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Spatial velocity profile changes along the cord in normal human fetuses: can these affect Doppler measurements of venous umbilical blood flow?
Ultrasound in obstetrics & gynecology, 2004-02, Vol.23 (2), p.131-137
Pennati, G.
Bellotti, M.
de Gasperi, C.
Rognoni, G.
2004
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Pennati, G.
Bellotti, M.
de Gasperi, C.
Rognoni, G.
Titel
Spatial velocity profile changes along the cord in normal human fetuses: can these affect Doppler measurements of venous umbilical blood flow?
Ist Teil von
Ultrasound in obstetrics & gynecology, 2004-02, Vol.23 (2), p.131-137
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2004
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Objective Several studies have assumed a parabolic velocity profile through the umbilical vein (UV) to derive the mean spatial velocity that is indispensable for flow rate calculations. However, the structure and arrangement of the umbilical cord suggest that velocity profiles may vary. The aim of this study was to evaluate UV spatial flow velocity profiles at different sites along the umbilical cord. Methods Ten singleton pregnancies with a gestational age between 26 and 34 weeks were included in the study. Ultrasound equipment with an inbuilt function for analysis of the spatial velocity profile along a line located in a fixed plane was used to obtain UV velocity profiles. Velocity profiles were obtained at the placental insertion and in a free intra‐amniotic loop of the cord. Two‐dimensional (2D) velocity distribution coefficients were evaluated as ratios between mean and maximum velocities along the investigated lines. Results 2D velocity distribution coefficients at the placental insertion (0.85 ± 0.03) were significantly higher (P < 0.00001) than those obtained from a free loop of cord (0.76 ± 0.03). Values indicated that velocity profiles are approximately flat at the placental insertion and become more parabolic moving downstream. Moreover, profiles become skewed in association with cord curvature and show peculiar biphasic shapes immediately downstream from the placenta. Conclusions Flow velocity profiles in the UV are not perfectly parabolic and modify along the cord. These characteristics may affect the evaluation of UV blood flow rate. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0960-7692
eISSN: 1469-0705
DOI: 10.1002/uog.938
Titel-ID: cdi_proquest_miscellaneous_80149438
Format
–
Schlagworte
Biological and medical sciences
,
Blood Flow Velocity - physiology
,
Doppler flow measurement
,
Female
,
Fetus - physiology
,
Gestational Age
,
Gynecology. Andrology. Obstetrics
,
Humans
,
Medical sciences
,
Pregnancy
,
Ultrasonography, Doppler, Color - methods
,
Ultrasonography, Prenatal - methods
,
Umbilical Cord - blood supply
,
Umbilical Veins - physiology
,
umbilical venous circulation
,
velocity spatial distribution
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