Aortic Isthmus Doppler For Fetal Assessment

Doppler assessment of fetal arteries provides information on regional blood flow and perfusion of individual organs, as well as giving insights into the fetal circulatory state in health and disease. Despite its important role in the fetal circulation, unlike ductus arteriosus; the aortic isthmus i...

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Main Authors: Alev Esercan, Ruhat Karakuş, Ayşe Seval Özgü Erdinç
Format: Article
Language:English
Published: Medical Network 2013-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:https://gorm.com.tr/index.php/GORM/article/view/220
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author Alev Esercan
Ruhat Karakuş
Ayşe Seval Özgü Erdinç
author_facet Alev Esercan
Ruhat Karakuş
Ayşe Seval Özgü Erdinç
author_sort Alev Esercan
collection DOAJ
description Doppler assessment of fetal arteries provides information on regional blood flow and perfusion of individual organs, as well as giving insights into the fetal circulatory state in health and disease. Despite its important role in the fetal circulation, unlike ductus arteriosus; the aortic isthmus is not essential for intrauterine fetal survival. As gestation progresses, forward flow through the isthmus progressively decrease. Isthmic flow index (IFI), which reflects both the amount and direction of blood through this vascular segment, has 5 types. Positive and negative signs are assigned to antegrade and retrograde velocity values, respectively. Doppler flow recording in the aortic isthmus is a reliable indicator of fetal individual ventricular performance. In IUGR; an inverse association was found between IFI and postnatal neurodevelopmental outcome. Recent work on AoI Doppler and postnatal neurodevelopmental outcome indicates that predominant reversed diastolic blood flow. Further prospective studies correlating AoI indices and other arterial and venous Doppler indices with perinatal outcome are required prior to incorporating this index into clinical practice so as to avoid unnecessary preterm deliveries.
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institution Kabale University
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publishDate 2013-12-01
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-4dea2d41e6ac4718b4e43f76961e63fa2025-02-11T21:22:10ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182013-12-01193158Aortic Isthmus Doppler For Fetal AssessmentAlev Esercan0Ruhat Karakuş1Ayşe Seval Özgü Erdinç2Zekai Tahir Burak Women Health Care Education and Research Hospital, AnkaraAhi Evran University Education and Research Hospital, KırşehirZekai Tahir Burak Women Health Care Education and Research Hospital, Ankara Doppler assessment of fetal arteries provides information on regional blood flow and perfusion of individual organs, as well as giving insights into the fetal circulatory state in health and disease. Despite its important role in the fetal circulation, unlike ductus arteriosus; the aortic isthmus is not essential for intrauterine fetal survival. As gestation progresses, forward flow through the isthmus progressively decrease. Isthmic flow index (IFI), which reflects both the amount and direction of blood through this vascular segment, has 5 types. Positive and negative signs are assigned to antegrade and retrograde velocity values, respectively. Doppler flow recording in the aortic isthmus is a reliable indicator of fetal individual ventricular performance. In IUGR; an inverse association was found between IFI and postnatal neurodevelopmental outcome. Recent work on AoI Doppler and postnatal neurodevelopmental outcome indicates that predominant reversed diastolic blood flow. Further prospective studies correlating AoI indices and other arterial and venous Doppler indices with perinatal outcome are required prior to incorporating this index into clinical practice so as to avoid unnecessary preterm deliveries. https://gorm.com.tr/index.php/GORM/article/view/220Aortic isthmusDopplerIntrauterine growth restrictionUltrasonographyPerinatal outcome
spellingShingle Alev Esercan
Ruhat Karakuş
Ayşe Seval Özgü Erdinç
Aortic Isthmus Doppler For Fetal Assessment
Gynecology Obstetrics & Reproductive Medicine
Aortic isthmus
Doppler
Intrauterine growth restriction
Ultrasonography
Perinatal outcome
title Aortic Isthmus Doppler For Fetal Assessment
title_full Aortic Isthmus Doppler For Fetal Assessment
title_fullStr Aortic Isthmus Doppler For Fetal Assessment
title_full_unstemmed Aortic Isthmus Doppler For Fetal Assessment
title_short Aortic Isthmus Doppler For Fetal Assessment
title_sort aortic isthmus doppler for fetal assessment
topic Aortic isthmus
Doppler
Intrauterine growth restriction
Ultrasonography
Perinatal outcome
url https://gorm.com.tr/index.php/GORM/article/view/220
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AT ruhatkarakus aorticisthmusdopplerforfetalassessment
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