Evidence map›Paper›PMID 40038539›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Diagnostic accuracy and short-term implications of prenatally diagnosed vascular rings: a single center study.

Nicolle M Ceneri, Michelle L Udine, Manan H Desai, Steven J Staffa, Wendy Ho, Leanne Buckels, Stephanie R Lacey, Mary T Donofrio

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Nicolle M CeneriDepartment of Pediatrics, Children's National Hospital, Washington, DC, USA.ORCID http://orcid.org/0000-0003-0478-6250
Michelle L UdineDivision of Cardiology, Children's National Hospital, Washington, DC, USA.
Manan H DesaiDivision of Cardiovascular Surgery, Children's National Hospital, Washington, DC, USA.
Steven J StaffaDepartment of Anesthesiology and Surgery, Boston Children's Hospital, Boston, MA, USA.
Wendy HoPrenatal Pediatrics Institute, Children's National Hospital, Washington, DC, USA.
Leanne BuckelsDivision of Cardiology, Children's National Hospital, Washington, DC, USA.
Stephanie R LaceyDivision of Cardiology, Children's National Hospital, Washington, DC, USA.
Mary T DonofrioDivision of Cardiology, Children's National Hospital, Washington, DC, USA. mdonofri@childrensnational.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the diagnostic accuracy and postnatal outcomes of fetuses with a suspected vascular ring (VR). STUDY

designSingle-center retrospective study of patients with suspected VR by fetal echocardiography. Postnatal evaluation included echocardiography +/- cross-sectional imaging. Outcomes, including symptomatology and surgery, were recorded and compared between VR types.

resultsOf 68 suspected fetal VRs, 81% were confirmed postnatally. Concordance between fetal and postnatal anatomy was 76%. Five neonates required resuscitation unrelated to VR. Symptoms presented in 13 patients (median 45 days), independent of VR type. Surgical intervention was performed in 15 patients (median 99 days); 80% were symptomatic. At a median follow-up of 6 months, 4 patients were symptomatic including 3 postoperative.

conclusionsFetal echocardiography accurately identifies and characterizes VR anatomy in most instances. Specialized delivery planning in uncomplicated cases is unnecessary given absence of symptoms at birth. Fetal diagnosis may not indicate surgical disease, as symptoms do not occur in all and early surgery does not guarantee symptom resolution.

Indexed as

Ultrasonography, PrenatalVascular RingEchocardiographyFemaleHumansInfant, NewbornMalePregnancyRetrospective Studies

Identifiers

PMID40038539

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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.