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Extracardiac Doppler indices predict perinatal mortality in fetuses with Ebstein anomaly and tricuspid valve dysplasia

التفاصيل البيبلوغرافية
العنوان: Extracardiac Doppler indices predict perinatal mortality in fetuses with Ebstein anomaly and tricuspid valve dysplasia
المؤلفون: Wang, Shuo, Freud, Lindsay R., Detterich, Jon, Moon‐grady, Anita J., Donofrio, Mary T., Jaeggi, Edgar T., Szwast, Anita L., Morris, Shaine A., Kavanaugh‐mchugh, Ann, Howley, Lisa W., Velde, Mary E., Cuneo, Bettina F., Phoon, Colin K., Tworetzky, Wayne, Pruetz, Jay D.
بيانات النشر: Wiley Periodicals, Inc.
سنة النشر: 2021
المجموعة: University of Michigan: Deep Blue
مصطلحات موضوعية: Internal Medicine and Specialties, Obstetrics and Gynecology, Radiology, Women’s and Gender Studies, Humanities, Social Sciences, Health Sciences
الوصف: ObjectivesEbstein anomaly and tricuspid valve dysplasia (EA/TVD) carry high perinatal mortality. Past studies have focused on cardiac predictors of mortality; we sought to describe the fetal echo (FE) extracardiac Dopplers in this cohort and determine their association with perinatal mortality.MethodFetuses with EA/TVD at 23 centers from 2005- 2011 were included for retrospective study. Doppler pattern and velocity of the umbilical artery (UA), umbilical vein (UV), ductus venosus (DV), and middle cerebral artery (MCA) were collected. Bivariate and multivariate analyzes were performed. The primary outcome measure was perinatal mortality, defined as fetal demise or neonatal death.ResultsOf 190 cases that met eligibility criteria, alterations were seen in 50% of UA, 16% of UV, 48% of DV, and 8% of MCA Doppler indices on the last FE (median 27.4- weeks). Independent predictors of perinatal mortality included abnormal UA Doppler pattern of absence or reversed end diastolic flow (OR 9.7) and UV velocity z score <1 (OR 2.5), in addition to diagnosis <32- weeks (OR 4.2) and tricuspid valve (TV) annulus z score - ¥6 (OR 5.3).ConclusionAbnormal UA Doppler pattern and decreased UV velocity are independent predictors of perinatal mortality in EA/TVD fetuses and should be used to refine mortality risk and guide perinatal management. ; Peer Reviewed ; http://deepblue.lib.umich.edu/bitstream/2027.42/167050/1/pd5873.pdf ; http://deepblue.lib.umich.edu/bitstream/2027.42/167050/2/pd5873_am.pdf
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
تدمد: 0197-3851
1097-0223
Relation: Wang, Shuo; Freud, Lindsay R.; Detterich, Jon; Moon‐grady, Anita J.; Donofrio, Mary T.; Jaeggi, Edgar T.; Szwast, Anita L.; Morris, Shaine A.; Kavanaugh‐mchugh, Ann; Howley, Lisa W.; Velde, Mary E.; Cuneo, Bettina F.; Phoon, Colin K.; Tworetzky, Wayne; Pruetz, Jay D. (2021). "Extracardiac Doppler indices predict perinatal mortality in fetuses with Ebstein anomaly and tricuspid valve dysplasia." Prenatal Diagnosis 41(3): 332-340.; https://hdl.handle.net/2027.42/167050; Prenatal Diagnosis; Rychik J, Goff D, McKay E, et al. Characterization of the placenta in the newborn with congenital heart disease: distinctions based on type of cardiac malformation. Pediatric Cardiol. 2018; 39: 1165 - 1171.; Fantasia I, Andrade W, Syngelaki A, Akolekar R, Nicolaides KH. Impaired placental perfusion and major fetal cardiac defects. Ultrasound Obstet Gynecol. 2019; 53: 68 - 72.; Barre E, Durand I, Hazelzet T, David N. Ebstein’s anomaly and tricuspid valve dysplasia: prognosis after diagnosis in utero. Pediatr Cardiol. 