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Zusammenfassung

Wie in ►Kap.1.1 beschrieben, erfolgt die arterielle Versorgung des Uterus in erster Linie über die Aa. uterinae. Diese verzweigen sich in die zirkulär verlaufenden Aa. arcuatae, aus denen die Aa. radiales entspringen, die tief ins Myometrium eindringen und dort in die Spiralarterien münden. Die letztgenannten Arterien entsprechen dem Endstromgebiet des uterinen Gefäßbetts; sie versorgen das innere Myometrium, das Endometrium bzw. während der Schwangerschaft die Dezidua.

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Literatur

  • Alcazar J, Ruiz-Perez M (2000) Uteroplacental circulation in patients with first trimester threatened abortion. Fertil Steril 73: 130135

    Article  CAS  PubMed  Google Scholar 

  • Bilardo CM, Müller MA, Zikulnig L, Schipper M, Hecher K (2001) Ductus venosus studies in fetuses at high risk for chromosomal or heart abnormalities: relationship with nuchal translucency measurement and fetal outcome. Ultrasound Obstet Gynecol 17: 288194

    Article  CAS  PubMed  Google Scholar 

  • Borenstein M, Cavoretto P, Allan L, Huggon I, Nicolaides KH (2008) Aberrant right subclavian artery at 11 + 0 to 13 + 6 weeks of gestation in chromosomally normal and abnormal fetuses. Ultrasound Obstet Gynecol 31: 2024

    Article  CAS  PubMed  Google Scholar 

  • Borrell A, Antolin E, Costa D, Farre MT, Martinez JM; Fortuny A (1998) Abnormal ductus venosus blood flow in trisomie 21 fetuses during early pregnancy. Am J Obstet Gynecol 179: 16121617

    Article  CAS  PubMed  Google Scholar 

  • Borrell A (2004) The ductus venosus in early pregnancy and congenital anomalies. Prenat Diagn 24: 688692

    Article  PubMed  Google Scholar 

  • Brosens IA, Robertson WB, Dixon HG (1967) The physiological response f the vessels of the placental bed to normal pregnancy. J Pathol Bacteriol 93: 569579

    Article  CAS  PubMed  Google Scholar 

  • Burton G, Jauniaux E, Watson A (1999) Maternal arterial connections to the placental intervillous space during the first trimester of pregnancy: The Boyd Collection revisited. Am J Obstet Gynecol 181: 718724

    Article  CAS  PubMed  Google Scholar 

  • Burton G, Hempstock J, Jauniaux E (2003) Oxygen, early embryonic metabolism and free radical-mediated embryopathies. Reprod BioMed Online 6: 8496

    Article  PubMed  Google Scholar 

  • Campbell S, Platt L (1999) The publishing of papers on first trimester Doppler. Ultrasound Obstet Gynecol 14: 159160

    Article  CAS  PubMed  Google Scholar 

  • Carvalho J (2004) Fetal heart scanning in the first trimester. Prenat Diagn 24: 10601067

    Article  PubMed  Google Scholar 

  • Chaoui R, Thiel G, Heling KS. (2005a) Prevalence of an aberrant right subclavian artery (ARSA) in normal fetuses: a new soft marker for trisomy 21 risk assessment. Ultrasound Obstet Gynecol 26: 356

    Google Scholar 

  • Chaoui R, Heling KS, Sarioglu N, Schwabe M, Dankof A, Bollmann R. (2005b) Aberrant right subclavian artery as a new cardiac sign in second- and third-trimester fetuses with Down syndrome. Am J Obstet Gynecol 192: 257263

    Article  PubMed  Google Scholar 

  • Chaoui R, Thiel G, Heling KS. Prevalence of an aberrant right subclavian artery (ARSA) in fetuses with chromosomal aberrations (2006) Ultrasound Obstet Gynecol 28: 414

    Google Scholar 

  • Chaoui R, Sarut Lopez A, Bergann A, Heling KS (2009) Aberrant right subclavian artery (ARSA) in fetuses with trisomy 21. Ultrasound Obstet Gynecol 34 (Suppl. 1): 177284

    Article  Google Scholar 

  • Clur SA, Ottenkamp J, Bilardo CM (2009). The nuchal translucency and the fetal heart: a literature review. Prenat Diagn 29: 739748

    Article  CAS  PubMed  Google Scholar 

  • de Mooij YM, Bartelings MM, Twisk JW, Lamberts RR, Gittenberger-de Groot AC, van Vugt JM, Bekker MN (2010) Altered jugular vein and ductus venosus flow velocities in fetuses with increased nuchal translucency and distended jugular lymphatic sacs. Am J Obstet Gynecol. [Epub ahead of print]

