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Doppler assessment of renal blood flow velocity waveforms in the anemic fetus before and after intravascular transfusion for severe red cell alloimmunization

✍ Scribed by Giancarlo Mari; Kenneth J. Moise Jr; Russell L. Deter; Robert J. Carpenter Jr


Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
394 KB
Volume
19
Category
Article
ISSN
0091-2751

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✦ Synopsis


Image-directed pulsed Doppler ultrasonography demonstrated a decrease in the pulsatility index of the renal artery in 9 anemic fetuses (less than 30 weeks, menstrual age) soon after intravascular transfusion. The pulsatility index returned to pretransfusion values the day following the transfusion. End diastolic blood velocity in the renal artery could not be measured before the transfusion, was detectable immediately after the procedure, and was again nonmeasurable one day after the transfusion. These data suggest an increase in renal blood flow in the anemic fetus soon after intravascular transfusion to eliminate excess fluid. Indexing Words: Doppler -Fetal renal blood flow * Fetal anemia -Intravascular transfusion e Renal blood flow