2012; 33: 1391 - 1396.; Freud LR, Escobar- Diaz MC, Kalish BT, et al. Outcomes and predictors of perinatal mortality in fetuses with Ebstein anomaly or tricuspid valve dysplasia in the current era: a multicenter study. Circulation. 2015; 132 ( 6 ): 481 - 489.; Wieczorek A, Hernandez- Robles J, Ewing L, Leshko J, Luther S, Huhta JC. Prediction of outcome of fetal congenital heart disease using a cardiovascular profile score. Ultrasound Obstet Gynecol. 2008; 31: 284 - 288.; Hofstaetter C, Hansmann M, Eik- Nes SH, Huhta JC, Luther SL. A cardiovascular profile score in the surveillance of fetal hydrops. J Matern Fetal Neonatal Med. 2006; 19 ( 7 ): 407 - 413.; Hecher K, Campbell S, Doyle P, Harrington K, Nicolaides K. Assessment of fetal compromise by Doppler ultrasound investigation of the fetal circulation. Circulation. 1995; 91 ( 1 ): 129 - 123.; Reed KL, Chaffin DG, Anderson CF, Newman AT. Umbilical venous velocity pulsations are related to atrial contraction pressure waveforms in fetal lambs. Obstet Gynecol. 1997; 89 ( 6 ): 953 - 956.; Reuss ML, Rudolph AM, Dae MW. Phase blood flow patterns in the superior and inferior venae cavae and umbilical vein of fetal sheep. Am J Obstet Gynecol. 1983; 145 ( 1 ): 70 - 78.; Bhide A, Acharya G, Bilardo CM, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol. 2013; 41: 233 - 239.; Turan OM, Turan S, Sanapo L, et al. Reference ranges for ductus venosus velocity ratios in pregnancies with normal outcomes. J Ultrasound Med. 2014; 33: 329 - 336.; Acharya G, Wilsgaard T, Berntsen GKR, Maltau JM, Kiserud T. Doppler- derived umbilical artery absolute velocities and their relationship to fetoplacental volume blood flow: a longitudinal study. Ultrasound Obstet Gynecol. 2005; 25: 444 - 453.; Flo K, Wilsgaard T, Acharya G. Longitudinal reference ranges for umbilical vein blood flow at a free loop of the umbilical cord. Ultrasound Obstet Gynecol. 2010; 36: 567 - 572.; Ebbing C, Rasmussen S, Kiserud T. Middle cerebral artery blood flow velocities and pulsatility index and the cerebroplacental pulsatility ratio: longitudinal reference ranges and terms for serial measurements. Ultrasound Obstet Gynecol. 2007; 30: 287 - 296.; Zhu MY, Stochitoiu IA, Jaeggi ET, et al. Combined ventricular output and oxygen delivery are reduced while oxygen extraction fraction is increased in fetuses with Ebstein’s Anomaly by MRI. J Cardiovasc Magn Reson. 2016; 18 ( Suppl 1 ): O71.; Eckersley LG, Howley LW, van der Velde ME, et al. Quantitative assessment of left ventricular dysfunction in fetal Ebstein’s anomaly and tricuspid valve dysplasia. J Am Soc Echocardiogr. 2019; 32 ( 12 ): 1598 - 1607.; Ishii T, Tworetzky W, Harrild DM, Marcus EN, McElhinney DB. Left ventricular function and geometry in fetuses with severe tricuspid regurgitation. Ultrasound Obstet Gynecol. 2012; 40: 55 - 61.; Meise C, Germer U, Gembruch U. Arterial Doppler ultrasound in 115 second- and third- trimester fetuses with congenital heart disease. Ultrasound Obstet Gynecol. 2001; 17 ( 5 ): 398 - 402.; Thomas RL, Peng TC, Eglinton GS, Strobino DM, Johnson TR. Precision of umbilical artery Doppler studies. Intraobserver, interobserver, and biologic variability of fetal Doppler velocimetry. J Ultrasound Med. 1991; 10 ( 4 ): 201 - 204.; Sebire NJ, Sepulveda W. Correlation of placental pathology with prenatal ultrasound findings. J Clin Pathol. 