Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction
Objective To evaluate the changes in flow velocity waveforms in the transverse cerebral sinus in growth‐restricted fetuses and to correlate these changes with (1) flow velocity waveforms in the ductus venosus and (2) changes in computerized analysis of the fetal cardiotocogram. Design Fetuses betwee...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2000-07, Vol.16 (1), p.19-24 |
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| creator | Senat, M. V. Schwärzler, P. Alcais, A. Ville, Y. |
| description | Objective
To evaluate the changes in flow velocity waveforms in the transverse cerebral sinus in growth‐restricted fetuses and to correlate these changes with (1) flow velocity waveforms in the ductus venosus and (2) changes in computerized analysis of the fetal cardiotocogram.
Design
Fetuses between 22 and 37 weeks' gestation with an estimated fetal weight below the fifth centile were included in this prospective longitudinal study. Doppler measurements of the umbilical artery, descending aorta, middle cerebral artery, transverse cerebral sinus and ductus venosus were recorded. Fetal heart rate was analyzed by a computer system according to the Dawes–Redman criteria.
Results
We measured a significant correlation between pulsatility index in the cerebral transverse sinus and in the ductus venosus over the study period and at delivery. There was a negative correlation between these indices and short‐ and long‐term variability of the fetal heart rate. There was a parallel increase in pulsatility in the ductus venosus and the transverse cerebral sinus. These changes were inversely correlated with fetal heart rate variability and preceded fetal distress.
Conclusion
Cerebral venous blood flow in IUGR fetuses may be a useful additional investigation to discriminate between fetal adaptation and fetal decompensation in chronic hypoxemia. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology |
| doi_str_mv | 10.1046/j.1469-0705.2000.00159.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72427424</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72427424</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4435-b4886bcb322317ac2faf0454c4d3945280925613d6a71fb0de8ae1f1fcce51e73</originalsourceid><addsrcrecordid>eNqN0Mtu1DAUgGELgehQeAXkBWJFgu9JJDaogoI0Ujd0bTnO8YxHGbvYTi9vj8OM6JaVF_7OOdKPEKakpUSoz4eWCjU0pCOyZYSQlhAqh_bxBdr8-3iJNmRQpOnUwC7Qm5wPFSrB1Wt0QSnpRf3coLKNYefLMvlgZmz3JuwgYx9w2QOeFluWjO8hxLzkT9hCgjFVV5IJ-R5SBpx9qMSECVuTJh9LtHGXzHHd4aBUvEvxoexxglySt8XH8Ba9cmbO8O78XqLb799-Xf1otjfXP6--bhsrBJfNKPpejXbkjHHaGcuccURIYcXEByFZTwYmFeWTMh11I5mgN0AdddaCpNDxS_TxtPcuxd9Lva-PPluYZxMgLll3TLBOMFFhf4I2xZwTOH2X_NGkJ02JXovrg17D6jWsXovrv8X1Yx19f76xjEeYngfPiSv4cAYmWzO7ms76_OwkJ6zjlX05sQc_w9N_39e3N9dSSv4HEsCeNQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72427424</pqid></control><display><type>article</type><title>Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Online Library Free Content</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Senat, M. V. ; Schwärzler, P. ; Alcais, A. ; Ville, Y.</creator><creatorcontrib>Senat, M. V. ; Schwärzler, P. ; Alcais, A. ; Ville, Y.</creatorcontrib><description>Objective
To evaluate the changes in flow velocity waveforms in the transverse cerebral sinus in growth‐restricted fetuses and to correlate these changes with (1) flow velocity waveforms in the ductus venosus and (2) changes in computerized analysis of the fetal cardiotocogram.
Design
Fetuses between 22 and 37 weeks' gestation with an estimated fetal weight below the fifth centile were included in this prospective longitudinal study. Doppler measurements of the umbilical artery, descending aorta, middle cerebral artery, transverse cerebral sinus and ductus venosus were recorded. Fetal heart rate was analyzed by a computer system according to the Dawes–Redman criteria.
Results
We measured a significant correlation between pulsatility index in the cerebral transverse sinus and in the ductus venosus over the study period and at delivery. There was a negative correlation between these indices and short‐ and long‐term variability of the fetal heart rate. There was a parallel increase in pulsatility in the ductus venosus and the transverse cerebral sinus. These changes were inversely correlated with fetal heart rate variability and preceded fetal distress.
