| Can Doppler ultrasound-guided oocyte retrieval improve IVF safety? | |
| | |
MedLine Citation:
|
PMID: 20800546 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Transvaginal ultrasound-guided oocyte retrieval has gained universal acceptance with an excellent safety record overall. However, even with contemporary ultrasound resolution, the aspiration needle can injure adjacent pelvic organs and blood vessels and result in external and internal bleeding. Although the idea that Doppler ultrasound might reduce the risk of blood vessel injury during follicular aspiration seems to be plausable, measurement of peritoneal blood loss and the validity of this opinion has never been appropriately tested. Using a proposed classification method in an IVF programme, it was estimated that a significant peritoneal bleeding occurred in 56/898 (6%) of IVF patients. Although Doppler ultrasound was routinely used in all patients, it did not predict 24/53 (45%) of the patients with moderate peritoneal bleeding. In 8/53 cases (15%) with moderate peritoneal bleeding, vaginal bleeding was also detected and correctly predicted during oocyte aspiration using colour Doppler vaginal vessel imaging. Colour Doppler ultrasound guidance is an easily accessible technology with a theoretical promise to improve IVF safety and, with proper usage, has the potential to reduce haemorrhagic complications. |
| | |
Authors:
|
Francisco Rísquez; Edmond Confino |
Related Documents
:
|
15299236 - The proposal of noninvasive quantitative diagnostic method of the atherosclerosis and t... 10394166 - Power doppler ultrasound scan imaging of the level of red blood cell aggregation: an in... 2950216 - The use of laser doppler flowmetry to evaluate anterior cruciate blood flow. 18378916 - The blood flow to the femoral head/neck junction during resurfacing arthroplasty: a com... 21470236 - Blood group o and black race are independent risk factors for thrombotic thrombocytopen... 15375786 - Superoxide dismustase mimetic tempol decreases blood pressure by increasing renal medul... |
Publication Detail:
|
Type: Journal Article Date: 2010-05-06 |
Journal Detail:
|
Title: Reproductive biomedicine online Volume: 21 ISSN: 1472-6491 ISO Abbreviation: Reprod. Biomed. Online Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-27 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101122473 Medline TA: Reprod Biomed Online Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 444-5 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Centro Médico Docente La Trinidad, Caracas, Venezuela. farisquez@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Biopsy, Needle
/
adverse effects Female Fertilization in Vitro / methods Humans Oocyte Retrieval / adverse effects, methods* Ultrasonography, Doppler, Color* Uterine Hemorrhage / etiology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Misplaced obsession with prospectively randomized studies.
Next Document: Chromosome abnormality rates in human embryos obtained from in-vitro maturation and IVF treatment cy...