2008; 61: 1276 - 1284.; Ruiz A, Ferrer Q, Sánchez O, et al. Placenta- related complications in women carrying a foetus with congenital heart disease. J Matern Fetal Neonatal Med. 2016; 29 ( 20 ): 3271 - 3275.; Albalawi A, Brancusi F, Askin F, et al. Placental characteristics of fetuses with congenital heart disease. J Ultrasound Med. 2017; 36: 965 - 972.; Zun Z, Zaharchuk G, Andescavage NN, Donofrio MT, Limperopoulos C. Non- invasive placental perfusion imaging in pregnancies complicated by fetal heart disease using velocity- selective arterial spin labeled MRI. Sci Rep. 2017; 7: 16126.; Howley LW, Khoo NS, Moon- Grady AJ, et al. Right atrial dysfunction in the fetus with severely regurgitant tricuspid valve disease: a potential source of cardiovascular compromise. J Am Soc Echocardiogr. 2017; 30: 579 - 588.; Figueras F, Fernandez S, Hernandez- Andrade E, Gratacos E. Umbilical venous blood flow measurement: accuracy and reproducibility. Ultrasound Obstet Gynecol. 2008; 32 ( 4 ): 587 - 591.; Smrcek JM, Krapp M, Axt- Fliedner R, et al. Atypical ductus venosus blood flow pattern in fetuses with severe tricuspid regurgitation. Ultrasound Obstet Gyncol. 2005; 26: 180 - 182.; Arya B, Krishnan A, Donofrio MT. Clinical utility of ductus venosus flow in fetuses with right- sided congenital heart disease. J Ultrasound Med. 2014; 33: 1563 - 1571.; Berg C, Kremer C, Geipel A, Kohl T, Germer U, Gembruch U. Ductus venosus blood flow alterations in fetuses with obstructive lesions of the right heart. Ultrasound Obstet Gynecol. 2006; 28 ( 2 ): 137 - 142.; Spinillo A, Gardella B, Bariselli S, Alfei A, Silini EM, Bellow BD. Cerebroplacental Doppler ratio and placental histopathological features in pregnancies complicated by fetal growth restriction. J Perinat Med. 2014; 42 ( 3 ): 321 - 328.; Donofrio MT, Bremer YA, Schieken RM, et al. Autoregulation of cerebral blood flow in fetuses with congenital heart disease: the brain sparing effect. Pediatr Cardiol. 2003; 24 ( 5 ): 436 - 443.; Modena A, Horan C, Visintine J, Chanthasenanont A, Wood D, Weiner S. Fetuses with congenital heart disease demonstrate signs of decreased cerebral impedance. Am J Obstet Gynecol. 2006; 195 ( 3 ): 706 - 710.; Chen Y, Lv G, Li B, Wang Z. Cerebral vascular resistance and left ventricular myocardial performance in fetuses with Ebstein’s anomaly. Am J Perinatol. 2009; 26 ( 4 ): 253 - 258.; Asoglu MR, Turan OM, Seger L, Kochan M, Turan S. Middle cerebral artery pulsatility index as a possible predictive marker for neonatal death in fetuses with tricuspid valve malformations. Ultrasound Obstet Gynecol. 2020; 55 ( 4 ): 552 - 554.; Pearce W. Hypoxic regulation of the fetal cerebral circulation. J Appl Physiol. 2006; 100: 731 - 738.; Selamet Tierney ES, McElhinney DB, Freud LR, et al. Assessment of progressive pathophysiology after early prenatal diagnosis of the Ebstein anomaly or tricuspid valve dysplasia. Am J Cardiol. 2016; 119: 106 - 111.; Schwartz ML. Fetal progression of Ebstein’s anomaly. Circulation. 2003; 108 ( 12 ): 86 - 87.; Attenhofer Jost CH, Connolly HM, Dearani JA, Edwards WD, Danielson GK. Ebstein’s Anomaly. Circulation. 2007; 115: 277 - 285.; Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002; 39 ( 12 ): 1890 - 1900.; Wertaschnigg D, Manlhiot C, Jaeggi M, et al. Contemporary outcomes and factors associated with mortality after a fetal or neonatal diagnosis of Ebstein anomaly and tricuspid valve disease. Can J Cardiol. 2016; 32 ( 12 ): 1500 - 1506.; McElhinney DB, Salvin JW, Colan SD, et al. Improving outcomes in fetuses and neonates with congenital displacement (Ebstein’s malformation) or dysplasia of the tricuspid valve. Am J Cardiol. 2005; 96 ( 4 ): 582 - 586.
