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The effect of the introduction of the three‐vessel view on the detection rate of transposition of the great arteries and tetralogy of Fallot
Author(s) -
Everwijn Sheila M.P.,
Nisselrooij Amber E.L.,
Rozendaal Lieke,
Clur SallyAnn B.,
Pajkrt Eva,
Hruda Jaroslav,
Linskens Ingeborg H.,
Lith Jan M.,
Blom Nico A.,
Haak Monique C.
Publication year - 2018
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.5347
Subject(s) - great arteries , tetralogy of fallot , transposition (logic) , medicine , radiology , cardiology , surgery , nuclear medicine , heart disease , computer science , artificial intelligence
Abstract Objectives The aim of this study was to analyze the annual detection rate (DR) of transposition of the great arteries (TGA) and tetrology of Fallot (ToF), after the introduction of the three‐vessel view as a mandatory plane in 2012. Methods All registered TGA and ToF cases were retrospectively extracted from our registry between 2007 and 2016. We compared the DR in a 10‐year period, before 2011, with the DR of TGA and ToF after 2012. Results In the period before 2012, 23 of the 52 TGA cases were prenatally detected (44.2%), compared with 42 of the 51 cases (82.4%) after 2012. For ToF, the DRs increased from 28 of 64 cases (43.8%) to 42 of 62 cases (67.7%) in the aforementioned periods. The increase in DRs for both defects was statistically significant ( P ≤ 0.001 and P ≤ 0.05). Conclusions In this nationally organized prenatal screening program with a quality monitoring system and a uniform protocol, DRs of 82.4% for TGA and 67.7% for ToF were reached after the introduction of the three‐vessel view as a mandatory item. The three‐vessel view significantly contributes to the detection of these conotruncal anomalies.