The Importance of Venous Doppler Velocimetry for Evaluation of Intrauterine Growth Restriction

被引:18
作者
Kaponis, Apostolos [1 ,2 ]
Harada, Takashi [1 ]
Makrydimas, George [3 ]
Kiyama, Tomoiki [1 ]
Arata, Kazuya [1 ]
Adonakis, George [2 ]
Tsapanos, Vasilis [2 ]
Iwabe, Tomio [1 ]
Stefos, Theodoros [3 ]
Decavalas, George [2 ]
Harada, Tasuku [1 ]
机构
[1] Tottori Univ, Fac Med, Dept Obstet & Gynecol, Yonago, Tottori 6838504, Japan
[2] Patra Univ, Sch Med, Dept Obstet & Gynecol, Patras, Greece
[3] Univ Ioannina, Sch Med, Dept Obstet & Gynecol, GR-45110 Ioannina, Greece
关键词
ductus venosus; fetal venous system; intrauterine growth restriction; perinatal outcome; venous Doppler velocimetry; VELOCITY WAVE-FORMS; INFERIOR VENA-CAVA; VEIN BLOOD-FLOW; DUCTUS VENOSUS DOPPLER; LEFT PORTAL-VEIN; END-DIASTOLIC FLOW; UMBILICAL VEIN; GESTATIONAL-AGE; HIGH-RISK; CARDIAC-OUTPUT;
D O I
10.7863/jum.2011.30.4.529
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
The management of growth-restricted fetuses requires accurate diagnosis to optimize the timing of delivery. Doppler velocimetry is the only noninvasive method for assessing the fetoplacental hemodynamic status. This review will give a critical overview of the current knowledge on fetal venous blood flow in pregnancies complicated by intrauterine growth-restricted fetuses. Adaptation of the circulation in intrauterine growth-restricted fetuses is described. Normal and abnormal venous Doppler waveforms are presented. Correlations of abnormal waveforms with the presence of acidemia and perinatal outcomes are emphasized. Limitations of venous Doppler velocimetry for optimizing the time for delivery and the perinatal outcome are also presented.
引用
收藏
页码:529 / 545
页数:17
相关论文
共 127 条
[1]   DOPPLER FLOW VELOCIMETRY OF THE SPLENIC ARTERY IN THE HUMAN FETUS - IS IT A MARKER OF CHRONIC HYPOXIA [J].
ABUHAMAD, AZ ;
MARI, G ;
BOGDAN, D ;
EVANS, AT .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (03) :820-825
[2]   EVIDENCE OF REDISTRIBUTION OF CARDIAC-OUTPUT IN ASYMMETRICAL GROWTH-RETARDATION [J].
ALGHAZALI, W ;
CHITA, SK ;
CHAPMAN, MG ;
ALLAN, LD .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1989, 96 (06) :697-704
[3]   Ductus venosus Doppler and postnatal outcomes in fetuses with absent or reversed end-diastolic flow in the umbilical arteries [J].
Alves, Samia K. A. ;
Francisco, Rossana P. V. ;
Miyadahira, Seizo ;
Krebs, Vera L. J. ;
Vaz, FlAvio A. C. ;
Zugaib, Marcelo .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2008, 141 (02) :100-103
[4]  
ARDUINI D, 1992, OBSTET GYNECOL, V79, P605
[5]   PREDICTION OF FETAL-OUTCOME IN SMALL-FOR-GESTATIONAL-AGE FETUSES - COMPARISON OF DOPPLER MEASUREMENTS OBTAINED FROM DIFFERENT FETAL VESSELS [J].
ARDUINI, D ;
RIZZO, G .
JOURNAL OF PERINATAL MEDICINE, 1992, 20 (01) :29-38
[6]   THE DEVELOPMENT OF ABNORMAL HEART-RATE PATTERNS AFTER ABSENT END-DIASTOLIC VELOCITY IN UMBILICAL ARTERY - ANALYSIS OF RISK-FACTORS [J].
ARDUINI, D ;
RIZZO, G ;
ROMANINI, C .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 168 (01) :43-50
[7]  
Areias JC, 1998, J PERINAT MED, V26, P157
[8]   Neonatal nucleated red blood cell counts in growth-restricted fetuses: Relationship to arterial and venous Doppler studies [J].
Baschat, AA ;
Gembruch, U ;
Reiss, I ;
Gortner, L ;
Harman, CR ;
Weiner, CP .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 181 (01) :190-195
[9]  
Baschat AA, 1998, J PERINAT MED, V26, P143
[10]   Demonstration of fetal coronary blood flow by Doppler ultrasound in relation to arterial and venous flow velocity waveforms and perinatal outcome - The 'heart-sparing effect' [J].
Baschat, AA ;
Gembruch, U ;
Reiss, I ;
Gortner, L ;
Diedrich, K .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1997, 9 (03) :162-172