Diagnosis, surveillance, and treatment of the anemic fetus using middle cerebral artery peak systolic velocity measurement
| العنوان: | Diagnosis, surveillance, and treatment of the anemic fetus using middle cerebral artery peak systolic velocity measurement |
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| المؤلفون: | Achinoam Lev-Sagie, Tal Imbar, N. Yanai, Sarah L. Cohen, Simcha Yagel |
| المصدر: | Prenatal Diagnosis. 26:45-51 |
| بيانات النشر: | Wiley, 2005. |
| سنة النشر: | 2005 |
| مصطلحات موضوعية: | Middle Cerebral Artery, medicine.medical_specialty, genetic structures, Systole, Anemia, Prenatal diagnosis, Sensitivity and Specificity, Ultrasonography, Prenatal, Fetus, Predictive Value of Tests, Pregnancy, medicine.artery, Laser-Doppler Flowmetry, medicine, Humans, Genetics (clinical), business.industry, Obstetrics, Obstetrics and Gynecology, medicine.disease, Surgery, Fetal Diseases, In utero, Pulsatile Flow, Predictive value of tests, embryonic structures, Middle cerebral artery, Gestation, Female, business, Blood Flow Velocity, circulatory and respiratory physiology |
| الوصف: | The in utero course of the anemic fetus has improved dramatically, owing to early diagnosis and cordocentesis transfusion. In utero invasive procedures such as amnio- and cordocentesis have become important modalities in the evaluation and treatment of anemic fetuses. However, they carry risks for both the mother and fetus. A valid and sensitive noninvasive means of following the anemic fetus is the evaluation of changes in the middle cerebral artery peak systolic flow velocity (MCA-PSV). This is a sensitive tool for both the evaluation of fetal anemia and response to treatment. Intracerebral vessels respond earliest to the fetal anemic state, and are readily accessible for ultrasound examination. We describe the methodology and evolving clinical applications of MCA-PSV measurement in the fetus, through an overview of the literature describing the development and application of MCA-PSV measurement in fetuses at risk of fetal anemia of various immune and nonimmune etiologies, illustrated by index cases from our center. MCA-PSV measurement is essential in the diagnosis, evaluation, and management of cases of fetal anemia. The use of this modality lessens the need for invasive procedures. The method is readily accessible and should be integrated into the repertoire of all obstetric ultrasound centers. |
| تدمد: | 1097-0223 0197-3851 |
| DOI: | 10.1002/pd.1346 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::731509c968994411962a7f337f60724d https://doi.org/10.1002/pd.1346 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....731509c968994411962a7f337f60724d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10970223 01973851 |
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| DOI: | 10.1002/pd.1346 |