Doppler in obstetrics: beyond the umbilical artery.

作者: KARIM D. KALACHE , ANNA MARIA DÜCKELMANN

DOI: 10.1097/GRF.0B013E3182488156

关键词: Umbilical arteryIntrauterine growth restrictionPreeclampsiaDuctus venosusObstetricsUterine arteryMedicineMiddle cerebral arteryPregnancyFetus

摘要: Doppler analysis of the umbilical and uterine arteries has long been performed in perinatal medicine to assess fetal health maternal risk for preeclampsia. Several other vessels can be interrogated obtain additional, vital information. Velocimetry middle cerebral artery yield evidence presence or absence anemia and, cases delayed growth, hypoxic damage. Ductus venosus waveforms are a very good indicator impeding jeopardy should used when become abnormal. Early pregnancy reflects status placental vasculature as such, is an excellent tool predicting preeclampsia intrauterine growth restriction.

参考文章(26)
Francesc Figueras, Elisenda Eixarch, Eva Meler, Ainara Iraola, Josep Figueras, Bienvenido Puerto, Eduard Gratacos, Small-for-gestational-age fetuses with normal umbilical artery Doppler have suboptimal perinatal and neurodevelopmental outcome. European Journal of Obstetrics & Gynecology and Reproductive Biology. ,vol. 136, pp. 34- 38 ,(2008) , 10.1016/J.EJOGRB.2007.02.016
R. Hershkovitz, J.C.P. Kingdom, M. Geary, C.H. Rodeck, Fetal cerebral blood flow redistribution in late gestation: identification of compromise in small fetuses with normal umbilical artery Doppler Ultrasound in Obstetrics and Gynecology. ,vol. 15, pp. 209- 212 ,(2000) , 10.1046/J.1469-0705.2000.00079.X
E. Eixarch, E. Meler, A. Iraola, M. Illa, F. Crispi, E. Hernandez-Andrade, E. Gratacos, F. Figueras, Neurodevelopmental outcome in 2-year-old infants who were small-for-gestational age term fetuses with cerebral blood flow redistribution. Ultrasound in Obstetrics & Gynecology. ,vol. 32, pp. 894- 899 ,(2008) , 10.1002/UOG.6249
K. Hecher, C. M. Bilardo, R. H. Stigter, Y. Ville, B. J. Hackelöer, H. J. Kok, M. V. Senat, G. H. A. Visser, Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound in Obstetrics & Gynecology. ,vol. 18, pp. 564- 570 ,(2001) , 10.1046/J.0960-7692.2001.00590.X
N Montenegro, T Todros, V.H.M Karsdorp, J.M.G van Vugt, H.P van Geijn, P.J Kostense, D Arduim, Clinical significance of absent or reversed end diastolic velocity waveforms in umbilical artery The Lancet. ,vol. 344, pp. 1664- 1668 ,(1994) , 10.1016/S0140-6736(94)90457-X
M.V Senat, S Loizeau, S Couderc, J.P Bernard, Y Ville, The value of middle cerebral artery peak systolic velocity in the diagnosis of fetal anemia after intrauterine death of one monochorionic twin. American Journal of Obstetrics and Gynecology. ,vol. 189, pp. 1320- 1324 ,(2003) , 10.1067/S0002-9378(03)00644-6
M. Sueters, B. Arabin, D. Oepkes, Doppler sonography for predicting fetal anemia caused by massive fetomaternal hemorrhage. Ultrasound in Obstetrics & Gynecology. ,vol. 22, pp. 186- 189 ,(2003) , 10.1002/UOG.190
A. A. Baschat, U. Gembruch, C. R. Harman, The sequence of changes in Doppler and biophysical parameters as severe fetal growth restriction worsens Ultrasound in Obstetrics & Gynecology. ,vol. 18, pp. 571- 577 ,(2001) , 10.1046/J.0960-7692.2001.00591.X
Rossana Pulcineli Vieira Francisco, Seizo Miyadahira, Marcelo Zugaib, Predicting pH at Birth in Absent or Reversed End-Diastolic Velocity in the Umbilical Arteries Obstetrics & Gynecology. ,vol. 107, pp. 1042- 1048 ,(2006) , 10.1097/01.AOG.0000209192.00890.3A