دورية أكاديمية
Prenatal Diagnosis and Prognosis of Abdominal Arteriovenous Fistulae: A Comprehensive Case Series and Systematic Review.
| العنوان: | Prenatal Diagnosis and Prognosis of Abdominal Arteriovenous Fistulae: A Comprehensive Case Series and Systematic Review. |
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| المؤلفون: | Ungureanu A; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Department of Cardiology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Ginecho Clinic, Medgin SRL, 200333 Craiova, Romania., Nagy RD; Ginecho Clinic, Medgin SRL, 200333 Craiova, Romania.; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania., Constantin C; Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Gheonea IA; Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania., Iliescu DG; Doctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.; Ginecho Clinic, Medgin SRL, 200333 Craiova, Romania.; Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania. |
| المصدر: | Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Apr 17; Vol. 14 (8). Date of Electronic Publication: 2024 Apr 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101658402 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4418 (Print) Linking ISSN: 20754418 NLM ISO Abbreviation: Diagnostics (Basel) Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, [2011]- |
| مستخلص: | This study had two main objectives. Firstly, we conducted a thorough literature review on the prenatal diagnosis of abdominal congenital arteriovenous fistulas (CAVFs) involving the abdominal aorta and hepatic arteries. Secondly, we aimed to provide detailed descriptions of eight additional cases diagnosed at our medical center and assess the outcome of this anomaly for informed counseling. We conducted a systematic search of online databases using specific keywords like "outcome", "ultrasound", "intrahepatic fistulae", and "fetal venous anomalies", focusing on studies published between 1998 and 2023. We selected 10 relevant articles and analyzed 13 cases. Additionally, we conducted a five-year prospective study in two referral centers, identifying eight CAVF cases with an incidence rate of 0.16%. Among the 21 cases evaluated, 11 resulted in live births, all of which received treatment. However, four cases (36.3%) had poor postnatal outcomes and neonatal demise due to heart failure. Prenatal signs of poor fetal hemodynamics, including cardiomegaly or hydrops, were observed in 52.3% of cases, regardless of outcome. Our findings highlight the rarity of this vascular malformation and emphasize the importance of effective treatment to avoid unfavorable outcomes. The long-term effectiveness of prenatal treatment or postnatal embolization remains uncertain, with liver transplantation being considered the most reliable treatment option. |
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| فهرسة مساهمة: | Keywords: intrahepatic fistulae; outcome; prenatal diagnosis; ultrasound |
| تواريخ الأحداث: | Date Created: 20240426 Latest Revision: 20240428 |
| رمز التحديث: | 20240428 |
| مُعرف محوري في PubMed: | PMC11048791 |
| DOI: | 10.3390/diagnostics14080826 |
| PMID: | 38667471 |
| قاعدة البيانات: | MEDLINE |
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