Feasibility and Accuracy of Early Fetal Echocardiography Performed at 13+0–13+6 Weeks in a Population with Low and High Body Mass Index: a Prospective Study

García-Delgado, R.; Rodríguez, R. García; Cárdenes, I. Ortega; González-Martín, Jesús María; Alvarado, M. De Luis; González, J. Segura; Castellano, M. Medina; Hernández, José Ángel García

doi:10.1007/s43032-021-00477-7

Cited by 9 publications

(5 citation statements)

References 16 publications

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“…However, in some situations, such as in obese women and those with a retroverted uterus, transvaginal scanning shows better results. [22][23][24] It has been reported in the literature that for viewing of the foetal heart, transvaginal examination is superior to the transabdominal technique. 25 Vimpelli et al conclude from their study that, in the late first trimester, foetal heart examination is possible, and conventional echocardiographic images may be acquired in the majority of foetuses utilising transvaginal examination.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of fetal echocardiography screening during first trimester in a low-risk population

Perumal,

Natarajan,

Abraham

2024

Int J Reprod Contracept Obstet Gynecol

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Background: Prenatal identification of cardiac defect gives families the opportunity to receive counselling regarding the anticipated fetal and neonatal outcomes. Screening and diagnosis of congenital heart disease in the first trimester has increased over the past decade as almost all CHDs are already established by that time. Objective was to assess the feasibility of screening through first trimester echocardiography by a trained observer in low-risk populations. Methods: The study was conducted on a sample of 500 antenatal mothers of gestational age between 11-13 weeks+6 days attending a teaching hospital. Maternal age, weight, height, body mass index, parity, gestational age, obstetric history and past history were recorded. In addition to first trimester ultrasound screening for aneuploidy in foetuses, a simplified echocardiographic examination was performed. After obtaining the appropriate fetal position, Crown-rump length was documented. Nuchal translucency thickness was recorded. After examination with 2-dimensional sonography, the operator obtained the tricuspid flow and ductus venosus flow. Color flow mapping was applied for evaluating the 4-chamber view and three vessel tracheal views. Specific criteria developed for the 4-chamber view, 3 vessel trachea view, tricuspid flow and ductus venosus flow was used to assess feasibility. Results: Good feasibility was observed for all the views, with tricuspid flow showing 96% feasibility, Ductus Venosus showing 95% feasibility, 3VT view showing 90.1% feasibility and 4CV view having 89.7% feasibility. There was no significant association found between maternal BMI, CRL and the feasibility of fetal cardiac screening. Conclusions: Encouraging results of this study indicates the feasibility of fetal cardiac screening in low-risk population.

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Section: Discussionmentioning

confidence: 99%

Feasibility of fetal echocardiography screening during first trimester in a low-risk population

Perumal,

Natarajan,

Abraham

2024

Int J Reprod Contracept Obstet Gynecol

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“…A transvaginal approach has the advantage of higher image quality but remains dependent on fetal position and requires the sonographer to be familiar with trans‐vaginal imaging. It is of particular value in patients with a large BMI as it provides a satisfactory examination in more than 90% of patients 23–28 . It is authors belief that a transvaginal approach should be encouraged in all cases of suspected cardiac pathology or if sufficient image quality cannot be obtained transabdominally.…”

Section: How To Scan the Heart In The First Trimester?mentioning

confidence: 99%

“…It is of particular value in patients with a large BMI as it provides a satisfactory examination in more than 90% of patients. [23][24][25][26][27][28] It is authors belief that a transvaginal approach should be encouraged in all cases of suspected cardiac pathology or if sufficient image quality cannot be obtained transabdominally.…”

Section: Transabdominal or Transvaginal?mentioning

confidence: 99%

Congenital heart anomalies in the first trimester: From screening to diagnosis

2023

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Congenital heart defects occur in approximately 1% of liveborn children and represent the most common form of congenital malformation. Due to the small size and complexity of the heart structures, prenatal diagnosis is most often made in the second trimester of pregnancy. Early diagnosis however offers significant advantages regarding the timing of further investigations, prenatal counseling, and access to management options. In the last decade, advances in antenatal imaging have improved the detection of cardiac malformations with increasing emphasis on earlier pregnancy screening and diagnosis. We aim to summarize current “state of the art” imaging of the fetal heart in the first trimester.

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“…29 Early fetal echocardiography prior to 16 weeks' gestation has also been investigated as a method for improving prenatal detection of CHD and appears to be feasible, though the impact on neonatal outcomes or cost effectiveness of routine early screening for CHD has not yet been established. 10,11,[36][37][38][39] The use of additional risk factors has also been studied to improve the cost effectiveness and detection rate of CHD in patients referred for fetal echocardiography such as hemoglobin A1c among high-risk pregestational diabetics or thickened NT in the first trimester. 28,30 Groisman et al highlighted the importance of adequate screening, particularly for ductal-dependent lesions which typically require invasive procedures within the first 28 days of life.…”

Section: Standardization Of Cardiac Imaging With Inclusion Of All Fiv...mentioning

confidence: 99%

Impact of prenatally diagnosed congenital heart defects on outcomes and management

Wong

Kohari

Bahtiyar

et al. 2022

J of Clinical Ultrasound

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Fetal echocardiogram aids in prenatal identification of neonates at high risk for congenital heart defects (CHD). Prenatal detection rates for CHD have increased with improved ultrasound technology, the use of the early fetal echocardiography, and standardization of the performance of the fetal echocardiogram. Accurate prenatal detection of CHD, particularly complex CHD, is an important contributor to improved survival rates for patients with CHD. Early detection allows for families to choose whether or not to continue with pregnancy, referral to pediatric cardiology specialists for patient education, and delivery planning. Better psychosocial supports are needed for families with CHD.

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Feasibility and Accuracy of Early Fetal Echocardiography Performed at 13+0–13+6 Weeks in a Population with Low and High Body Mass Index: a Prospective Study

Cited by 9 publications

References 16 publications

Feasibility of fetal echocardiography screening during first trimester in a low-risk population

Feasibility of fetal echocardiography screening during first trimester in a low-risk population

Congenital heart anomalies in the first trimester: From screening to diagnosis

Impact of prenatally diagnosed congenital heart defects on outcomes and management

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