DOI: 10.1002/pd.5873
الاتاحة: https://hdl.handle.net/2027.42/167050
https://doi.org/10.1002/pd.5873
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رقم الانضمام: edsbas.D669A8F5
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Array ( [Name] => Abstract [Label] => Description [Group] => Ab [Data] => ObjectivesEbstein anomaly and tricuspid valve dysplasia (EA/TVD) carry high perinatal mortality. Past studies have focused on cardiac predictors of mortality; we sought to describe the fetal echo (FE) extracardiac Dopplers in this cohort and determine their association with perinatal mortality.MethodFetuses with EA/TVD at 23 centers from 2005- 2011 were included for retrospective study. Doppler pattern and velocity of the umbilical artery (UA), umbilical vein (UV), ductus venosus (DV), and middle cerebral artery (MCA) were collected. Bivariate and multivariate analyzes were performed. The primary outcome measure was perinatal mortality, defined as fetal demise or neonatal death.ResultsOf 190 cases that met eligibility criteria, alterations were seen in 50% of UA, 16% of UV, 48% of DV, and 8% of MCA Doppler indices on the last FE (median 27.4- weeks). Independent predictors of perinatal mortality included abnormal UA Doppler pattern of absence or reversed end diastolic flow (OR 9.7) and UV velocity z score &lt;1 (OR 2.5), in addition to diagnosis &lt;32- weeks (OR 4.2) and tricuspid valve (TV) annulus z score - &#165;6 (OR 5.3).ConclusionAbnormal UA Doppler pattern and decreased UV velocity are independent predictors of perinatal mortality in EA/TVD fetuses and should be used to refine mortality risk and guide perinatal management. ; Peer Reviewed ; http://deepblue.lib.umich.edu/bitstream/2027.42/167050/1/pd5873.pdf ; http://deepblue.lib.umich.edu/bitstream/2027.42/167050/2/pd5873_am.pdf )
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Array ( [Name] => NoteTitleSource [Label] => Relation [Group] => SrcInfo [Data] => Wang, Shuo; Freud, Lindsay R.; Detterich, Jon; Moon‐grady, Anita J.; Donofrio, Mary T.; Jaeggi, Edgar T.; Szwast, Anita L.; Morris, Shaine A.; Kavanaugh‐mchugh, Ann; Howley, Lisa W.; Velde, Mary E.; Cuneo, Bettina F.; Phoon, Colin K.; Tworetzky, Wayne; Pruetz, Jay D. (2021). &quot;Extracardiac Doppler indices predict perinatal mortality in fetuses with Ebstein anomaly and tricuspid valve dysplasia.&quot; Prenatal Diagnosis 41(3): 332-340.; https://hdl.handle.net/2027.42/167050; Prenatal Diagnosis; Rychik J, Goff D, McKay E, et al. Characterization of the placenta in the newborn with congenital heart disease: distinctions based on type of cardiac malformation. Pediatric Cardiol. 2018; 39: 1165 - 1171.; Fantasia I, Andrade W, Syngelaki A, Akolekar R, Nicolaides KH. Impaired placental perfusion and major fetal cardiac defects. Ultrasound Obstet Gynecol. 2019; 53: 68 - 72.; Barre E, Durand I, Hazelzet T, David N. Ebstein’s anomaly and tricuspid valve dysplasia: prognosis after diagnosis in utero. Pediatr Cardiol. 2012; 33: 1391 - 1396.; Freud LR, Escobar- Diaz MC, Kalish BT, et al. Outcomes and predictors of perinatal mortality in fetuses with Ebstein anomaly or tricuspid valve dysplasia in the current era: a multicenter study. Circulation. 2015; 132 ( 6 ): 481 - 489.; Wieczorek A, Hernandez- Robles J, Ewing L, Leshko J, Luther S, Huhta JC. Prediction of outcome of fetal congenital heart disease using a cardiovascular profile score. Ultrasound Obstet Gynecol. 