    Google Scholar 

  • DeVore G (2002) First-trimester fetal echocardiography: is the future now? Ultrasound Obstet Gynecol 20: 68

    Article  CAS  PubMed  Google Scholar 

  • Driggers RW, Blakemore KJ, Bird C, Ackerman KE, Hutchins GM (2002) Pathogenesis of acardiac twinning: clues from an almost acardiac twin. Fetal Diagn Ther 17: 185187

    Article  CAS  PubMed  Google Scholar 

  • Edwards JE. (1953) Malformations of the aortic arch system manifested as vascular rings (1965) Lab Invest; 2: 5675

    CAS  PubMed  Google Scholar 

  • Faiola S, Tsoi E, Huggon IC, Allan LD, Nicolaides KH (2005) Likelihood ratio for trisomy 21 in fetuses with tricuspid regurgitation at the 11 to 13+6-weeek scan. Ultrasound Obstet Gynecol L 26: 2227

    Article  CAS  Google Scholar 

  • Falcon O, Faiola S, Huggon I, Allan L, Nicolaides KH (2006) Fetal tricuspid regurgitation at the 11+0 to 13+6-weeek scan: association with chromosomal defects and reproducibility of the method. Ultrasound Obstet Gynecol 27: 609612

    Article  CAS  PubMed  Google Scholar 

  • Gembruch U, Meise C, Germer U, Berg C, Geipel A (2003) Venous Doppler ultrasound in 146 fetuses with congenital heart disease. Ultrasound Obstet Gynecol 22: 345350

    Article  CAS  PubMed  Google Scholar 

  • Goldstein WB. Aberrant right subclavian artery in mongolism (1965) Am J Roentgenol Radium Ther Nucl Med 95: 131134

    Google Scholar 

  • Greenwold N, Jauniaux E, Gulbis B, Hempstock J, Gervy C, Burton GJ (2003) Relationship among maternal serum endocrinology, placental karyotype, and intervillous circulation in early pregnancy failure. Fertil Steril 79: 13739

    Article  PubMed  Google Scholar 

  • Haak MC, Twisk JW, Bartellings MM, Gittenberger-de Groot AC, van Vugt JM (2003) Ductus venosus flow velocities in relation to cardiac defects in first-trimester fetuses with enlarged nuchal translucency. Am J Obstet Gynecol 188: 72733

    Article  PubMed  Google Scholar 

  • Hamilton W, Boyd J (1966) Trophoblast in human utero-placental arteries. Nature 212: 906908

    Article  CAS  PubMed  Google Scholar 

  • Hecher K (2001) Assessment of the ductus venosus flow, during the first and early second trimester: what can we expect (editorial). Ultrasound Obstet Gynecol 17: 285287

    Article  CAS  PubMed  Google Scholar 

  • Huggon I, Ghi T, Cook A, Zosmer N, Allan L (2002) Fetal cardiac abnormalities identified prior to 14 weeks' gestation. Ultrasound Obstet Gynecol 20: 2229

    Article  CAS  PubMed  Google Scholar 

  • Huggon IC, DeFigueiredo DB, Allan LD (2003) Tricuspid regurgitation in the diagnosis of chromosomal anomalies in the fetus at 11-14 weeks of gestation. Heart 2003;89: 10711073

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Huggon IC, Turan O, Allan LD (2004) Doppler assessment of cardiac function at 11-14 weeks' gestation in fetuses with normal and increased nuchal translucency. Ultrasound Obstet Gynecol 24: 390398

    Article  CAS  PubMed  Google Scholar 

  • Huggon IC (2005) Reviewers‘ Comment in Messin P, Porat S, Imbar T, Valsky DV, Anteby EY, Yagel S. Ultrasound Obstet Gynecol 26(6): 610

    Google Scholar 

  • Huhta J (2005) Reviewers‘ Comment in Messin P, Porat S, Imbar T, Valsky DV, Anteby EY, Yagel S. Ultrasound Obstet Gynecol 26(6): 610

    Google Scholar 

  • Hustin J, Jauniaux E, Shaaps J (1990) Histological Study of the materno-embryonic interference in spontaneous abortion. Placenta 11: 447486

    Article  Google Scholar 

  • Jaffe R, Woods J (2004) Colour Doppler imaging and in vivo assessment of the anatomy and physiology of early uteroplacental circulation. Fertil Steril 60: 293297

    Google Scholar 

  • Jauniaux E, Greenwold N, Hempstock J, Gervy C, Burton GJ (2003a) Comparison of ultrasound and Doppler mapping of the intervillous circulation in normal and abnormal early pregnancies. Fertil Steril 79: 100106

    Article  PubMed  Google Scholar 

  • Jauniaux E, Hempstock J, Greenwold N, Burton GJ (2003b) Trophoblastic oxidative stress in relation to temporal and reginal differences in maternal placental blood flow in the normal and abnormal early pregnancies. Am J Pathol 162: 11525

