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    Aortic isthmus Doppler velocimetry: role in assessment of preterm fetal growth restriction.

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    Authors
    Kennelly, M M
    Farah, N
    Turner, M J
    Stuart, B
    Affiliation
    Ultrasound and Fetal Medicine Centre, Coombe Women & Infants University Hospital,, Dublin, Ireland. mkennelly@doctors.org.uk
    Issue Date
    2012-02-01T10:58:25Z
    MeSH
    Aorta/*ultrasonography
    Female
    Fetal Growth Retardation/*ultrasonography
    Humans
    Laser-Doppler Flowmetry/*standards
    Placental Insufficiency/ultrasonography
    Pregnancy
    *Ultrasonography, Prenatal/methods/standards
    
    Metadata
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    Citation
    Prenat Diagn. 2010 May;30(5):395-401.
    Journal
    Prenatal diagnosis
    URI
    http://hdl.handle.net/10147/208038
    DOI
    10.1002/pd.2474
    PubMed ID
    20232481
    Abstract
    Intrauterine fetal growth restriction (IUGR) is an important pregnancy complication associated with significant adverse clinical outcome, stillbirth, perinatal morbidity and cerebral palsy. To date, no uniformly accepted management protocol of Doppler surveillance that reduces mortality and cognitive morbidity has emerged. Aortic isthmus (AoI) evaluation has been proposed as a potential monitoring tool for IUGR fetuses. In this review, the current knowledge of the relationship between AoI Doppler velocimetry and preterm fetal growth restriction is reviewed. Relevant technical aspects and reproducibility data are reviewed as we discuss AoI Doppler and its place within the existing repertoire of Doppler assessments in placental insufficiency. The AoI is a link between the right and left ventricles which perfuse the lower and upper body, respectively. The clinical use of AoI waveforms for monitoring fetal deterioration in IUGR has been limited, but preliminary work suggests that abnormal AoI impedance indices are an intermediate step between placental insufficiency-hypoxemia and cardiac decompensation. Further prospective studies correlating AoI indices with arterial and venous Doppler indices and perinatal outcome are required before encorporating this index into clinical practice.
    Language
    eng
    ISSN
    1097-0223 (Electronic)
    0197-3851 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1002/pd.2474
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

    entitlement

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