About: Sonographic predictors of surgery in fetal coarctation of the aorta

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About: Sonographic predictors of surgery in fetal coarctation of the aorta Goto Sponge NotDistinct Permalink

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rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
Description	Objectives Isolated fetal coarctation of the aorta (CoA) has high false-positive diagnostic rates by cardiologists in tertiary centers. Isthmal diameter Z-scores (I), ratio of isthmus to duct diameters (I:D), and visualization of CoA shelf (Shelf) and isthmal flow disturbance (Flow) distinguish hypoplastic from normal aortic arches in retrospective studies, but their ability to predict a need for perinatal surgery is unknown. The aim of this study was to determine whether these four sonographic features could differentiate prenatally cases which would require neonatal surgery in a prospective cohort diagnosed with CoA by a cardiologist. Methods From 83 referrals with cardiac disproportion (January 2006 to August 2010), we identified 37 consecutive fetuses diagnosed with CoA. Measurements of I and I:D were made and the presence of Shelf or Flow recorded. Sensitivity, specificity and areas under receiveroperating characteristics curves, using previously reported limits of I < - 2 and I:D < 0. Objectives Isolated fetal coarctation of the aorta (CoA) has high false-positive diagnostic rates by cardiologists in tertiary centers. Isthmal diameter Z-scores (I), ratio of isthmus to duct diameters (I:D), and visualization of CoA shelf (Shelf) and isthmal flow disturbance (Flow) distinguish hypoplastic from normal aortic arches in retrospective studies, but their ability to predict a need for perinatal surgery is unknown. The aim of this study was to determine whether these four sonographic features could differentiate prenatally cases which would require neonatal surgery in a prospective cohort diagnosed with CoA by a cardiologist. Methods From 83 referrals with cardiac disproportion (January 2006 to August 2010), we identified 37 consecutive fetuses diagnosed with CoA. Measurements of I and I:D were made and the presence of Shelf or Flow recorded. Sensitivity, specificity and areas under receiveroperating characteristics curves, using previously reported limits of I < - 2 and I:D < 0. (en)
Title	Sonographic predictors of surgery in fetal coarctation of the aorta Sonographic predictors of surgery in fetal coarctation of the aorta (en)
skos:prefLabel	Sonographic predictors of surgery in fetal coarctation of the aorta Sonographic predictors of surgery in fetal coarctation of the aorta (en)
skos:notation	RIV/00216224:14110/12:00063707!RIV13-MSM-14110___
http://linked.open...avai/riv/aktivita	I
http://linked.open...avai/riv/aktivity	I
http://linked.open...iv/cisloPeriodika	1
http://linked.open...vai/riv/dodaniDat	2013
http://linked.open...aciTvurceVysledku	Jičínská, Hana
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Masarykova univerzita / Lékařská fakulta
http://linked.open...dnocenehoVysledku	169260
http://linked.open...ai/riv/idVysledku	RIV/00216224:14110/12:00063707
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	aortic coarctation; coarctation shelf; fetus; surgery (en)
http://linked.open.../riv/klicoveSlovo	fetus surgery coarctation shelf aortic coarctation
http://linked.open...odStatuVydavatele	US - Spojené státy americké
http://linked.open...ontrolniKodProRIV	[2E59F5EF2D95]
http://linked.open...i/riv/nazevZdroje	Ultrasound in Obstetrics & Gynecology
http://linked.open...in/vavai/riv/obor	FG
http://linked.open...ichTvurcuVysledku	1 (xsd:int)
http://linked.open...cetTvurcuVysledku	6 (xsd:int)
http://linked.open...UplatneniVysledku	2012
http://linked.open...v/svazekPeriodika	40
http://linked.open...iv/tvurceVysledku	Jičínská, Hana Aparicio, P. Gardiner, H. M. Jowett, V. Santhakumaran, S. Seale, A.
http://linked.open...ain/vavai/riv/wos	000305822800007
issn	0960-7692
number of pages	8 (xsd:int)
http://bibframe.org/vocab/doi	10.1002/uog.11161
http://localhost/t...ganizacniJednotka	14110

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