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Quantification of utero-placental vascularization in a rabbit model of IUGR with three-dimensional power Doppler angiography.

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Article
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Lecarpentier, E. ; Morel, O. ; Tarrade, A. ; Dahirel, M. ; Bonneau, Magali ; Gayat, E. ; Evain-Brion, D. ; Chavatte-Palmer, P. ; Tsatsaris, V.

PLACENTA

a INRA, UMR 1198 Biologie du Développement et Reproduction, F-78350 Jouy en Josas, France. b ENVA, F-94704 Maisons-Alfort, France. c CRII and UCEA, INRA, Jouy-en-Josas, France. d INSERM U767, Paris Descartes University, France. e Premup Foundation (Fondation pour la Prévention de la Prématurité et la Protection du Nouveau-né Prématuré), France. f Clinical Epidemiology and Biostatistics, INSERM U717, Hopital Saint-Louis, Paris, France. g Obstetrics and Gynecology Unit, Maternité Port-Royal, APHP, Paris V University, Paris, France. h Department of Obstetrics and Gynecology, Maternité Régionale Universitaire de Nancy, Université Nancy I H. Poincaré, Nancy, France

2012

Article

Url / Doi : http://pdn.sciencedirect.com/science?_ob=MiamiImageURL&_cid=...

Volume : 33(10) : 769–775

Abstract Objectives Our objective was to evaluate the 3D power Doppler angiography (PDA) in terms of feasibility and ability to detect placental hypo-perfusion in an experimental rabbit model of intrauterine growth restriction (IUGR). Study design 14 pregnant females were treated with NG-nitro-L-arginine methylester (L-NAME), a nitric oxide synthase inhibitor, from day 24 to day 28 of gestation, to induce an IUGR. Concomitantly, 8 pregnant rabbits were used as controls. On day 28, 3D power Doppler indices were quantified in each utero-placental unit. Morphological examination of the placentas for the control group (n = 4) and the L-NAME group (500 mg/day, n = 4) were performed with immunohistochemical staining to discriminate the fetal capillaries in the labyrinthine area. Results A total of 180 live fetuses were obtained, 108 from the L-NAME group and 72 from the control group. G28 fetal weight was significantly lower in the L-NAME group than in the control group (27.40 ± 0.55 g vs 33.14 ± 0.62 g, p < 0.0001). In the L-NAME group the vascularization index (VI), flow index (FI) and vascularization flow index (VFI) were significantly lower than in the control group (2.6 [1.4; 6.0] vs 7.6 [3.5; 12.6], p < 0.05; 28.7 [26.5; 31.3] vs 32.9 [28.3; 38.1], p < 0.05; 0.8 [0.4; 1.8] vs 2.5 [1.1; 4.1], p < 0.05, for VI, FI and VFI, respectively). Morphological examinations revealed a substantial disorganization of the placental vascular architecture in the L-NAME group. Conclusion This experimental study demonstrates that quantitative 3D PDA indices are sensitive enough to detect placental vascular insufficiency in an experimental rabbit model of IUGR.
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