Evaluation of the type of fetal umblical-portal anastomosis in late-onset fetal growth restriction: A case-control study
JOURNAL OF CLINICAL ULTRASOUND, cilt.52, sa.4, ss.353-358, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 4
- Basım Tarihi: 2024
- Doi Numarası: 10.1002/jcu.23636
- Dergi Adı: JOURNAL OF CLINICAL ULTRASOUND
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CINAHL
- Sayfa Sayıları: ss.353-358
- Anahtar Kelimeler: late-onset fetal growth restriction, perinatal outcome, shape of umbilical-portal anastomosis
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Purpose: To evaluate the type of umbilical-portal anastomosis in late-onset fetal growth restriction (LO-FGR) and appropriate for gestational age (AGA) fetuses. To investigate the impact of the type of umbilical-portal anastomosis on the adverse outcomes in LO-FGR.Method: This study observed 150 pregnancies with AGA fetuses and 62 pregnancies with fetuses with LO-FGR. In each case, the point of reference for measuring the abdominal circumference was established. The type of umbilical-portal anastomosis was evaluated as T-shaped, X-shaped, and H-shaped according to the shape of main portal vein and portal sinus. Incidences of the type of umbilical-portal anastomosis in AGA and LO-FGR fetuses were evaluated.Results: T-shaped anastomosis was the most common (56.7%) in the AGA group and X-shaped (66.1%) in the LO-FGR group. In LO-FGR, T-shape anastomosis was significantly lower and X-shape anastomosis was significantly higher than AGA (p < 0.001). X-shaped anastomosis was associated with LO-FGR and the RR was 2.3 (95% CI 1.5-3.6; p < 0.001). Incidences of admission to NICU and emergency C/S for fetal distress were higher in fetuses with X -shaped anastomosis in the LO-FGR (p < 0.05).Conclusion: X-shaped umbilical-portal anastomosis have a prognostic significance in LO-FGR fetuses.