Ductus arteriosus diameters in fetuses with early- and late-onset fetal growth restriction.

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Demircan T., Atakul B. K., Güven B., Yıldız K., Karadeniz C., Emir B., ...Daha Fazla

Journal of clinical ultrasound : JCU, cilt.52, ss.1010-1018, 2024 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1002/jcu.23737
  • Dergi Adı: Journal of clinical ultrasound : JCU
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CINAHL
  • Sayfa Sayıları: ss.1010-1018
  • Anahtar Kelimeler: ductus arteriosus, echocardiography, fetal growth restriction, left ventricle, mitral E/A, mod-MPI
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Abstract

Purpose: Fetal growth restriction (FGR) is a common pregnancy complication that

can be associated with several adverse perinatal outcomes. One of these negative

outcomes is ductus arteriosus, especially in preterm babies. In this study, intrauterine

heart function and ductus diameter were evaluated in babies with FGR.

Methods: Thirty-seven fetuses with FGR were compared with 37 normal-weight

fetuses at the same gestational week. In our study, ventricular diameters, aorta, pulmonary

artery, ductus arteriosus (DA), aortic arch diameter, and flow traces were

examined. In addition, the aorta and aortic isthmus diameters were proportioned to

the ductus diameter, and the left ventricular myocardial performance index (MPI)

[(ICT + IRT)/ET] was evaluated.

Results: There was no difference in DA diameters between the patient and control

groups. The intragroup comparison of the cases with early- and late-onset FGR

revealed no statistically significant difference between DA diameters. However, the

ratios of the aortic annulus diameter/ductus diameter (AOD/DAD) and aortic isthmus

diameter/ductus diameter (AID/DAD) were significantly lower in early-onset FGR

because the diameter of the DA was greater. In addition, the mod-MPI values were

higher in the patient group.

Conclusions: In our study, although the ductal diameters did not change significantly

in the patient group, the ductal diameter was greater in the early-onset intrauterine

growth restriction (FGR) group compared with other cardiac measurements. The

mod-MPI value, a cardiac function indicator, was higher in fetuses with FGR. These

findings may be useful for evaluating postnatal cardiac functions in FGR.