Altered jugular vein and ductus venosus flow velocities in fetuses with increased nuchal translucency and distended jugular lymphatic sacs.

Abstract:

OBJECTIVE:We sought to assess blood flow in relation to jugular lymphatic distension in fetuses with increased and normal nuchal translucency (NT). STUDY DESIGN:In all, 72 fetuses with normal NT and 71 fetuses with NT >95th percentile were evaluated. NT size, jugular lymphatic sacs (JLS), jugular vein and ductus venosus pulsatility index for veins (PIV), and intracardiac velocities were measured. RESULTS:JLS were visualized in 22/72 fetuses with normal and in 55/71 fetuses with increased NT. Jugular vein and ductus venosus PIV was higher in fetuses with increased NT compared to normal NT (P < .01). Visibility of JLS was associated with a higher ductus venous PIV (P < .05), but not with a higher jugular vein PIV. Larger NT and larger JLS volumes were associated with higher jugular vein and ductus venosus PIV (P < .05). CONCLUSION:This study shows a relation among increased NT, jugular lymphatic distension, and altered blood flow in jugular vein and ductus venosus.

journal_name

Am J Obstet Gynecol

authors

de Mooij YM,Bartelings MM,Twisk JW,Lamberts RR,Gittenberger-de Groot AC,van Vugt JM,Bekker MN

doi

10.1016/j.ajog.2010.01.054

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

566.e1-8

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(10)00084-0

journal_volume

202

pub_type

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