Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review

The survival rate of preterm infants is increasing as a result of technological advances. The incidence of intraventricular hemorrhages (IVH) in preterm infants ranges from 25% to 30%, of which 30% to 50% are severe IVH (Volpe III-IV, Volpe III is defined as intraventricular bleeding occupying more...

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Main Authors: Gengying Liu, Chuan Nie
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/24/7468
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author Gengying Liu
Chuan Nie
author_facet Gengying Liu
Chuan Nie
author_sort Gengying Liu
collection DOAJ
description The survival rate of preterm infants is increasing as a result of technological advances. The incidence of intraventricular hemorrhages (IVH) in preterm infants ranges from 25% to 30%, of which 30% to 50% are severe IVH (Volpe III-IV, Volpe III is defined as intraventricular bleeding occupying more than 50% of the ventricular width and acute lateral ventricle dilatation, Volpe IV is defined as intraventricular hemorrhage combined with venous infarction) and probably lead to posthemorrhagic ventricular dilatation (PHVD). Severe IVH and subsequent PHVD have become the leading causes of brain injury and neurodevelopmental dysplasia in preterm infants. This review aims to review the literature on the diagnosis and therapeutic strategies for PHVD and provide some recommendations for management to improve the neurological outcomes.
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spelling doaj.art-ee114efc23e64af289a44fd863d9d7542023-11-24T15:46:08ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011124746810.3390/jcm11247468Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative ReviewGengying Liu0Chuan Nie1Neonatology Department, Guangdong Women and Children Hospital, Guangzhou 510010, ChinaNeonatology Department, Guangdong Women and Children Hospital, Guangzhou 510010, ChinaThe survival rate of preterm infants is increasing as a result of technological advances. The incidence of intraventricular hemorrhages (IVH) in preterm infants ranges from 25% to 30%, of which 30% to 50% are severe IVH (Volpe III-IV, Volpe III is defined as intraventricular bleeding occupying more than 50% of the ventricular width and acute lateral ventricle dilatation, Volpe IV is defined as intraventricular hemorrhage combined with venous infarction) and probably lead to posthemorrhagic ventricular dilatation (PHVD). Severe IVH and subsequent PHVD have become the leading causes of brain injury and neurodevelopmental dysplasia in preterm infants. This review aims to review the literature on the diagnosis and therapeutic strategies for PHVD and provide some recommendations for management to improve the neurological outcomes.https://www.mdpi.com/2077-0383/11/24/7468preterm infantintracerebroventricular hemorrhageposthemorrhagic ventricular dilatationventricular access deviceventriculoperitoneal shunt
spellingShingle Gengying Liu
Chuan Nie
Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
Journal of Clinical Medicine
preterm infant
intracerebroventricular hemorrhage
posthemorrhagic ventricular dilatation
ventricular access device
ventriculoperitoneal shunt
title Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
title_full Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
title_fullStr Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
title_full_unstemmed Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
title_short Ultrasonic Diagnosis and Management of Posthemorrhagic Ventricular Dilatation in Premature Infants: A Narrative Review
title_sort ultrasonic diagnosis and management of posthemorrhagic ventricular dilatation in premature infants a narrative review
topic preterm infant
intracerebroventricular hemorrhage
posthemorrhagic ventricular dilatation
ventricular access device
ventriculoperitoneal shunt
url https://www.mdpi.com/2077-0383/11/24/7468
work_keys_str_mv AT gengyingliu ultrasonicdiagnosisandmanagementofposthemorrhagicventriculardilatationinprematureinfantsanarrativereview
AT chuannie ultrasonicdiagnosisandmanagementofposthemorrhagicventriculardilatationinprematureinfantsanarrativereview