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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MDPI AG
2022-12-01
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Series: | Journal of Clinical Medicine |
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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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format | Article |
id | doaj.art-ee114efc23e64af289a44fd863d9d754 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-09T16:16:20Z |
publishDate | 2022-12-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
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 |
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