    Article  PubMed Central  PubMed  Google Scholar 

  • Jauniaux E, Burton GJ (2005a) Pathophysiology of histological changes in early pregnancy loss. Placenta 26: 114123

    Article  CAS  PubMed  Google Scholar 

  • Jauniaux E, John J, Burton GJ (2005b) The role of ultrasound imaging in diagnosing and investigating early pregnancy failure. Ultrasound Obstet Gynecol 25 :613624

    Article  CAS  PubMed  Google Scholar 

  • Kagan KO, Valencia C, Livanos P, Wright D, Nicolaides KH (2009) Tricuspid regurgitation in screening for trisomies 21, 18 and 13 and Turner syndrome at 11+0 to 13+6 weeks of gestation. Ultrasound Obstet Gynecol. 33: 1822

    Article  CAS  PubMed  Google Scholar 

  • Kam E, Gardner L, Loke Y, King A (1999) The role of trophoblast in the physiological change in decidual spiral arteries. Hum Reprod 14: 21312138

    Article  CAS  PubMed  Google Scholar 

  • Kaufmann P, Black S, Huppertz B (2003) Endovascular Trophoblast Invasion: Implications for the Pathogenesis of Intrauterine Growth Retardation and Preeclampsia. Biol Reprod 69: 17

    Article  CAS  PubMed  Google Scholar 

  • Kiserud T (2001) The Ductus venosus. Seminars in Perinatology 25: 1120

    Article  CAS  PubMed  Google Scholar 

  • Kiserud T (2005) Venous hemodynamics. In: Maulik D, Zalud I Doppler Ultrasound in Obstetrics and Gynecology, 2. Aufl. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Kurjak A, Zalud I, Predanic M, Kupesic S (1994) Transvaginal color and pulsed Doppler study of the uterine blood flow in the first and early second trimester of pregnancy: normal versus abnormal. J Ultrasound Med 13: 4347

    CAS  PubMed  Google Scholar 

  • Long M, Boultbee J, Begent R, Hanson M, Bagshave K (1990) Preliminary Doppler study on the uterine artery and myometrium in trophoblastic tumours requiring chemotherapy. Brit J Obstet Gynaecol 97: 686689

    Article  CAS  Google Scholar 

  • Maiz N, Kagan KO, Milovanovic Z, Celik E, Nicolaides KH (2008a) Learning curve for Doppler assessment of ductus venosus flow at 11+0 to 13+6 weeks' gestation. Ultrasound Obstet Gynecol 31: 503506

    Article  CAS  PubMed  Google Scholar 

  • Maiz N, Valencia C, Emmanuel EE, Staboulidou I, Nicolaides KH (2008b) Screening for adverse pregnancy outcome by ductus venosus Doppler at 11-13+6 weeks of gestation. Obstet Gynecol. 2008 Sep;112(3): 598605

    Article  PubMed  Google Scholar 

  • Maiz N, Staboulidou I, Leal AM, Minekawa R, Nicolaides KH (2009a). Ductus venosus Doppler at 11 to 13 weeks of gestation in the prediction of outcome in twin pregnancies. Obstet Gynecol 113: 860865

    Article  PubMed  Google Scholar 

  • Maiz N, Valencia C, Kagan KO, Wright D, Nicolaides KH (2009b) Ductus venosus Doppler in screening for trisomies 21, 18 and 13 and Turner syndrome at 11-13 weeks of gestation. Ultrasound Obstet Gynecol 33: 512527

    Article  CAS  PubMed  Google Scholar 

  • Makikallio K, Tekay A, Jouppila P (2001) Effects of bleeding on uteroplacental, umbilicoplacental and yolk-sac hemodynamics in early pregnancy. Ultrasound Obstet Gynecol 18: 352356

    Article  CAS  PubMed  Google Scholar 

  • Mäkikallio K, Jouppila P, Räsänen J (2005) Human fetal cardiac function during the first trimester of pregnancy. Heart 91(3): 33438

    Article  PubMed Central  PubMed  Google Scholar 

  • Martínez JM, Comas M, Borrell A, Bennasar M, Gómez O, Puerto B, Gratacós E (2010) Abnormal first-trimester ductus venosus blood flow: a marker of cardiac defects in fetuses with normal karyotype and nuchal translucency. Ultrasound Obstet Gynecol 35: 267272

    Article  PubMed  Google Scholar 

  • Matias A, Gomes C, Flack N, Montenegro N, Nicolaides K (1998) Screening for chromosomal abnormalities at 10 weeks: the role of ductus venosus blood flow. Ultrasound Obstet Gynecol 12: 380384