Conclusion
Cerebral venous blood flow in IUGR fetuses may be a useful additional investigation to discriminate between fetal adaptation and fetal decompensation in chronic hypoxemia. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1046/j.1469-0705.2000.00159.x</identifier><identifier>PMID: 11084960</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aorta - embryology ; Biological and medical sciences ; Blood Flow Velocity ; Cardiotocography - methods ; Cerebral Arteries - diagnostic imaging ; Cerebral Arteries - embryology ; Cerebral transverse sinus ; Cerebrovascular Circulation ; Ductus venosus ; Echoencephalography ; Female ; Fetal Growth Retardation - diagnosis ; Fetal Growth Retardation - diagnostic imaging ; Growth restriction ; Gynecology. Andrology. Obstetrics ; Humans ; Liver - blood supply ; Management. Prenatal diagnosis ; Medical sciences ; Pregnancy ; Pregnancy. Fetus. Placenta ; Prospective Studies ; Ulrtasound Fetal Doppler ; Ultrasonography, Prenatal ; Umbilical Arteries - diagnostic imaging ; Vena Cava, Inferior - diagnostic imaging ; Vena Cava, Inferior - embryology</subject><ispartof>Ultrasound in obstetrics & gynecology, 2000-07, Vol.16 (1), p.19-24</ispartof><rights>Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-b4886bcb322317ac2faf0454c4d3945280925613d6a71fb0de8ae1f1fcce51e73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1469-0705.2000.00159.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1469-0705.2000.00159.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1530273$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11084960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Senat, M. V.</creatorcontrib><creatorcontrib>Schwärzler, P.</creatorcontrib><creatorcontrib>Alcais, A.</creatorcontrib><creatorcontrib>Ville, Y.</creatorcontrib><title>Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective
To evaluate the changes in flow velocity waveforms in the transverse cerebral sinus in growth‐restricted fetuses and to correlate these changes with (1) flow velocity waveforms in the ductus venosus and (2) changes in computerized analysis of the fetal cardiotocogram.
Design
Fetuses between 22 and 37 weeks' gestation with an estimated fetal weight below the fifth centile were included in this prospective longitudinal study. Doppler measurements of the umbilical artery, descending aorta, middle cerebral artery, transverse cerebral sinus and ductus venosus were recorded. Fetal heart rate was analyzed by a computer system according to the Dawes–Redman criteria.
Results
We measured a significant correlation between pulsatility index in the cerebral transverse sinus and in the ductus venosus over the study period and at delivery. There was a negative correlation between these indices and short‐ and long‐term variability of the fetal heart rate. There was a parallel increase in pulsatility in the ductus venosus and the transverse cerebral sinus. These changes were inversely correlated with fetal heart rate variability and preceded fetal distress.
Conclusion
Cerebral venous blood flow in IUGR fetuses may be a useful additional investigation to discriminate between fetal adaptation and fetal decompensation in chronic hypoxemia. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</description><subject>Aorta - embryology</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Cardiotocography - methods</subject><subject>Cerebral Arteries - diagnostic imaging</subject><subject>Cerebral Arteries - embryology</subject><subject>Cerebral transverse sinus</subject><subject>Cerebrovascular Circulation</subject><subject>Ductus venosus</subject><subject>Echoencephalography</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnosis</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Growth restriction</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Liver - blood supply</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prospective Studies</subject><subject>Ulrtasound Fetal Doppler</subject><subject>Ultrasonography, Prenatal</subject><subject>Umbilical Arteries - diagnostic imaging</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><subject>Vena Cava, Inferior - embryology</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0Mtu1DAUgGELgehQeAXkBWJFgu9JJDaogoI0Ujd0bTnO8YxHGbvYTi9vj8OM6JaVF_7OOdKPEKakpUSoz4eWCjU0pCOyZYSQlhAqh_bxBdr8-3iJNmRQpOnUwC7Qm5wPFSrB1Wt0QSnpRf3coLKNYefLMvlgZmz3JuwgYx9w2QOeFluWjO8hxLzkT9hCgjFVV5IJ-R5SBpx9qMSECVuTJh9LtHGXzHHd4aBUvEvxoexxglySt8XH8Ba9cmbO8O78XqLb799-Xf1otjfXP6--bhsrBJfNKPpejXbkjHHaGcuccURIYcXEByFZTwYmFeWTMh11I5mgN0AdddaCpNDxS_TxtPcuxd9Lva-PPluYZxMgLll3TLBOMFFhf4I2xZwTOH2X_NGkJ02JXovrg17D6jWsXovrv8X1Yx19f76xjEeYngfPiSv4cAYmWzO7ms76_OwkJ6zjlX05sQc_w9N_39e3N9dSSv4HEsCeNQ</recordid><startdate>20000701</startdate><enddate>20000701</enddate><creator>Senat, M. V.