The Role of Trans Cranial Doppler Ultrasonography as an Alternative Predictor for Hemodynamic Significance of Persistent Ductus Arteriosus in Preterm Neonates | ||||
| Benha Journal of Applied Sciences | ||||
| Article 20, Volume 7, Issue 2, February 2022, Page 133-141 PDF (479.04 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2022.340488 | ||||
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| Authors | ||||
| H.M. Farouk; A.A. Torky; H.A. Soliman | ||||
| Radio-diagnosis, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| Failure of postnatal closure of ductus arteriosus (DA) in preterm infants may lead to clinical symptoms of an open-angle DA (PDA) that are hemodynamically significant and need treatment. As a result of the decreased blood supply to essential organs and the resulting alterations in cerebral blood flow, brain damage is possible. Using cranial Doppler ultrasonography, this research was able to measure the cerebral hemodynamic consequences of PDA and its correlation to the prognosis. After 24 hours, clinical parameters and transcranial Doppler of the anterior cerebral artery were assessed and divided into two groups: HS PDA (hemorodynamically significant) and HIS PDA (hemorodynamically insignificant) based on clinical deterioration after 72 hours. 71 preterm neonates were included in the study. There is a high correlation between the resistive index (RI) and the clinical worsening of hemodynamically significant patients. Aside from clinical measures and echocardiography, the results of this research show that the trans-cranial Doppler is an effective bedside technique for predicting hemodynamically significant PDA in preterm infants before clinical parameters deteriorate and avoids further clinical deterioration. For preterm infants, we suggest cranial Doppler scanning as soon as possible. | ||||
| Keywords | ||||
| Trans Cranial; Ultrasonography; Preterm Neonates; PDA; Reistive index | ||||
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