2008; 31: 284 - 288.; Hofstaetter C, Hansmann M, Eik- Nes SH, Huhta JC, Luther SL. A cardiovascular profile score in the surveillance of fetal hydrops. J Matern Fetal Neonatal Med. 2006; 19 ( 7 ): 407 - 413.; Hecher K, Campbell S, Doyle P, Harrington K, Nicolaides K. Assessment of fetal compromise by Doppler ultrasound investigation of the fetal circulation. Circulation. 1995; 91 ( 1 ): 129 - 123.; Reed KL, Chaffin DG, Anderson CF, Newman AT. Umbilical venous velocity pulsations are related to atrial contraction pressure waveforms in fetal lambs. Obstet Gynecol. 1997; 89 ( 6 ): 953 - 956.; Reuss ML, Rudolph AM, Dae MW. Phase blood flow patterns in the superior and inferior venae cavae and umbilical vein of fetal sheep. Am J Obstet Gynecol. 1983; 145 ( 1 ): 70 - 78.; Bhide A, Acharya G, Bilardo CM, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol. 2013; 41: 233 - 239.; Turan OM, Turan S, Sanapo L, et al. Reference ranges for ductus venosus velocity ratios in pregnancies with normal outcomes. J Ultrasound Med. 2014; 33: 329 - 336.; Acharya G, Wilsgaard T, Berntsen GKR, Maltau JM, Kiserud T. Doppler- derived umbilical artery absolute velocities and their relationship to fetoplacental volume blood flow: a longitudinal study. Ultrasound Obstet Gynecol. 2005; 25: 444 - 453.; Flo K, Wilsgaard T, Acharya G. Longitudinal reference ranges for umbilical vein blood flow at a free loop of the umbilical cord. Ultrasound Obstet Gynecol. 2010; 36: 567 - 572.; Ebbing C, Rasmussen S, Kiserud T. Middle cerebral artery blood flow velocities and pulsatility index and the cerebroplacental pulsatility ratio: longitudinal reference ranges and terms for serial measurements. Ultrasound Obstet Gynecol. 2007; 30: 287 - 296.; Zhu MY, Stochitoiu IA, Jaeggi ET, et al. Combined ventricular output and oxygen delivery are reduced while oxygen extraction fraction is increased in fetuses with Ebstein’s Anomaly by MRI. J Cardiovasc Magn Reson. 2016; 18 ( Suppl 1 ): O71.; Eckersley LG, Howley LW, van der Velde ME, et al. Quantitative assessment of left ventricular dysfunction in fetal Ebstein’s anomaly and tricuspid valve dysplasia. J Am Soc Echocardiogr. 2019; 32 ( 12 ): 1598 - 1607.; Ishii T, Tworetzky W, Harrild DM, Marcus EN, McElhinney DB. Left ventricular function and geometry in fetuses with severe tricuspid regurgitation. Ultrasound Obstet Gynecol. 2012; 40: 55 - 61.; Meise C, Germer U, Gembruch U. Arterial Doppler ultrasound in 115 second- and third- trimester fetuses with congenital heart disease. Ultrasound Obstet Gynecol. 2001; 17 ( 5 ): 398 - 402.; Thomas RL, Peng TC, Eglinton GS, Strobino DM, Johnson TR. Precision of umbilical artery Doppler studies. Intraobserver, interobserver, and biologic variability of fetal Doppler velocimetry. J Ultrasound Med. 1991; 10 ( 4 ): 201 - 204.; Sebire NJ, Sepulveda W. Correlation of placental pathology with prenatal ultrasound findings. J Clin Pathol. 