TY - JOUR
T1 - Doppler evaluation of normal and abnormal placenta
AU - Hernandez-Andrade, E.
AU - Huntley, E. S.
AU - Bartal, M. F.
AU - Soto-Torres, E. E.
AU - Tirosh, D.
AU - Jaiman, S.
AU - Johnson, A.
N1 - Funding Information:
We are profoundly grateful to Professor Roberto Romero and the Perinatology Research Branch (Division of Obstetrics and Maternal–Fetal Medicine, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, U.S. Department of Health and Human Services (NICHD/NIH/DHHS)), for allowing us to include several placental images which were obtained while the first author (E.H.-A.) worked at the Perinatology Research Branch.
Publisher Copyright:
© 2021 International Society of Ultrasound in Obstetrics and Gynecology.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - Doppler techniques are needed for the evaluation of the intraplacental circulation and can be of great value in the diagnosis of placental anomalies. Highly sensitive Doppler techniques can differentiate between the maternal (spiral arteries) and fetal (intraplacental branches of the umbilical artery) components of the placental circulation and assist in the evaluation of the placental functional units. A reduced number of placental functional units can be associated with obstetric complications, such as fetal growth restriction. Doppler techniques can also provide information on decidual vessels and blood movement. Abnormal decidual circulation increases the risk of placenta accreta. Doppler evaluation of the placenta greatly contributes to the diagnosis and clinical management of placenta accreta, vasa previa, placental infarcts, placental infarction hematoma, maternal floor infarction, massive perivillous fibrin deposition and placental tumors. However, it has a limited role in the diagnosis and clinical management of placental abruption, placental hematomas, placental mesenchymal dysplasia and mapping of placental anastomoses in monochorionic twin pregnancies.
AB - Doppler techniques are needed for the evaluation of the intraplacental circulation and can be of great value in the diagnosis of placental anomalies. Highly sensitive Doppler techniques can differentiate between the maternal (spiral arteries) and fetal (intraplacental branches of the umbilical artery) components of the placental circulation and assist in the evaluation of the placental functional units. A reduced number of placental functional units can be associated with obstetric complications, such as fetal growth restriction. Doppler techniques can also provide information on decidual vessels and blood movement. Abnormal decidual circulation increases the risk of placenta accreta. Doppler evaluation of the placenta greatly contributes to the diagnosis and clinical management of placenta accreta, vasa previa, placental infarcts, placental infarction hematoma, maternal floor infarction, massive perivillous fibrin deposition and placental tumors. However, it has a limited role in the diagnosis and clinical management of placental abruption, placental hematomas, placental mesenchymal dysplasia and mapping of placental anastomoses in monochorionic twin pregnancies.
UR - http://www.scopus.com/inward/record.url?scp=85133166849&partnerID=8YFLogxK
U2 - 10.1002/uog.24816
DO - 10.1002/uog.24816
M3 - Review article
C2 - 34806234
AN - SCOPUS:85133166849
SN - 0960-7692
VL - 60
SP - 28
EP - 41
JO - Ultrasound in Obstetrics and Gynecology
JF - Ultrasound in Obstetrics and Gynecology
IS - 1
ER -