Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester

Objective: To test the efficacy of a recently introduced ultrasonic scanning plane (three vessel and trachea view -3VTV- plus color flow mapping -3VTVC) on a low-risk population for detection of congenital heart disease (CHD). Patients and setting: Antenatal clinic dealing with local low-risk population. All antenatal patients having a second trimester scan in a 1 year period. All patients had a 3VT plus 3VTC views added to routine four chamber view. Postnatal examinations were performed according to standard hospital protocol. Results: 2847 patients were examined. The plane was achievable in all 23 fetuses with CHD detected, three false negative (aortic coarctation) and two false positive. Sensitivity of the examination was 88.5%, as high as more sophisticated and difficult targeted cardiac scanning. The extra time necessary to perform the test was minimal. Conclusion: 3VTV and 3VTCV were satisfactory used as imaging planes in a busy antenatal clinic in a low-risk population. They could be easily added to the four chamber view as routine screening for CHD and increase the detection rate to 90%. Copyright © by Walter de Gruyter.

Data di pubblicazione: 2006
Titolo: Four chamber view plus three-vessel and trachea view for a complete evaluation of the fetal heart during the second trimester
Autori: Del Bianco, Antongiulio; Russo, Salvatore; Lacerenza, Nicola; Rinaldi, Matteo; Rinaldi, Giuseppe; Nappi, Luigi; Greco, Pantaleo
Rivista: JOURNAL OF PERINATAL MEDICINE
Parole Chiave: Congenital heart diseases; Four chamber view; Prenatal diagnosis; Three-vessel view; Coronary Vessels; Diagnostic Errors; Echocardiography, Doppler, Color; Female; Fetal Heart; Gestational Age; Heart Defects, Congenital; Humans; Italy; Predictive Value of Tests; Pregnancy; Risk Factors; Sensitivity and Specificity; Trachea; Ultrasonography, Prenatal; Pediatrics, Perinatology and Child Health; Obstetrics and Gynecology
Abstract in inglese: Objective: To test the efficacy of a recently introduced ultrasonic scanning plane (three vessel and trachea view -3VTV- plus color flow mapping -3VTVC) on a low-risk population for detection of congenital heart disease (CHD). Patients and setting: Antenatal clinic dealing with local low-risk population. All antenatal patients having a second trimester scan in a 1 year period. All patients had a 3VT plus 3VTC views added to routine four chamber view. Postnatal examinations were performed according to standard hospital protocol. Results: 2847 patients were examined. The plane was achievable in all 23 fetuses with CHD detected, three false negative (aortic coarctation) and two false positive. Sensitivity of the examination was 88.5%, as high as more sophisticated and difficult targeted cardiac scanning. The extra time necessary to perform the test was minimal. Conclusion: 3VTV and 3VTCV were satisfactory used as imaging planes in a busy antenatal clinic in a low-risk population. They could be easily added to the four chamber view as routine screening for CHD and increase the detection rate to 90%. Copyright © by Walter de Gruyter.
Digital Object Identifier (DOI): 10.1515/JPM.2006.059
Handle: http://hdl.handle.net/11392/2387774
Appare nelle tipologie:03.1 Articolo su rivista

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