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.
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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 |