胎儿三尖瓣环平面收缩漂移监测腹内脐静脉曲张。

IF 2.4 4区医学 Q2 ACOUSTICS

Journal of Ultrasound in Medicine Pub Date : 2025-08-04 DOI:10.1002/jum.70026

Yossi Geron, Lior Drukker, Sharon Perlman, Ran Matot, Victoria Hermann, Natav Hendin, Ron Bardin, Yinon Gilboa, Ron Charach

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引用次数: 0

摘要

目的：探讨三尖瓣环平面收缩漂移（TAPSE）在胎儿腹内脐静脉曲张（FIUVV）心功能监测中的应用。方法：样本包括2018年至2023年在三级医疗中心诊断的所有FIUVV病例，并通过超声胎儿TAPSE进行评估。病例通过回顾性数据库审查确定。从电子档案中收集最大脐静脉曲张直径、相关解剖或遗传异常和妊娠结局的数据。结果：17例符合纳入标准；13/17（76.5%）分离出FIUVV。平均最大静脉曲张直径为12.6±2.1 mm。14/17例（82.4%）患者TAPSE高于第75百分位，10/17例（58.8%）患者TAPSE高于第90百分位。没有血栓形成或宫内胎儿死亡的情况。结论：我们的研究结果表明，FIUVV胎儿的心脏状态是高动力的。胎儿TAPSE可作为这些病例监测的补充工具，可能有助于早期识别心脏失代偿并指导最佳分娩时间。

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Fetal Tricuspid Annular Plane Systolic Excursion in the Surveillance of Intra-Abdominal Umbilical Vein Varix.

Objective: To describe the application of tricuspid annular plane systolic excursion (TAPSE) in monitoring cardiac function in cases of fetal intra-abdominal umbilical vein varix (FIUVV).

Methods: The sample consisted of all cases of FIUVV diagnosed in a tertiary medical center between 2018 and 2023 that were assessed by sonographic fetal TAPSE. Cases were identified by retrospective database review. Data on maximal umbilical vein varix diameter, associated anatomic or genetic anomalies, and pregnancy outcomes were collected from the electronic files.

Results: Seventeen cases met the inclusion criteria; 13/17 (76.5%) had isolated FIUVV. The mean maximal varix diameter was 12.6 ± 2.1 mm. In 14/17 cases (82.4%), TAPSE was above the 75th percentile, including 10/17 (58.8%) in which TAPSE measured above the 90th percentile. There were no instances of thrombosis formation or intrauterine fetal demise.

Conclusions: Our findings suggest a hyperdynamic cardiac state in fetuses with FIUVV. Fetal TAPSE may serve as a complementary tool in the surveillance of these cases, potentially aiding in the early identification of cardiac decompensation and guiding the optimal timing of delivery.

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来源期刊

Journal of Ultrasound in Medicine 医学-核医学

CiteScore

5.10

自引率

4.30%

发文量

205

审稿时长

1.5 months

期刊介绍： The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound