The Importance of Venous Doppler Velocimetry for Evaluation of Intrauterine Growth Restriction

作者：Kaponis Apostolos^*; Harada Takashi; Makrydimas George; Kiyama Tomoiki; Arata Kazuya; Adonakis George; Tsapanos Vasilis; Iwabe Tomio; Stefos Theodoros; Decavalas George; Harada Tasuku

来源：Journal of Ultrasound in Medicine, 2011, 30(4): 529-545.

DOI：10.7863/jum.2011.30.4.529

• ductus venosus
• fetal venous system
• intrauterine growth restriction
• perinatal outcome
• venous Doppler velocimetry

The management of growth-restricted fetuses requires accurate diagnosis to optimize the timing of delivery. Doppler velocimetry is the only noninvasive method for assessing the fetoplacental hemodynamic status. This review will give a critical overview of the current knowledge on fetal venous blood flow in pregnancies complicated by intrauterine growth-restricted fetuses. Adaptation of the circulation in intrauterine growth-restricted fetuses is described. Normal and abnormal venous Doppler waveforms are presented. Correlations of abnormal waveforms with the presence of acidemia and perinatal outcomes are emphasized. Limitations of venous Doppler velocimetry for optimizing the time for delivery and the perinatal outcome are also presented.

• 出版日期2011-4