Chromosomal Aberrations in Fetuses With Isolated Persistent Right Umbilical Vein-A Nationwide Study.

IF 2.7 2区 医学 Q2 GENETICS & HEREDITY Prenatal Diagnosis Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI:10.1002/pd.6749
Cathrine Vedel, Richard Farlie, Laura Vase, Lise Hald Nielsen, Ann Nygaard Jensen, Sidsel Svennekjaer Barken, Karina Hjort-Pedersen, Olav Bjørn Petersen
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Abstract

Objective: To evaluate the prevalence of chromosomal aberrations in fetuses with isolated PRUV in a nationwide cohort with 1st-trimester screening for aneuploidies.

Method: A retrospective study including all pregnancies in Denmark with a due date between 2010 and 2022. We retrieved all cases from patient files, where we searched for "PRUV" in the conclusion field. All retrieved cases were manually assessed to determine if PRUV was present, associated anomalies were present, and genetic tests were performed including results. Additional data on postnatal genetics were retrieved from the Danish Cytogenetic Central Registry.

Results: A total of 262 cases with PRUV were retrieved, of which 19 (7.3%) had associated malformations. Among the isolated cases, 119 (49.0%) had a prenatal invasive genetic test that consisted of CMA, and 5 cases had an NIPT (2.1%): All tests were normal or showed low risk for aneuploidies, respectively. None of the children born with PRUV had a postnatal genetic test performed.

Conclusion: We found no chromosomal aberrations in fetuses with isolated or non-isolated PRUVs. Isolated PRUV does not seem associated with a higher incidence of chromosomal aberrations, so parents can be reassured. However, since PRUV was associated with other malformations in 7% of cases, thorough scans are needed.

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隔离性持续右脐静脉胎儿的染色体畸变--一项全国性研究。
目的:通过对非整倍体进行妊娠早期筛查,评估分离性PRUV胎儿染色体畸变的发生率。方法:回顾性研究,包括丹麦所有预产期在2010年至2022年之间的孕妇。我们从患者档案中检索所有病例,在结论字段中搜索“PRUV”。对所有检索到的病例进行人工评估,以确定是否存在PRUV,是否存在相关异常,并进行包括结果在内的基因检测。出生后遗传学的其他数据从丹麦细胞遗传中心登记处检索。结果:共追回PRUV 262例,其中合并畸形19例(7.3%)。在分离病例中,119例(49.0%)进行了包括CMA在内的产前侵入性基因检测,5例(2.1%)进行了NIPT检测,所有检测结果均正常或显示非整倍体的低风险。出生时患有PRUV的孩子都没有进行过产后基因检测。结论:分离性或非分离性PRUVs胎儿均未发现染色体畸变。分离的PRUV似乎与染色体畸变的高发生率无关,因此父母可以放心。然而,由于PRUV在7%的病例中伴有其他畸形,因此需要进行彻底的扫描。
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来源期刊
Prenatal Diagnosis
Prenatal Diagnosis 医学-妇产科学
CiteScore
5.80
自引率
13.30%
发文量
204
审稿时长
2 months
期刊介绍: Prenatal Diagnosis welcomes submissions in all aspects of prenatal diagnosis with a particular focus on areas in which molecular biology and genetics interface with prenatal care and therapy, encompassing: all aspects of fetal imaging, including sonography and magnetic resonance imaging; prenatal cytogenetics, including molecular studies and array CGH; prenatal screening studies; fetal cells and cell-free nucleic acids in maternal blood and other fluids; preimplantation genetic diagnosis (PGD); prenatal diagnosis of single gene disorders, including metabolic disorders; fetal therapy; fetal and placental development and pathology; development and evaluation of laboratory services for prenatal diagnosis; psychosocial, legal, ethical and economic aspects of prenatal diagnosis; prenatal genetic counseling
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