Advertisement

Normale Flussmuster in den uteroplazentaren und fetalen Gefäßen

  • G. Hasenöhrl
Chapter

Zusammenfassung

In diesem Kapitel werden die normalen Flussmuster in den uteroplazentaren und fetalen Gefäßen dargestellt. Zuerst werden die physiologischen Kurvenverläufe erläutert. Im Detail werden bei den arteriellen Gefäßen die A. umbilicalis, A. cerebri media, A. uterina und die Aorta beschrieben. Daran anschließend werden die bei Doppleruntersuchungen relvanten venösen Gefäße, die V. umbilicalis, der Ductus venosus und die V. cava inferior, dargestellt.

Literatur

  1. Baschat AA, Harman CR (2006) Venous Doppler in the assessment of fetal cardiovascular status. Curr Opin Obstet Gynecol 18 (2): 156–63CrossRefGoogle Scholar
  2. Bilardo CM, Muller MA, Zikulnig L, et al. (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 (4): 288–94CrossRefGoogle Scholar
  3. Borrell A, Martinez JM, Farre MT, et al. (2001) Reversed end-diastolic flow in first-trimester umbilical artery: an ominous new sign for fetal outcome. Am J Obstet Gynecol 185(1): 204–7CrossRefGoogle Scholar
  4. Gudmundsson S, Tulzer G, Huhta JC, et al. (1996) Venous Doppler in the fetus with absent end-diastolic flow in the umbilical artery. Ultrasound Obstet Gynecol 7 (4): 262–7CrossRefGoogle Scholar
  5. Heinig J, Steinhard J, Witteler R, Schmitz R, Kiesel L, Klockenbusch W. (2007) Implications of low vascular flow resistance in the umbilical artery–difference between the second and third trimester of pregnancy. Ultraschall Med. Oct;28(5):498–501CrossRefGoogle Scholar
  6. Kagan KO, Wright D, Nicolaides KH (2015) First-trimester contingent screening for trisomies 21, 18 and 13 by fetal nuchal translucency and ductus venosus flow and maternal blood cell-free DNA testing. Ultrasound Obstet Gynecol. 2015 Jan;45(1):42–7CrossRefGoogle Scholar
  7. Mäkikallio K, Tekay A, Jouppila P (1999) Yolk sac and umbilicoplacental hemodynamics during early human embryonic development. Ultrasound Obstet Gynecol (3): 175–9CrossRefGoogle Scholar
  8. Maiz N, Wright D, Ferreira AF, Syngelaki A, Nicolaides KH (2012) A mixture model of ductus venosus pulsatility index in screening for aneuploidies at 11-13 weeks’ gestation Fetal Diagn Ther. 2012;31(4):221–9CrossRefGoogle Scholar
  9. Olofsson P, Olofsson H, Molin J, et al. (2004) Low umbilical artery vascular flow resistance and fetal outcome. Acta Obstet Gynecol Scand 83(5): 440–2CrossRefGoogle Scholar
  10. Saling E (1966) Die Sauerstoff-Sparschaltung des fetalen Kreislaufes. Geburtshilfe Frauenheilkd 4: 413‒419Google Scholar
  11. Splunder van IP, Huisman TW, Stijnen T, Wladimiroff JW (1994) Presence of pulsations and reproducibility of waveform recording in the umbilical and left portal vein in normal pregnancies. Ultrasound Obstet Gynecol 4: 49–53CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • G. Hasenöhrl
    • 1
  1. 1.A.Ö. Krankenhaus St. Josef BraunauBraunau am InnÖsterreich

Personalised recommendations