBS from Lady Hardinge Medical College and MD (Obs&Gyn) from Maulana Azad Medical College, New Delhi. She obtained her MRCOG in 2010 and did a clinical fellowship in Maternal-Fetal Medicine from National University Hospital, Singapore. She obtained FICOG in 2019. She is a Fetal Medicine Foundation (UK) certified sonographer currently working as senior consultant in Fetal Medicine at Birthright, Rainbow Hospitals, New Delhi. She has publications in peer reviewed journals and has contributed several chapters in books. She hopes to excel in her chosen field and wishes to bring it in as part of the regular curriculum in postgraduate training. She is actively involved in FOGSI certified ultrasound training programmes and conducts regular CTG and Doppler workshops.
A 26-year-old primigravida with a spontaneously conceived
monochorionic diamniotic twin pregnancy was diagnosed with an acardiac
twin at 12 weeks (Fig. 1). She underwent interstitial laser under local
anesthesia at 13 weeks (Fig. 2).
The pump twin remained healthy
on subsequent scans (Fig. 3). She went in spontaneous labor at 39 weeks
and delivered a healthy baby boy weighing 3100 g with Apgar 9/10.
Compliance with ethical standards
Conflict of interest The authors declare that they have no conflict of interest.
Informed Consent Informed consent was taken from the patient prior to performing the procedure. Consent has been obtained from her for reporting this case and care has been taken not to divulge any identifying information.