    Article  CAS  PubMed  Google Scholar 

  • Matias A, Huggon I, Areias JC, Montenegro N, Nicolaides KH (1999) Cardiac defects in chromosomally normal fetuses with abnormal ductus venosus blood flow at 10-14 weeks. Ultrasound Obstet Gynecol 14: 307310

    Article  CAS  PubMed  Google Scholar 

  • Matias A, Ramalho C, Montenegro N (2005) Search for hemodynamic compromise at 11-14 weeks in monochorionic twin pregnancy: is abnormal flow in the ductus venosus predictive of twin-twin transfusion syndrome? J Matern Fetal Neonatal Med 18: 7986

    Article  PubMed  Google Scholar 

  • Matias A, Montenegro N, Loureiro T, Cunha M, Duarte S, Freitas D, Severo M (2010) Screening for twin-twin transfusion syndrome at 11-14 weeks of pregnancy: the key role of ductus venosus blood flow assessment. Ultrasound Obstet Gynecol 35: 142148

    Article  CAS  PubMed  Google Scholar 

  • Mavrides E, Cobian-Sanchez F, Tekay A, Moscocs G, Campbell S, Thilaganathan B, Carvalho JS (2001) Limitations of using firsttrimester nuchal translucency measurement in routine screening for major congenital heart defects. Ultrasound Obstet Gynecol 17: 106110

    Article  CAS  PubMed  Google Scholar 

  • Merz E (2002) Hämodynamische Beurteilung der Frühschwangerschaft in: Sonographische Diagnostik in Gynäkologie und Geburtshilfe Band 2: 458468

    Google Scholar 

  • Nicolaides KH, Spencer K, Avigdou K, Faiola S, Falcon O (2005) Multicenter study of first-trimester screening for trisomy 21 in 75821 pregnancies: results and estimation of potential impact of individual risk orientated two-stage first-trimester screening. Ultrasound Obstet Gynecol 25(3): 221226

    Article  CAS  PubMed  Google Scholar 

  • Oh C, Harman C, Baschat AA (2007) Abnormal first-trimester ductus venosus blood flow: a risk factor for adverse outcome in fetuses with normal nuchal translucency. Ultrasound Obstet Gynecol 30: 192196

    Article  CAS  PubMed  Google Scholar 

  • Pijnenborg R et al (1983) Uteroplacental arterial changes related interstitial trophoblast migration in early human pregnancy. Placenta 4: 397414

    Article  CAS  PubMed  Google Scholar 

  • Pijnenborg R, Vercruysse L, Hanssens M (2006) The uterine spiral arteries in human pregnancy: facts and controversies. Placenta 27: 939958

    Article  CAS  PubMed  Google Scholar 

  • Prefumo F, De Basio P, Venturini PL (2001) Reproducibility of ductus venosus Doppler flow measurements at 11-14 weeks of gestation. Ultrasound Obstet Gynecol 17: 301305

    Article  CAS  PubMed  Google Scholar 

  • Robertson W, Brosens I, Dixon G. (1975) Uteroplacental vascular pathology. Eur J Obstet Gynecol Reprod Biol 5: 4765

    Article  CAS  PubMed  Google Scholar 

  • Schwärzler P, Holden D, Nielsen S, Hahlin M, Sladkevicius P, Bourne T (1999) The conservative management of first trimester miscarriages and the use of colour Doppler sonography for patient selection. Hum Reprod 14: 13411345

    Article  PubMed  Google Scholar 

  • Sebire N, Souka A, Skentou H, Geerts L, Nicolaides K (2000) Early prediction of severe twin-to-twin transfusion syndrome. Hum Reprod 15: 200810

    Article  CAS  PubMed  Google Scholar 

  • Sebire N, Rees H, Paradinas F, Fisher R, Foskett M, Seckl M, Newlands E (2001) Extravillus Endovascular Implantation Site Trophoblast Invasion is Abnormal in Complete versus Partial Molar Pregnancies. Placenta 22: 725728

    Article  CAS  PubMed  Google Scholar 

  • Zalel Y, Achiron R, Yagel S, Kivilevitch Z. (2008) Fetal aberrant right subclavian artery in normal and Down syndrome fetuses. Ultrasound Obstet Gynecol 31: 2529

    Article  CAS  PubMed  Google Scholar 

  • Zhou Q, Lei X, Xie Q, Cardoza J (2005) Sonographic and Doppler imaging in the diagnosis and treatment of gestational trophoblastic disease: a 12-year experience. J Ultrasound Med 24: 1524

    PubMed  Google Scholar 

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Ostermayer, E., von Kaisenberg, C. (2012). Dopplersonographie im 1. Trimenon. In: Steiner, H., Schneider, KT. (eds) Dopplersonographie in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20938-3_12

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