Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review

Detalhes bibliográficos
Autor(a) principal: Ferraz, Mariana Martins
Data de Publicação: 2020
Outros Autores: Araújo, Flávia do Vale, Carvalho, Paulo Roberto Nassar de, Sá, Renato Augusto Moreira de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/48079
Resumo: Universidade Estácio de Sá. Rio de Janeiro, RJ, Brasil / Clínica Perinatal. Rio de Janeiro, RJ, Brasil.
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spelling Ferraz, Mariana MartinsAraújo, Flávia do ValeCarvalho, Paulo Roberto Nassar deSá, Renato Augusto Moreira de2021-07-08T19:12:00Z2021-07-08T19:12:00Z2020FERRAZ, Mariana Martins et al. Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: a Literature Review. Revista Brasileira de Ginecologia e Obstetrícia, v. 42, n. 5, p. 289-296, May 2020.0100-7203https://www.arca.fiocruz.br/handle/icict/4807910.1055/s-0040-1710301engThieme Medical PublishersAorta, Thoracic / diagnostic imagingAorta, Thoracic / physiopathologyBlood Flow VelocityFemaleFetal Growth Retardation / diagnostic imagingFetal Growth Retardation / physiopathologyFetus / blood supplyFetus / diagnostic imagingHumansInfant, NewbornPregnancyUltrasonography, DopplerUltrasonography, PrenatalDoppler velocimetryDopplerAortic isthmusIntrauterine growth restrictionIntrauterine growth retardationPlacental insufficiencyAortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature ReviewDopplervelocimetria do istmo aórtico em fetos com crescimento intrauterino restrito: Uma revisão da literaturainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Estácio de Sá. Rio de Janeiro, RJ, Brasil / Clínica Perinatal. Rio de Janeiro, RJ, Brasil.Universidade Estácio de Sá. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Universidade Estácio de Sá. Rio de Janeiro, RJ, Brasil / Clínica Perinatal. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Intrauterine growth restriction (IUGR) is associated with poor perinatal prognosis and a higher risk of stillbirth, neonatal death, and cerebral palsy. Its detection and the evaluation of its severity by new Doppler velocimetric parameters, such as aortic isthmus (AoI), are of great relevance for obstetrical practice. The AoI is a vascular segment that represents a point of communication between the right and left fetal circulations. It is considered to be a functional arterial shunt that reflects the relationship between the systemic and cerebral impedances, and has recently been proposed as a tool to detect the status of hemodynamic balance and prognosis of IUGR in fetuses. In the present review, we noticed that in healthy fetuses, the AoI net flow is always antegrade, but in fetuses with IUGR the deterioration of placental function leads to progressive reduction in its flow until it becomes mostly retrograde; this point is associated with a drastic reduction in oxygen delivery to the brain. The more impaired the AoI flow is, the greater is the risk of impairment in the Doppler velocimetry of other vessels; and the alterations of the AoI Doppler seem to precede other indicators of severe hypoxemia. Although there seems to be an association between the presence of retrograde flow in the AoI and the risk of long-term neurologic disability, its role in the prediction of perinatal morbi-mortality remains unclear. The AoI Doppler seems to be a promising tool in the management of fetuses with IUGR, but more studies are needed to investigate its employment in clinical practice.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83134https://www.arca.fiocruz.br/bitstream/icict/48079/1/license.txt0ab46789d568c4ba27c7b5d29a9fe9c4MD51ORIGINALAortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction - A Literature Review.pdfAortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction - A Literature Review.pdfapplication/pdf370248https://www.arca.fiocruz.br/bitstream/icict/48079/2/Aortic%20Isthmus%20Doppler%20Velocimetry%20in%20Fetuses%20with%20Intrauterine%20Growth%20Restriction%20-%20A%20Literature%20Review.pdfea844a922c9a4c4cb26fa14c72577964MD52TEXTAortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction - A Literature Review.pdf.txtAortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction - A Literature Review.pdf.txtExtracted texttext/plain40208https://www.arca.fiocruz.br/bitstream/icict/48079/3/Aortic%20Isthmus%20Doppler%20Velocimetry%20in%20Fetuses%20with%20Intrauterine%20Growth%20Restriction%20-%20A%20Literature%20Review.pdf.txtb7f01dfa83a26e2a5f77893a623ee0cdMD53icict/480792021-07-12 12:14:16.417oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-07-12T15:14:16Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.pt_BR.fl_str_mv Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
