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Ophthalmic artery doppler as an elective method for predicting preeclampsia

Doppler de arteria oftálmica como método electivo para predicción de preeclampsia




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Artículos de Investigación

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Zapata Marín, M., Giraldo Ramírez, J. E., Román Murillo, L. T., Pacheco Narvaez, E., Echavez Agudelo, A. R., Peña Beleño, D., Córdoba Adames, G. A., & De La Espriella Palmett, V. M. (2022). Ophthalmic artery doppler as an elective method for predicting preeclampsia. Archivos De Medicina , 22(2). https://doi.org/10.30554/archmed.22.2.4536.2022
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Zapata Marín, M., Giraldo Ramírez, J. E., Román Murillo, L. T., Pacheco Narvaez, E., Echavez Agudelo, A. R., Peña Beleño, D., Córdoba Adames, G. A., & De La Espriella Palmett, V. M. (2022). Ophthalmic artery doppler as an elective method for predicting preeclampsia. Archivos De Medicina , 22(2). https://doi.org/10.30554/archmed.22.2.4536.2022

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Maria Zapata Marín
Juan Esteban Giraldo Ramírez
Leidy Tatiana Román Murillo
Eyleen Pacheco Narvaez
Alonso Rafael Echavez Agudelo
Dayanis Peña Beleño
Gabriel Alejandro Córdoba Adames
Víctor Manuel De La Espriella Palmett

Maria Zapata Marín,

x


Juan Esteban Giraldo Ramírez,

x


Leidy Tatiana Román Murillo,

x


Eyleen Pacheco Narvaez,

x


Alonso Rafael Echavez Agudelo,

x


Dayanis Peña Beleño,

x


Gabriel Alejandro Córdoba Adames,

x


Víctor Manuel De La Espriella Palmett,

x


Background: The ophthalmic artery is the first branch of the internal carotid artery. It exits just distal to the cavernous sinus. The ophthalmic artery is an easily accessible vessel for Doppler evaluation that provides information on the less accessible intracranial circulation. Preeclampsia is a hypertensive disorder in pregnancy associated with 2% to 8% of pregnancy-related complications worldwide.
Methodology: A narrative review was carried out through various databases from January 2014 to January 2022; the search and selection of articles was carried out in journals indexed in English. The following keywords were used: Doppler, Artery, Ophthalmic, Prediction, Preeclampsia.
Results: The internal carotid artery is divided into branches, the first being the ophthalmic artery. At the ophthalmic level, in women with preeclampsia, a decrease in flow impedance and an increase in the velocity of the flow velocity waveform from the ophthalmic artery have been recorded. It has been identified that between weeks 11 to 14, and between 20 to 28, patients who develop preeclampsia present an increase in the second PSV, compared to patients in pregnancy without involvement. Another of the parameters evaluated in the Doppler of the ophthalmic artery is the maximum mid-diastolic velocity.
Conclusions: This review offers updated and detailed information on the prediction of preeclampsia through the elective ophthalmic artery Doppler method.
Keywords: Doppler, Artery, Ophthalmic, Prediction, Preeclampsia.


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  1. REFERENCIAS BIBLIOGRÁFICAS
  2. M. Adamantios, Z. Sofia, K. Evangelos, M. Antonios, T. Theodore. Anatomy of the Ophthalmic Artery: A Review concerning Its Modern Surgical and Clinical Applications. Anat Res Int. 2015; 2015: 591961. doi: 10.1155/2015/591961.
  3. J. Elizabeth, L. Aubrey, K. Nicholas. Site of Origin of the Ophthalmic Artery Influences the Risk for Retinal Versus Cerebral Embolic Events. J Neuroophthalmol. 2021 Mar 1;41(1):24-28. doi: 10.1097/WNO.0000000000000883.
  4. S. Kane, S. Brennecke, F. Da silva. Ophthalmic artery Doppler analysis: a window into the cerebrovasculature of women with pre-eclampsia. Ultrasound in obstretics & Gynecology. 03 august 2016. https://doi.org/10.1002/uog.17209.
  5. M. Glaucimeire, O. Marianne, N. Waldemar. Using ultrasound and Doppler ultrasound to assess vascular changes in pre-eclampsia and eclampsia: a systematic review. Reprodução & Climatério. 30 march 2015. DOI: 10.1016/j.recli.2015.04.002.
  6. W. Dorota, K. Grzegorz, M. Malgorzata. A Comparison of Doppler Flow Parameters in the Ophthalmic Artery and Central Retinal Artery in Patients With Graves' Disease and Toxic Nodular Goiter. Frontiers in endocrinology. 17 October 2019. https://doi.org/10.3389/fendo.2019.00707.
  7. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260.
  8. Phipps EA, Thadhani R, Benzing T, Karumanchi SA. Pre-eclampsia: pathogenesis, novel diagnostics and therapies. Nat Rev Nephrol. 2019 May;15(5):275-289.
  9. Amaral LM, Wallace K, Owens M, LaMarca B. Pathophysiology and Current Clinical Management of Preeclampsia. Curr Hypertens Rep. 2017 Aug;19(8):61.
  10. Phipps E, Prasanna D, Brima W, Jim B. Preeclampsia: Updates in Pathogenesis, Definitions, and Guidelines. Clin J Am Soc Nephrol. 2016 Jun 06;11(6):1102-13.
  11. H. Kypros, S. Manoel, W. Alan. Ophthalmic artery Doppler in the prediction of preeclampsia. American Journal of Obstetrics and Gynecology. 24 abril 2021. https://doi.org/10.1016/j.ajog.2020.11.039.
  12. M. Gonser, L. Vonzun, N. Ochsenbein. Ophthalmic artery Doppler in prediction of pre-eclampsia: insights from hemodynamic considerations. Ultrasound Obstet Gynecol. 2021 Jul;58(1):145-147. doi: 10.1002/uog.23665.
  13. B. Richard, J. Ademola, O. Millicent. Maternal ophthalmic artery Doppler velocimetry in pre-eclampsia in Southwestern Nigeria. Int J Womens Health. 2015; 7: 723–734. doi: 10.2147/IJWH.S86314.
  14. A. Cristiane, A. Renato, Z. Karina. Magnesium sulfate and ophthalmic artery Doppler velocimetry in patients with severe preeclampsia: a case series. J Med Case Rep. 2017; 11: 326. doi: 10.1186/s13256-017-1490-1.
  15. E. Gibbone, I. Sapantzoglou, M. Nuñez, A. Wright, K. Nicolaides, M. Charakida. Relationship between ophthalmic artery Doppler and maternal cardiovascular function. Ultrasound Obstet Gynecol. 2021 May;57(5):733-738. doi: 10.1002/uog.23601.
  16. O. Larissa, V. Henrique, V. Antonio, F. Augusto. Doppler flowmetry of ophthalmic arteries for prediction of pre-eclampsia. Nov-Dec 2014;60(6):538-41. doi: 10.1590/1806-9282.60.06.011.
  17. M. Gonser, L. Vonzun, N. Ochesenbein-Kolbe. Association of ophthalmic artery Doppler and maternal cardiac changes in preclinical stage of pre-eclampsia: hemodynamic relationship. Ultrasound Obstet Gynecol. 2022 Jan 5. doi: 10.1002/uog.24845.
  18. C. Stefan, T. Alicia, S. Fabricio. Optic nerve sonography and ophthalmic artery Doppler velocimetry in healthy pregnant women: an Australian cohort study. J Clin Ultrasound. 2019 Nov;47(9):531-539. doi: 10.1002/jcu.22735.
  19. E. Kalafat, A. Laoreti, A. Khalil. Ophthalmic artery Doppler for prediction of pre-eclampsia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018 Jun;51(6):731-737. doi: 10.1002/uog.19002.
  20. H. Kypros, S. Manoel, W. Alan. Ophthalmic artery Doppler in the prediction of preeclampsia. Am J Obstet Gynecol. 2021 Jan 8;S0002-9378(20)31375-2.
  21. P. Maria, M. Sergio, R. Maria. Maternal ophthalmic artery Doppler ultrasonography in preeclampsia and pregnancy outcomes. Pregnancy Hypertens. 2017 Oct;10:242-246. doi: 10.1016/j.preghy.2017.10.006.
  22. I. Sapantzoglou, A. Wright, M. Gallardo, R. Vallenas. Ophthalmic artery Doppler in combination with other biomarkers in prediction of pre-eclampsia at 19-23 weeks' gestation. Ultrasound Obstet Gynecol. 2021 Jan;57(1):75-83. doi: 10.1002/uog.23528.
  23. M Sarno, A. Wright, N. vieira, I. Sapantzoglou. Ophthalmic artery Doppler in combination with other biomarkers in prediction of pre-eclampsia at 35-37 weeks' gestation. Ultrasound Obstet Gynecol. 2021 Apr;57(4):600-606. doi: 10.1002/uog.23517.
  24. D. Matias, R. Costa, B. Marias. Predictive value of ophthalmic artery Doppler velocimetry in relation to development of pre-eclampsia. Ultrasound Obstet Gynecol. 2014 Oct;44(4):419-26. doi: 10.1002/uog.13313.
  25. J. Gurgel, P. Praciano, S. Bezerra. First-trimester maternal ophthalmic artery Doppler analysis for prediction of pre-eclampsia. Ultrasound Obstet Gynecol. 2014 Oct;44(4):411-8. doi: 10.1002/uog.13338.
  26. REFERENCIAS BIBLIOGRÁFICAS
  27. M. Adamantios, Z. Sofia, K. Evangelos, M. Antonios, T. Theodore. Anatomy of the Ophthalmic Artery: A Review concerning Its Modern Surgical and Clinical Applications. Anat Res Int. 2015; 2015: 591961. doi: 10.1155/2015/591961.
  28. J. Elizabeth, L. Aubrey, K. Nicholas. Site of Origin of the Ophthalmic Artery Influences the Risk for Retinal Versus Cerebral Embolic Events. J Neuroophthalmol. 2021 Mar 1;41(1):24-28. doi: 10.1097/WNO.0000000000000883.
  29. S. Kane, S. Brennecke, F. Da silva. Ophthalmic artery Doppler analysis: a window into the cerebrovasculature of women with pre-eclampsia. Ultrasound in obstretics & Gynecology. 03 august 2016. https://doi.org/10.1002/uog.17209.
  30. M. Glaucimeire, O. Marianne, N. Waldemar. Using ultrasound and Doppler ultrasound to assess vascular changes in pre-eclampsia and eclampsia: a systematic review. Reprodução & Climatério. 30 march 2015. DOI: 10.1016/j.recli.2015.04.002.
  31. W. Dorota, K. Grzegorz, M. Malgorzata. A Comparison of Doppler Flow Parameters in the Ophthalmic Artery and Central Retinal Artery in Patients With Graves' Disease and Toxic Nodular Goiter. Frontiers in endocrinology. 17 October 2019. https://doi.org/10.3389/fendo.2019.00707.
  32. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260.
  33. Phipps EA, Thadhani R, Benzing T, Karumanchi SA. Pre-eclampsia: pathogenesis, novel diagnostics and therapies. Nat Rev Nephrol. 2019 May;15(5):275-289.
  34. Amaral LM, Wallace K, Owens M, LaMarca B. Pathophysiology and Current Clinical Management of Preeclampsia. Curr Hypertens Rep. 2017 Aug;19(8):61.
  35. Phipps E, Prasanna D, Brima W, Jim B. Preeclampsia: Updates in Pathogenesis, Definitions, and Guidelines. Clin J Am Soc Nephrol. 2016 Jun 06;11(6):1102-13.
  36. H. Kypros, S. Manoel, W. Alan. Ophthalmic artery Doppler in the prediction of preeclampsia. American Journal of Obstetrics and Gynecology. 24 abril 2021. https://doi.org/10.1016/j.ajog.2020.11.039.
  37. M. Gonser, L. Vonzun, N. Ochsenbein. Ophthalmic artery Doppler in prediction of pre-eclampsia: insights from hemodynamic considerations. Ultrasound Obstet Gynecol. 2021 Jul;58(1):145-147. doi: 10.1002/uog.23665.
  38. B. Richard, J. Ademola, O. Millicent. Maternal ophthalmic artery Doppler velocimetry in pre-eclampsia in Southwestern Nigeria. Int J Womens Health. 2015; 7: 723–734. doi: 10.2147/IJWH.S86314.
  39. A. Cristiane, A. Renato, Z. Karina. Magnesium sulfate and ophthalmic artery Doppler velocimetry in patients with severe preeclampsia: a case series. J Med Case Rep. 2017; 11: 326. doi: 10.1186/s13256-017-1490-1.
  40. E. Gibbone, I. Sapantzoglou, M. Nuñez, A. Wright, K. Nicolaides, M. Charakida. Relationship between ophthalmic artery Doppler and maternal cardiovascular function. Ultrasound Obstet Gynecol. 2021 May;57(5):733-738. doi: 10.1002/uog.23601.
  41. O. Larissa, V. Henrique, V. Antonio, F. Augusto. Doppler flowmetry of ophthalmic arteries for prediction of pre-eclampsia. Nov-Dec 2014;60(6):538-41. doi: 10.1590/1806-9282.60.06.011.
  42. M. Gonser, L. Vonzun, N. Ochesenbein-Kolbe. Association of ophthalmic artery Doppler and maternal cardiac changes in preclinical stage of pre-eclampsia: hemodynamic relationship. Ultrasound Obstet Gynecol. 2022 Jan 5. doi: 10.1002/uog.24845.
  43. C. Stefan, T. Alicia, S. Fabricio. Optic nerve sonography and ophthalmic artery Doppler velocimetry in healthy pregnant women: an Australian cohort study. J Clin Ultrasound. 2019 Nov;47(9):531-539. doi: 10.1002/jcu.22735.
  44. E. Kalafat, A. Laoreti, A. Khalil. Ophthalmic artery Doppler for prediction of pre-eclampsia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018 Jun;51(6):731-737. doi: 10.1002/uog.19002.
  45. H. Kypros, S. Manoel, W. Alan. Ophthalmic artery Doppler in the prediction of preeclampsia. Am J Obstet Gynecol. 2021 Jan 8;S0002-9378(20)31375-2.
  46. P. Maria, M. Sergio, R. Maria. Maternal ophthalmic artery Doppler ultrasonography in preeclampsia and pregnancy outcomes. Pregnancy Hypertens. 2017 Oct;10:242-246. doi: 10.1016/j.preghy.2017.10.006.
  47. I. Sapantzoglou, A. Wright, M. Gallardo, R. Vallenas. Ophthalmic artery Doppler in combination with other biomarkers in prediction of pre-eclampsia at 19-23 weeks' gestation. Ultrasound Obstet Gynecol. 2021 Jan;57(1):75-83. doi: 10.1002/uog.23528.
  48. M Sarno, A. Wright, N. vieira, I. Sapantzoglou. Ophthalmic artery Doppler in combination with other biomarkers in prediction of pre-eclampsia at 35-37 weeks' gestation. Ultrasound Obstet Gynecol. 2021 Apr;57(4):600-606. doi: 10.1002/uog.23517.
  49. D. Matias, R. Costa, B. Marias. Predictive value of ophthalmic artery Doppler velocimetry in relation to development of pre-eclampsia. Ultrasound Obstet Gynecol. 2014 Oct;44(4):419-26. doi: 10.1002/uog.13313.
  50. J. Gurgel, P. Praciano, S. Bezerra. First-trimester maternal ophthalmic artery Doppler analysis for prediction of pre-eclampsia. Ultrasound Obstet Gynecol. 2014 Oct;44(4):411-8. doi: 10.1002/uog.13338.
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