Resistance index of the anterior cerebral artery in the very premature

Introduction. The anterior cerebral artery (ACA) resistance index (IR) is used to assess blood flow and is used to determine fetal well-being. Objective. To determine the flow of the anterior cerebral artery in very preterm infants during the first 72 hours of life. Methods. Medica...

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Detalles Bibliográficos
Autores: Ortiz Borda, Elia Maria, Nolberto Sifuentes, Violeta Alicia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/16732
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/16732
Access Level:acceso abierto
Palabra clave:Arteria Cerebral Anterior
Recién Nacido Prematuro
Ultrasonografía Doppler Transcraneal
Anterior Cerebral Artery
Infant, Premature
Ultrasonography, Doppler, Transcranial
Descripción
Sumario:Introduction. The anterior cerebral artery (ACA) resistance index (IR) is used to assess blood flow and is used to determine fetal well-being. Objective. To determine the flow of the anterior cerebral artery in very preterm infants during the first 72 hours of life. Methods. Medical records of very preterm infants treated in the Neonatal Intensive Care Unit of Edgardo Rebagliati Martins National Hospital (HNERM), EsSalud, Lima-Peru, between the years 2011-2019 were reviewed. Results. 56 medical records were reviewed that reported the index of resistance of the anterior cerebral artery in very premature infants of the HNERM. The mean values of the IR of the ACA were: 0,695 at 24 hours; 0,69 at 48 hours; and 0,667 at 72 hours. The mean systolic flow of the cerebral artery prior to 48 hours of life was similar to that of intrauterine life; at 72 hours, the mean diastolic flow was lower. Conclusions. In very preterm infants treated in the Neonatal Intensive Care Unit of the HNHRM, the average RI values of the ACA were: 0,695 at 24 hours; 0,69 at 48 hours; and 0,667 at 72 hours.