</creator><creator>Schwärzler, P.</creator><creator>Alcais, A.</creator><creator>Ville, Y.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000701</creationdate><title>Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction</title><author>Senat, M. V. ; Schwärzler, P. ; Alcais, A. ; Ville, Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4435-b4886bcb322317ac2faf0454c4d3945280925613d6a71fb0de8ae1f1fcce51e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aorta - embryology</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Cardiotocography - methods</topic><topic>Cerebral Arteries - diagnostic imaging</topic><topic>Cerebral Arteries - embryology</topic><topic>Cerebral transverse sinus</topic><topic>Cerebrovascular Circulation</topic><topic>Ductus venosus</topic><topic>Echoencephalography</topic><topic>Female</topic><topic>Fetal Growth Retardation - diagnosis</topic><topic>Fetal Growth Retardation - diagnostic imaging</topic><topic>Growth restriction</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Liver - blood supply</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prospective Studies</topic><topic>Ulrtasound Fetal Doppler</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical Arteries - diagnostic imaging</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><topic>Vena Cava, Inferior - embryology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Senat, M. V.</creatorcontrib><creatorcontrib>Schwärzler, P.</creatorcontrib><creatorcontrib>Alcais, A.</creatorcontrib><creatorcontrib>Ville, Y.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Senat, M. V.</au><au>Schwärzler, P.</au><au>Alcais, A.</au><au>Ville, Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2000-07-01</date><risdate>2000</risdate><volume>16</volume><issue>1</issue><spage>19</spage><epage>24</epage><pages>19-24</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objective
To evaluate the changes in flow velocity waveforms in the transverse cerebral sinus in growth‐restricted fetuses and to correlate these changes with (1) flow velocity waveforms in the ductus venosus and (2) changes in computerized analysis of the fetal cardiotocogram.
Design
Fetuses between 22 and 37 weeks' gestation with an estimated fetal weight below the fifth centile were included in this prospective longitudinal study. Doppler measurements of the umbilical artery, descending aorta, middle cerebral artery, transverse cerebral sinus and ductus venosus were recorded. Fetal heart rate was analyzed by a computer system according to the Dawes–Redman criteria.
Results
We measured a significant correlation between pulsatility index in the cerebral transverse sinus and in the ductus venosus over the study period and at delivery. There was a negative correlation between these indices and short‐ and long‐term variability of the fetal heart rate. There was a parallel increase in pulsatility in the ductus venosus and the transverse cerebral sinus. These changes were inversely correlated with fetal heart rate variability and preceded fetal distress.
Conclusion
Cerebral venous blood flow in IUGR fetuses may be a useful additional investigation to discriminate between fetal adaptation and fetal decompensation in chronic hypoxemia. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11084960</pmid><doi>10.1046/j.1469-0705.2000.00159.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ultrasound in obstetrics & gynecology, 2000-07, Vol.16 (1), p.19-24 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals |
| subjects | Aorta - embryology Biological and medical sciences Blood Flow Velocity Cardiotocography - methods Cerebral Arteries - diagnostic imaging Cerebral Arteries - embryology Cerebral transverse sinus Cerebrovascular Circulation Ductus venosus Echoencephalography Female Fetal Growth Retardation - diagnosis Fetal Growth Retardation - diagnostic imaging Growth restriction Gynecology. Andrology. Obstetrics Humans Liver - blood supply Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy. Fetus. Placenta Prospective Studies Ulrtasound Fetal Doppler Ultrasonography, Prenatal Umbilical Arteries - diagnostic imaging Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - embryology |
| title | Longitudinal changes in the ductus venosus, cerebral transverse sinus and cardiotocogram in fetal growth restriction |
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