PMID- 32824459
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 9
IP  - 8
DP  - 2020 Aug 17
TI  - The "No ARSA" Sign: A Novel Method of Prenatal Screening for Aberrant Right 
      Subclavian Artery.
LID - 10.3390/jcm9082658 [doi]
LID - 2658
AB  - An aberrant right subclavian artery (ARSA) can be overlooked by the conventional 
      method as described by Chaoui et al., due to acoustic shadowing. The aim of this 
      study was to evaluate the feasibility and accuracy of a novel screening method 
      for ARSA by demonstrating the brachiocephalic artery bifurcation, referred to as 
      the "No ARSA" sign. A prospective study conducted at a tertiary care center 
      between 2018 and 2019 included unselected pregnant patients at a median 
      gestational age of 15.1 (14.2-22.1; IQR (inter-quartile range)) weeks, who had 
      been referred for a routine or targeted anomaly scan. All participants were 
      scanned for the presence or absence of ARSA using both the conventional and the 
      novel "No ARSA" methods for validation purposes. A total of 226 unselected 
      patients were enrolled in the study. The "No ARSA" sign was visualized in 218 
      fetuses (96.5%). In the remaining 8 cases (3.5%), the "No ARSA" sign was not 
      demonstrated. In these fetuses, an ARSA was visualized by the conventional 
      method. The new method exhibited 100% feasibility and was in complete agreement 
      with the conventional method. Intra- and inter-observer agreement was excellent 
      (kappa = 1). The results of the study suggest that the "No ARSA" sign is an efficient 
      and reliable screening tool for ARSA.
FAU - Kassif, Eran
AU  - Kassif E
AUID- ORCID: 0000-0002-2201-9461
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Tsur, Abraham
AU  - Tsur A
AUID- ORCID: 0000-0001-9092-4570
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Shust-Barequet, Shir
AU  - Shust-Barequet S
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Raviv, Oshrat
AU  - Raviv O
AD  - Departments of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Sackler 
      School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Kushnir, Anya
AU  - Kushnir A
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Abu Snenh, Samar
AU  - Abu Snenh S
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Achiron, Reuven
AU  - Achiron R
AUID- ORCID: 0000-0002-8294-3672
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Mazaki-Tovi, Shali
AU  - Mazaki-Tovi S
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Weisz, Boaz
AU  - Weisz B
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Salem, Yishay
AU  - Salem Y
AD  - Pediatric Cardiology Unit, Sheba Medical Center, Tel Hashomer, Sackler School of 
      Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
FAU - Weissbach, Tal
AU  - Weissbach T
AUID- ORCID: 0000-0001-5558-7871
AD  - Departments of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, 
      Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
LA  - eng
PT  - Journal Article
DEP - 20200817
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC7463697
OTO - NOTNLM
OT  - aberrant right subclavian artery
OT  - aortic arch anomalies
OT  - brachiocephalic artery
OT  - prenatal screening
OT  - right subclavian artery
COIS- The authors declare no conflict of interest.
EDAT- 2020/08/23 06:00
MHDA- 2020/08/23 06:01
PMCR- 2020/08/17
CRDT- 2020/08/23 06:00
PHST- 2020/07/18 00:00 [received]
PHST- 2020/08/06 00:00 [revised]
PHST- 2020/08/12 00:00 [accepted]
PHST- 2020/08/23 06:00 [entrez]
PHST- 2020/08/23 06:00 [pubmed]
PHST- 2020/08/23 06:01 [medline]
PHST- 2020/08/17 00:00 [pmc-release]
AID - jcm9082658 [pii]
AID - jcm-09-02658 [pii]
AID - 10.3390/jcm9082658 [doi]
PST - epublish
SO  - J Clin Med. 2020 Aug 17;9(8):2658. doi: 10.3390/jcm9082658.