Effect of placental embolization on the umbilical arterial velocity waveform in fetal sheep

Abstract

Absent diastolic velocity and reversed diastolic velocity have been observed in the umbilical artery of growth-retarded human fetuses by means of Doppler ultrasonography. Because the physiologic mechanism is unknown, the purpose of this study was to determine whether such waveform changes could be induced in sheep fetuses by embolization of the resistance vessels of the placenta. Seven chronically catheterized sheep fetuses were instrumented with Doppler crystals mounted on one umbilical artery. The placenta was progressively embolized from the fetal side with plastic microspheres. In all cases the umbilical arterial waveform showed a progression from normal to zero diastolic velocity with embolization. In six of seven animals diastolic velocity eventually reversed in direction before fetal death. We conclude that occlusion of placental arteries and arterioles in fetal sheep recreates the waveform changes observed in severely growth-retarded human fetuses.