dc.title.alternative.pt_BR.fl_str_mv Dopplervelocimetria do istmo aórtico em fetos com crescimento intrauterino restrito: Uma revisão da literatura
title Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
spellingShingle Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
Ferraz, Mariana Martins
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / physiopathology
Blood Flow Velocity
Female
Fetal Growth Retardation / diagnostic imaging
Fetal Growth Retardation / physiopathology
Fetus / blood supply
Fetus / diagnostic imaging
Humans
Infant, Newborn
Pregnancy
Ultrasonography, Doppler
Ultrasonography, Prenatal
Doppler velocimetry
Doppler
Aortic isthmus
Intrauterine growth restriction
Intrauterine growth retardation
Placental insufficiency
title_short Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
title_full Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
title_fullStr Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
title_full_unstemmed Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
title_sort Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: A Literature Review
author Ferraz, Mariana Martins
author_facet Ferraz, Mariana Martins
Araújo, Flávia do Vale
Carvalho, Paulo Roberto Nassar de
Sá, Renato Augusto Moreira de
author_role author
author2 Araújo, Flávia do Vale
Carvalho, Paulo Roberto Nassar de
Sá, Renato Augusto Moreira de
author2_role author
author
author
dc.contributor.author.fl_str_mv Ferraz, Mariana Martins
Araújo, Flávia do Vale
Carvalho, Paulo Roberto Nassar de
Sá, Renato Augusto Moreira de
dc.subject.mesh.pt_BR.fl_str_mv Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / physiopathology
Blood Flow Velocity
Female
Fetal Growth Retardation / diagnostic imaging
Fetal Growth Retardation / physiopathology
Fetus / blood supply
Fetus / diagnostic imaging
Humans
Infant, Newborn
Pregnancy
Ultrasonography, Doppler
Ultrasonography, Prenatal
topic Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / physiopathology
Blood Flow Velocity
Female
Fetal Growth Retardation / diagnostic imaging
Fetal Growth Retardation / physiopathology
Fetus / blood supply
Fetus / diagnostic imaging
Humans
Infant, Newborn
Pregnancy
Ultrasonography, Doppler
Ultrasonography, Prenatal
Doppler velocimetry
Doppler
Aortic isthmus
Intrauterine growth restriction
Intrauterine growth retardation
Placental insufficiency
dc.subject.en.pt_BR.fl_str_mv Doppler velocimetry
Doppler
Aortic isthmus
Intrauterine growth restriction
Intrauterine growth retardation
Placental insufficiency
description Universidade Estácio de Sá. Rio de Janeiro, RJ, Brasil / Clínica Perinatal. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-07-08T19:12:00Z
dc.date.available.fl_str_mv 2021-07-08T19:12:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv FERRAZ, Mariana Martins et al. Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: a Literature Review. Revista Brasileira de Ginecologia e Obstetrícia, v. 42, n. 5, p. 289-296, May 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/48079
dc.identifier.issn.pt_BR.fl_str_mv 0100-7203
dc.identifier.doi.none.fl_str_mv 10.1055/s-0040-1710301
identifier_str_mv FERRAZ, Mariana Martins et al. Aortic Isthmus Doppler Velocimetry in Fetuses with Intrauterine Growth Restriction: a Literature Review. Revista Brasileira de Ginecologia e Obstetrícia, v. 42, n. 5, p. 289-296, May 2020.
0100-7203
10.1055/s-0040-1710301
url https://www.arca.fiocruz.br/handle/icict/48079
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Thieme Medical Publishers
publisher.none.fl_str_mv Thieme Medical Publishers
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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