2008; 61: 1276 - 1284.; Ruiz A, Ferrer Q, S&#195;&#161;nchez O, et al. Placenta- related complications in women carrying a foetus with congenital heart disease. J Matern Fetal Neonatal Med. 2016; 29 ( 20 ): 3271 - 3275.; Albalawi A, Brancusi F, Askin F, et al. Placental characteristics of fetuses with congenital heart disease. J Ultrasound Med. 2017; 36: 965 - 972.; Zun Z, Zaharchuk G, Andescavage NN, Donofrio MT, Limperopoulos C. Non- invasive placental perfusion imaging in pregnancies complicated by fetal heart disease using velocity- selective arterial spin labeled MRI. Sci Rep. 2017; 7: 16126.; Howley LW, Khoo NS, Moon- Grady AJ, et al. Right atrial dysfunction in the fetus with severely regurgitant tricuspid valve disease: a potential source of cardiovascular compromise. J Am Soc Echocardiogr. 2017; 30: 579 - 588.; Figueras F, Fernandez S, Hernandez- Andrade E, Gratacos E. Umbilical venous blood flow measurement: accuracy and reproducibility. Ultrasound Obstet Gynecol. 2008; 32 ( 4 ): 587 - 591.; Smrcek JM, Krapp M, Axt- Fliedner R, et al. Atypical ductus venosus blood flow pattern in fetuses with severe tricuspid regurgitation. Ultrasound Obstet Gyncol. 2005; 26: 180 - 182.; Arya B, Krishnan A, Donofrio MT. Clinical utility of ductus venosus flow in fetuses with right- sided congenital heart disease. J Ultrasound Med. 2014; 33: 1563 - 1571.; Berg C, Kremer C, Geipel A, Kohl T, Germer U, Gembruch U. Ductus venosus blood flow alterations in fetuses with obstructive lesions of the right heart. Ultrasound Obstet Gynecol. 2006; 28 ( 2 ): 137 - 142.; Spinillo A, Gardella B, Bariselli S, Alfei A, Silini EM, Bellow BD. Cerebroplacental Doppler ratio and placental histopathological features in pregnancies complicated by fetal growth restriction. J Perinat Med. 2014; 42 ( 3 ): 321 - 328.; Donofrio MT, Bremer YA, Schieken RM, et al. Autoregulation of cerebral blood flow in fetuses with congenital heart disease: the brain sparing effect. Pediatr Cardiol. 2003; 24 ( 5 ): 436 - 443.; Modena A, Horan C, Visintine J, Chanthasenanont A, Wood D, Weiner S. Fetuses with congenital heart disease demonstrate signs of decreased cerebral impedance. Am J Obstet Gynecol. 2006; 195 ( 3 ): 706 - 710.; Chen Y, Lv G, Li B, Wang Z. Cerebral vascular resistance and left ventricular myocardial performance in fetuses with Ebstein’s anomaly. Am J Perinatol. 2009; 26 ( 4 ): 253 - 258.; Asoglu MR, Turan OM, Seger L, Kochan M, Turan S. Middle cerebral artery pulsatility index as a possible predictive marker for neonatal death in fetuses with tricuspid valve malformations. Ultrasound Obstet Gynecol. 2020; 55 ( 4 ): 552 - 554.; Pearce W. Hypoxic regulation of the fetal cerebral circulation. J Appl Physiol. 2006; 100: 731 - 738.; Selamet Tierney ES, McElhinney DB, Freud LR, et al. Assessment of progressive pathophysiology after early prenatal diagnosis of the Ebstein anomaly or tricuspid valve dysplasia. Am J Cardiol. 2016; 119: 106 - 111.; Schwartz ML. Fetal progression of Ebstein’s anomaly. Circulation. 2003; 108 ( 12 ): 86 - 87.; Attenhofer Jost CH, Connolly HM, Dearani JA, Edwards WD, Danielson GK. Ebstein’s Anomaly. Circulation. 2007; 115: 277 - 285.; Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. 2002; 39 ( 12 ): 1890 - 1900.; Wertaschnigg D, Manlhiot C, Jaeggi M, et al. Contemporary outcomes and factors associated with mortality after a fetal or neonatal diagnosis of Ebstein anomaly and tricuspid valve disease. Can J Cardiol. 2016; 32 ( 12 ): 1500 - 1506.; McElhinney DB, Salvin JW, Colan SD, et al. Improving outcomes in fetuses and neonates with congenital displacement (Ebstein’s malformation) or dysplasia of the tricuspid valve. Am J Cardiol. 2005; 96 ( 4 ): 582 - 586. )
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