Dergiler / Journal of the Turkish-German Gynecological Association / 2021 / Cilt: 22 - Sayı: 4

Reference ranges for flow velocities and the indices of the ductus venosus in low-risk pregnancies

Sayfa
300–311
Yayın Tarihi
2022-10-18
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The measurements were made from both the classic patterns of the waveforms and also considered variants of the spectral waveforms, which have recently been reported, for the first time in the medical literature. (J Turk Ger Gynecol Assoc 2021; 22: 300-11)

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Ductus venosus blood flow velocity measurements are mandatory in many clinical indications.
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Temel Bulgular & Veri:Material and Methods: Measurements of flow velocities (S, v, D, a) and indices (pulsatility index for veins, peak velocity index for veins, a/S, S/a) were performed by a single experienced specialist in 1279 singleton, uncomplicated pregnancies between 11 and 40 weeks gestation.
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Sonuç & Katkı:The measurements were made from both the classic patterns of the waveforms and also considered variants of the spectral waveforms, which have recently been reported, for the first time in the medical literature. (J Turk Ger Gynecol Assoc 2021; 22: 300-11)
🔬Tür:Araştırma Makalesi
📍Kapsam:2021 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Ductus venosus blood flow velocity measurements are mandatory in many clinical indications. The evaluation of the flow is performed either by comparing results with general reference tables or by qualitative assessment of the “a” flow, in regard to reversed or absent flow in the spectral waveforms. The aim was to develop normal reference ranges in low-risk pregnancies in our population. Material and Methods: Measurements of flow velocities (S, v, D, a) and indices (pulsatility index for veins, peak velocity index for veins, a/S, S/a) were performed by a single experienced specialist in 1279 singleton, uncomplicated pregnancies between 11 and 40 weeks gestation. The absolute flow velocities (S, v, D, a, VmPeak) and indices were obtained from spectral waveforms using the equipment producer’s inbuilt system. The still images were stored in the picture archiving and communication system. Results: The predicted reference ranges of the ductus venosus blood flow velocities according to the gestational age are shown in tables and graphics. Predicted reference curves based on the 5th and 95th percentiles according to gestational week were plotted and are given in tables and figures. Conclusion: Normal reference ranges for absolute flow velocities and indices were calculated from a population of uncomplicated pregnancies attending a tertiary care center. The measurements were made from both the classic patterns of the waveforms and also considered variants of the spectral waveforms, which have recently been reported, for the first time in the medical literature. (J Turk Ger Gynecol Assoc 2021; 22: 300-11)

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Bu Makaleye Atıf Yap

GÜRSES, C., KARADAĞ, B., KARADAĞ, C., EROL, O. (2022). Reference ranges for flow velocities and the indices of the ductus venosus in low-risk pregnancies. Journal of the Turkish-German Gynecological Association, Cilt: 22 - Sayı: 4, 300–311. https://ajindex.com/articles/567362

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Kaynakça (14)

  1. Mone F, McAuliffe FM, Ong S. The clinical application of Doppler ultrasound in obstetrics. The Obstetrician & Gynaecologist 2015; 17: 13-9
  2. Kalayci H, Yilmaz Baran Ş, Doğan Durdağ G, Yetkinel S, Alemdaroğlu S, Özdoğan S, et al. Reference values of the ductus venosus pulsatility index for pregnant women between 11 and 13+6 weeks of gestation. J Matern Fetal Neonatal Med 2020; 33: 1134-9
  3. Turan OM, Turan S, Sanapo L, Willruth A, Berg C, Gembruch U, et al. Reference ranges for ductus venosus velocity ratios in pregnancies with normal outcomes. J Ultrasound Med 2014; 33: 329-36
  4. Kessler J, Rasmussen S, Hanson M, Kiserud T. Longitudinal reference ranges for ductus venosus flow velocities and waveform indices. Ultrasound Obstet Gynecol 2006; 28: 890-8
  5. Bahlmann F, Wellek S, Reinhardt I, Merz E, Steiner E, Welter C. Reference values of ductus venosus flow velocities and calculated waveform indices. Prenat Diagn 2000; 20: 623-34
  6. DeVore GR, Horenstein J. Ductus venosus index: a method for evaluating right ventricular preload in the second-trimester fetus. Ultrasound Obstet Gynecol 1993; 3: 338-442
  7. Seravalli V, Miller JL, Block-Abraham D, Baschat AA. Ductus venosus Doppler in the assessment of fetal cardiovascular health: an updated practical approach. Acta Obstet Gynecol Scand 2016; 95: 635-44
  8. Picconi JL, Kruger M, Mari G. Ductus venosus S-wave/isovolumetric A-wave (SIA) index and A-wave reversed flow in severely premature growth-restricted fetuses. J Ultrasound Med 2008; 27: 1283-89
  9. Gürses C, Karadağ B, İsenlik BST. Normal variants of ductus venosus spectral Doppler flow patterns in normal pregnancies. J Matern Fetal Neonatal Med 2020; 33: 1288-94
  10. Maiz N, Kagan KO, Milovanovic Z, Nicolaides KH. Learning curve for Doppler assessment of ductus venosus flow at 11 + 0 to 13 + 6 weeks' gestation. Ultrasound Obstet Gynecol 2008; 31: 503-6
  11. Gürses C. How to get ductus venosus flow velocity waveforms between 11 and 14 weeks: Candle Flame and Falling Drop Signs. Med Ultrason 2016; 18: 528-9
  12. Bhide A, Acharya G, Bilardo CM, Brezinka C, Cafici D, HernandezAndrade E, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol 2013; 41: 233-9
  13. Martins WP, Kiserud T. How to record ductus venosus blood velocity in the second half of pregnancy. Ultrasound Obstet Gynecol 2013; 42: 245-6
  14. Kiserud T, Eik-Nes SH, Blaas HG, Hellevik LR. Ultrasonographic velocimetry of the fetal ductus ven