Evidence map›Paper›PMID 28102332›Full record

ArticleScientific reports2017

Dynamic modeling of uteroplacental blood flow in IUGR indicates vortices and elevated pressure in the intervillous space - a pilot study.

Christian J Roth, Eva Haeussner, Tanja Ruebelmann, Franz V Koch, Christoph Schmitz, Hans-Georg Frank, Wolfgang A Wall

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 50 citations in OpenAlex.

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  17. Tracking placental development in health and disease.Nature reviews. Endocrinology · 2020
    Review
  18. Review
  19. Go with the Flow-Trophoblasts in Flow Culture.International journal of molecular sciences · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Christian J RothTechnical University of Munich, Institute for Computational Mechanics, 85748 Garching, Germany.
Eva HaeussnerLudwig-Maximilians-University of Munich, Department of Anatomy II, 80336 Munich, Germany.
Tanja RuebelmannHospital Dritter Orden, Gynecology and Obstetrics, 80638 Munich, Germany.
Franz V KochHospital Dritter Orden, Gynecology and Obstetrics, 80638 Munich, Germany.
Christoph SchmitzLudwig-Maximilians-University of Munich, Department of Anatomy II, 80336 Munich, Germany.
Hans-Georg FrankLudwig-Maximilians-University of Munich, Department of Anatomy II, 80336 Munich, Germany.
Wolfgang A WallTechnical University of Munich, Institute for Computational Mechanics, 85748 Garching, Germany.
Ludwig-Maximilians-Universität München · DEMünchen Klinik · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic placental disease is a concept that links intrauterine growth retardation (IUGR) and preeclampsia (PE) back to insufficient remodeling of uterine spiral arteries. The rheological consequences of insufficient remodeling of uterine spiral arteries were hypothesized to mediate the considerably later manifestation of obstetric disease. However, the micro-rheology in the intervillous space (IVS) cannot be examined clinically and rheological animal models of the human IVS do not exist. Thus, an in silico approach was implemented to provide in vivo inaccessible data. The morphology of a spiral artery and the inflow region of the IVS were three-dimensionally reconstructed to provide a morphological stage for the simulations. Advanced high-end supercomputing resources were used to provide blood flow simulations at high spatial resolution. Our simulations revealed turbulent blood flow (high-velocity jets and vortices) combined with elevated blood pressure in the IVS and increased wall shear stress at the villous surface in conjunction with insufficient spiral artery remodeling only. Post-hoc histological analysis of uterine veins showed evidence of increased trophoblast shedding in an IUGR placenta. Our data support that rheological alteration in the IVS is a relevant mechanism linking ischemic placental disease to altered structural integrity and function of the placenta.

Indexed as

HemodynamicsModels, BiologicalAlgorithmsBiopsyBlood Flow VelocityBlood PressureFemaleFetal Growth RetardationHumansPilot ProjectsPlacentaPlacenta DiseasesPregnancyRegional Blood FlowShear StrengthTrophoblasts

Identifiers

PMID28102332
PMCPMC5244422
OpenAlexW2576177109

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.