Naslov
Evaluation of early placentation and the embryonic circulation with Dopplr ultrasound
(Evaluation of early placentation and the embryonic circulation with Dopplr ultrasound.)

Autori
Kurjak, Asim ; Kupešić, Sanja

Vrsta, podvrsta i kategorija rada
Poglavlja u knjigama, znanstveni

Knjiga
Color Doppler sonography in Gynecology and Obstetrics

Urednik/ci
Schmidt, Werner ; Kurjak, Asim

Izdavač
Georg Thieme Verlag

Grad
Stuttgart : New York (NY)

Godina
2005

Raspon stranica
101 - 109

ISBN
978-3-13-130131-4

Ključne riječi
early pregnancy, placentation, color Doppler studies, inetvillous circulation, spiral artery blood flow

Sažetak
According to classic embryological textbooks intervillous circulation is established early in the first trimester. This process starts with trophoblastic invasion of the decidua in which proteolytic enzymes facilitate the penetration and erosion of the adjacent maternal capillaries with formation of the lacunae. After the lacunar or previllous stage trophoblast invades deeper portions of endometrium with belonging spiral arteries. This gradual process finishes with direct opening of the spiral arteries in the intervillous space under the fully developed placenta. This classic concept of establishment of the intervillous circulation was challenged in 1987 and 1988 by the experiments of HUSTIN and SHAAPS. The authors believed that blood flow in the intervillous space is absent in incompletely development before 12 weeks of gestation. After the introduction of the new generation of far more sensitive color Doppler devices in the last few years, our group and several others reported a positive finding of intervillous circulation during the first trimester of pregnancy.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA