{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:03:30Z","timestamp":1704326610248},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["Interventional Medicine and Applied Science"],"published-print":{"date-parts":[[2018,3,29]]},"abstract":"<jats:p>The goal of this study was to investigate the fetal renal vascularization during the third trimester of gestation and the perinatal outcome in pregnancies diagnosed with hypertension. Depending on the medical history, the cases were divided into two groups: chronic hypertension (CHT) group and gestational hypertension (GHT) group. The vascularization and the volume of kidneys were observed in prenatal period by three-dimensional ultrasound. We monitored gestations and perinatal complications. Renal volume and vascularization were detected in 45 cases complicated by GHT and 21 cases with CHT during the 20-month study period. The alteration in fetal renal volume and vascularization may be an in utero cause of subsequent intrauterine and neonatal complications, such as cesarean section because of fetal distress (36%), perinatal infection (24%), treatment in neonatal intensive care unit (39%), or increased perinatal mortality (1%) in affected cases. The results demonstrate that fetuses with depressed vascularization of medullae had 1.5 times the risk of an abnormal outcome compared with the control group. The volume of kidneys had a strong correlation with their vascularization. Detailed ultrasound examinations of renal parenchyma appear to be useful for the prenatal diagnosis of intrauterine hypoxia, allowing the detection of potential pathological fetal conditions in utero.<\/jats:p>","DOI":"10.1556\/1646.10.2018.15","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T10:51:20Z","timestamp":1522407080000},"page":"7-12","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Examination of the vascularization of fetal kidney with three-dimensional power Doppler technique in pregnancies complicated by increased maternal blood pressure"],"prefix":"10.1556","volume":"10","author":[{"given":"Andrea","family":"Suranyi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miklos","family":"Nogrady","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abel","family":"Altorjay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Nyari","sequence":"additional","affiliation":[{"name":"Department of Medical Physics and Informatics, University of Szeged, Szeged, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabor","family":"Nemeth","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Fetal Diagn Ther","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1159\/000264329","article-title":"In utero fetal urine analysis and renal histology correlate with the outcome in fetal obstructive uropathies","volume":"11","author":"Qureshi\n              F","year":"1996","unstructured":"Qureshi\n              F\n            \n            , \n            \n              Jacques\n              SM\n            \n            , \n            \n              Seifman\n              B\n            \n            , \n            \n              Quintero\n              R\n            \n            , \n            \n              Evans\n              MI\n            \n            , \n            \n              Smith\n              C\n            \n            , \n            \n              Johnson\n              MP\n            \n          : In utero fetal urine analysis and renal histology correlate with the outcome in fetal obstructive uropathies. Fetal Diagn Ther11, 306\u2013312 (1996)10.1159\/000264329"},{"key":"B2","series-title":"BJOG","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1111\/j.1471-0528.2002.01430.x","article-title":"Predictive value of amniotic fluid cystatin C levels for the early identification of fetuses with obstructive uropathies","volume":"109","author":"Mussap\n              M","year":"2002","unstructured":"Mussap\n              M\n            \n            , \n            \n              Fanos\n              V\n            \n            , \n            \n              Pizzini\n              C\n            \n            , \n            \n              Marcolongo\n              A\n            \n            , \n            \n              Chiaffoni\n              G\n            \n            , \n            \n              Plebani\n              M\n            \n          : Predictive value of amniotic fluid cystatin C levels for the early identification of fetuses with obstructive uropathies. BJOG109, 778\u2013783 (2002)10.1111\/j.1471-0528.2002.01430.x"},{"key":"B3","series-title":"J Perinat Med","first-page":"274","article-title":"Fetal renal hyperechogenicity in pathological pregnancies","volume":"25","author":"Sur\u00e1nyi\n              A","year":"1997","unstructured":"Sur\u00e1nyi\n              A\n            \n            , \n            \n              P\u00e1l\n              A\n            \n            , \n            \n              Streitman\n              K\n            \n            , \n            \n              Pint\u00e9r\n              S\n            \n            , \n            \n              Kov\u00e1cs\n              L\n            \n          : Fetal renal hyperechogenicity in pathological pregnancies. J Perinat Med25, 274\u2013279 (1997)"},{"key":"B4","series-title":"Pediatr Nephrol","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1007\/s004670100604","article-title":"Fetal renal hyperechogenicity in intrauterine growth retardation: Importance and outcome","volume":"16","author":"Sur\u00e1nyi\n              A","year":"2001","unstructured":"Sur\u00e1nyi\n              A\n            \n            , \n            \n              Retz\n              C\n            \n            , \n            \n              Rigo\n              J\n            \n            , \n            \n              Schaaps\n              JP\n            \n            , \n            \n              Foidart\n              JM\n            \n          : Fetal renal hyperechogenicity in intrauterine growth retardation: Importance and outcome. Pediatr Nephrol16, 575\u2013580 (2001)10.1007\/s004670100604"},{"key":"B5","series-title":"Ultrasound Obstet Gynecol","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1046\/j.1469-0705.1999.14020139.x","article-title":"Three-dimensional power Doppler sonography: Imaging and quantifying blood flow and vascularization","volume":"14","author":"Pairleitner\n              H","year":"1999","unstructured":"Pairleitner\n              H\n            \n            , \n            \n              Steiner\n              H\n            \n            , \n            \n              Hasenoehrl\n              G\n            \n            , \n            \n              Staudach\n              A\n            \n          : Three-dimensional power Doppler sonography: Imaging and quantifying blood flow and vascularization. Ultrasound Obstet Gynecol14, 139\u2013143 (1999)10.1046\/j.1469-0705.1999.14020139.x"},{"key":"B6","series-title":"Ultrasound Obstet Gynecol","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1002\/uog.7741","article-title":"Correlation between uteroplacental three-dimensional power Doppler indices and true uterine blood flow: Evaluation in a pregnant sheep model","volume":"36","author":"Morel\n              O","year":"2010","unstructured":"Morel\n              O\n            \n            , \n            \n              Pachy\n              F\n            \n            , \n            \n              Chavatte-Palmer\n              P\n            \n            , \n            \n              Bonneau\n              M\n            \n            , \n            \n              Gayat\n              E\n            \n            , \n            \n              Laigre\n              P\n            \n            , \n            \n              Evain-Brion\n              D\n            \n            , \n            \n              Tsatsaris\n              V\n            \n          : Correlation between uteroplacental three-dimensional power Doppler indices and true uterine blood flow: Evaluation in a pregnant sheep model. Ultrasound Obstet Gynecol36, 635\u2013640 (2010)10.1002\/uog.7741"},{"key":"B7","series-title":"Int J Gynaecol Obstet","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.ijgo.2014.10.035","article-title":"Examination of placental three-dimensional power Doppler indices and perinatal outcome in pregnancies complicated by intrauterine growth restriction","volume":"129","author":"Moln\u00e1r\n              A","year":"2015","unstructured":"Moln\u00e1r\n              A\n            \n            , \n            \n              Sur\u00e1nyi\n              A\n            \n            , \n            \n              Ny\u00e1ri\n              T\n            \n            , \n            \n              N\u00e9meth\n              G\n            \n            , \n            \n              P\u00e1l\n              A\n            \n          : Examination of placental three-dimensional power Doppler indices and perinatal outcome in pregnancies complicated by intrauterine growth restriction. Int J Gynaecol Obstet129, 5\u20138 (2015)10.1016\/j.ijgo.2014.10.035"},{"key":"B8","series-title":"Medicine (Baltimore)","doi-asserted-by":"publisher","first-page":"e1747","DOI":"10.1097\/MD.0000000000001747","article-title":"The risk factors that predict chronic hypertension after delivery in women with a history of hypertensive disorders of pregnancy","volume":"94","author":"Hwang\n              J-W","year":"2015","unstructured":"Hwang\n              J-W\n            \n            , \n            \n              Park\n              S-J\n            \n            , \n            \n              Oh\n              S-Y\n            \n            , \n            \n              Chang\n              SA\n            \n            , \n            \n              Lee\n              SC\n            \n            , \n            \n              Park\n              SW\n            \n            , \n            \n              Kim\n              DK\n            \n          : The risk factors that predict chronic hypertension after delivery in women with a history of hypertensive disorders of pregnancy. Medicine (Baltimore)94, e1747 (2015)10.1097\/MD.0000000000001747"},{"key":"B9","series-title":"Best Pract Res Clin Obstet Gynaecol","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.bpobgyn.2011.01.006","article-title":"Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy","volume":"25","author":"Hutcheon\n              JA","year":"2011","unstructured":"Hutcheon\n              JA\n            \n            , \n            \n              Lisonkova\n              S\n            \n            , \n            \n              Joseph\n              KS\n            \n          : Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. Best Pract Res Clin Obstet Gynaecol25, 391\u2013403 (2011)10.1016\/j.bpobgyn.2011.01.006"},{"key":"B10","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1016\/S0140-6736(06)68397-9","article-title":"WHO analysis of causes of maternal death: A systematic review","volume":"367","author":"Khan\n              KS","year":"2006","unstructured":"Khan\n              KS\n            \n            , \n            \n              Wojdyla\n              D\n            \n            , \n            \n              Say\n              L\n            \n            , \n            \n              G\u00fclmezoglu\n              AM\n            \n            , \n            \n              Van Look\n              PF\n            \n          : WHO analysis of causes of maternal death: A systematic review. Lancet367, 1066\u20131074 (2006)10.1016\/S0140-6736(06)68397-9"},{"key":"B11","series-title":"J Perinatol","first-page":"425","article-title":"Effect of pregnancy-induced and chronic hypertension on pregnancy outcome","volume":"17","author":"Jain\n              L","year":"1997","unstructured":"Jain\n              L\n            \n          : Effect of pregnancy-induced and chronic hypertension on pregnancy outcome. J Perinatol17, 425\u2013427 (1997)"},{"key":"B12","series-title":"Int J Gynaecol Obstet","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.ijgo.2004.03.006","article-title":"Chronic hypertension and the risk for adverse pregnancy outcome after superimposed pre-eclampsia","volume":"86","author":"Vanek\n              M","year":"2004","unstructured":"Vanek\n              M\n            \n            , \n            \n              Sheiner\n              E\n            \n            , \n            \n              Levy\n              A\n            \n            , \n            \n              Mazor\n              M\n            \n          : Chronic hypertension and the risk for adverse pregnancy outcome after superimposed pre-eclampsia. Int J Gynaecol Obstet86, 7\u201311 (2004)10.1016\/j.ijgo.2004.03.006"},{"key":"B13","series-title":"Am J Perinatol","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1055\/s-2007-994772","article-title":"Pregnancy-induced hypertension and early neonatal death: A case-control study","volume":"10","author":"Zhang\n              J","year":"1993","unstructured":"Zhang\n              J\n            \n            , \n            \n              Cai\n              WW\n            \n            , \n            \n              Lee\n              DJ\n            \n          : Pregnancy-induced hypertension and early neonatal death: A case-control study. Am J Perinatol10, 401\u2013403 (1993)10.1055\/s-2007-994772"},{"key":"B14","series-title":"Pregnancy Hypertens","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.preghy.2014.02.001","article-title":"The classification, diagnosis and management of the hypertensive disorders of pregnancy: A revised statement from the ISSHP","volume":"4","author":"Tranquilli\n              AL","year":"2014","unstructured":"Tranquilli\n              AL\n            \n            , \n            \n              Dekker\n              G\n            \n            , \n            \n              Magee\n              L\n            \n            , \n            \n              Roberts\n              J\n            \n            , \n            \n              Sibai\n              BM\n            \n            , \n            \n              Steyn\n              W\n            \n            , \n            \n              Zeeman\n              GG\n            \n            , \n            \n              Brown\n              MA\n            \n          : The classification, diagnosis and management of the hypertensive disorders of pregnancy: A revised statement from the ISSHP. Pregnancy Hypertens4, 97\u2013104 (2014)10.1016\/j.preghy.2014.02.001"},{"key":"B15","series-title":"Am J Obstet Gynecol","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1016\/0002-9378(74)90587-0","article-title":"Cardiovascular responses to hypoxemia and acidemia in fetal lambs","volume":"120","author":"Cohn\n              HE","year":"1974","unstructured":"Cohn\n              HE\n            \n            , \n            \n              Sacks\n              EJ\n            \n            , \n            \n              Heymann\n              MA\n            \n            , \n            \n              Rudolph\n              AM\n            \n          : Cardiovascular responses to hypoxemia and acidemia in fetal lambs. Am J Obstet Gynecol120, 817\u2013824 (1974)10.1016\/0002-9378(74)90587-0"},{"key":"B16","series-title":"Pediatr Res","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1203\/00006450-197401000-00009","article-title":"Cerebral reactions during intrauterine asphyxia in the sheep. I. Circulation and oxygen consumption in the fetal brain","volume":"8","author":"Kjellmer\n              I","year":"1974","unstructured":"Kjellmer\n              I\n            \n            , \n            \n              Karlsson\n              K\n            \n            , \n            \n              Olsson\n              T\n            \n            , \n            \n              Ros\u00e9n\n              KG\n            \n          : Cerebral reactions during intrauterine asphyxia in the sheep. I. Circulation and oxygen consumption in the fetal brain. Pediatr Res8, 50\u201357 (1974)10.1203\/00006450-197401000-00009"},{"key":"B17","series-title":"Am J Obstet Gynecol","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1016\/0002-9378(93)90646-Z","article-title":"Effects of long-term, high-altitude hypoxemia on ovine fetal cardiac output and blood flow distribution","volume":"169","author":"Kamitomo\n              M","year":"1993","unstructured":"Kamitomo\n              M\n            \n            , \n            \n              Alonso\n              JG\n            \n            , \n            \n              Okai\n              T\n            \n            , \n            \n              Longo\n              LD\n            \n            , \n            \n              Gilbert\n              RD\n            \n          : Effects of long-term, high-altitude hypoxemia on ovine fetal cardiac output and blood flow distribution. Am J Obstet Gynecol169, 701\u2013707 (1993)10.1016\/0002-9378(93)90646-Z"},{"key":"B18","series-title":"Pediatr Nephrol","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1007\/s00467-002-1004-1","article-title":"What is biparietal diameter\/kidney length ratio in cases with renal hyperechogenicity?","volume":"18","author":"Sur\u00e1nyi\n              A","year":"2003","unstructured":"Sur\u00e1nyi\n              A\n            \n            , \n            \n              Ny\u00e1ri\n              T\n            \n            , \n            \n              P\u00e1l\n              A\n            \n          : What is biparietal diameter\/kidney length ratio in cases with renal hyperechogenicity?Pediatr Nephrol18, 14\u201317 (2003)10.1007\/s00467-002-1004-1"},{"key":"B19","series-title":"Pediatr Nephrol","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/s004670050781","article-title":"Fetal renal artery flow and renal echogenicity in the chronically hypoxic state","volume":"14","author":"Sur\u00e1nyi\n              A","year":"2000","unstructured":"Sur\u00e1nyi\n              A\n            \n            , \n            \n              Streitman\n              K\n            \n            , \n            \n              P\u00e1l\n              A\n            \n            , \n            \n              Ny\u00e1ri\n              T\n            \n            , \n            \n              Retz\n              C\n            \n            , \n            \n              Foidart\n              JM\n            \n            , \n            \n              Schaaps\n              JP\n            \n            , \n            \n              Kov\u00e1cs\n              L\n            \n          : Fetal renal artery flow and renal echogenicity in the chronically hypoxic state. Pediatr Nephrol14, 393\u2013399 (2000)10.1007\/s004670050781"},{"key":"B20","article-title":"Prenatal and postnatal evaluation of foetal renal hyperechogenicity in pregnancies complicated with pre-eclampsia and intrauterine growth retardation","author":"Suranyi\n              A","year":"2000","unstructured":"Suranyi\n              A\n            \n           (2000): Prenatal and postnatal evaluation of foetal renal hyperechogenicity in pregnancies complicated with pre-eclampsia and intrauterine growth retardation. Dissertation, University of Szeged. Retrieved from http:\/\/doktori.bibl.u-szeged.hu\/2154\/"}],"container-title":["Interventional Medicine and Applied Science"],"original-title":[],"link":[{"URL":"http:\/\/www.akademiai.com\/doi\/full-xml\/10.1556\/1646.10.2018.15","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/view\/journals\/1646\/10\/1\/article-p7.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1646\/10\/1\/article-p7.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/1646\/10\/1\/article-p7.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T16:18:36Z","timestamp":1704298716000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/1646\/10\/1\/article-p7.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":20,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1556\/1646.10.2018.15","relation":{},"ISSN":["2061-1617","2061-5094"],"issn-type":[{"value":"2061-1617","type":"print"},{"value":"2061-5094","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}