{"id":218851,"date":"2023-08-21T15:49:40","date_gmt":"2023-08-21T15:49:40","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=218851"},"modified":"2023-08-21T15:49:40","modified_gmt":"2023-08-21T15:49:40","slug":"p-tratament-minim-invaziv-pentru-o-afectiune-potential-fatala","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=218851","title":{"rendered":"(P) Tratament minim invaziv pentru o afec\u0163iune poten\u0163ial fatal\u0103"},"content":{"rendered":"<p>\n<strong><span style=\"font-size: 12px;\">Ame\u0163eala, durerile \u00een piept, abdomen sau spate pot indica apari\u0163ie a unei complica\u0163ii severe, poten\u0163ial fatale: ruptura de anevrism aortic. \u00centr-un astfel de caz, este vital ca pacientul s\u0103 ajung\u0103 imediat la spital pentru administrarea tratamentului, deoarece un anevrism rupt reprezint\u0103 o urgen\u0163\u0103 medical\u0103 major\u0103 \u015fi poate duce la deces.<\/span><\/strong><\/p>\n<p>\nPentru a preveni o asemenea situa\u0163ie critic\u0103, este important ca anevrismul s\u0103 fie diagnosticat \u015fi tratat din timp, \u00een stadii incipiente. Chiar dac\u0103 la \u00eenceput evolueaz\u0103 f\u0103r\u0103 simptome evidente, pe m\u0103sur\u0103 ce cre\u015fte \u00een dimensiuni, un anevrism de aort\u0103 poate duce treptat la dificult\u0103\u0163i de respira\u0163ie, senza\u0163ie de sa\u0163ietate chiar \u015fi dup\u0103 o mas\u0103 u\u015foar\u0103, degluti\u0163ie dureroas\u0103 sau dificil\u0103, umflarea bra\u0163elor, g\u00e2tului sau fe\u0163ei.<\/p>\n<p>\n\u00cen trecut, anevrismele de aort\u0103 puteau fi tratate numai prin proceduri chirurgicale clasice, cu incizii largi \u015fi deschiderea toracelui sau abdomenului, dificil de tolerat pentru pacien\u0163i \u015fi cu riscuri semnificative de deces, mai ales dac\u0103 pacientul suferea \u015fi de alte boli cardiovasculare. \u00cen prezent, exist\u0103 metode moderne de tratament, mai pu\u0163in invazive, prin abord endovascular, precum <a href=\"https:\/\/www.sanador.ro\/procedura-evar-repararea-endovasculara-anevrismului-aorta\">procedura EVAR<\/a> (realizat\u0103 pentru anevrismele abdominale) \u015fi TEVAR (efectuat\u0103 pentru anevrismele toracice). Acestea nu necesit\u0103 incizii mari \u015fi deschiderea sternului sau a abdomenului.<\/p>\n<p>\nProcedura EVAR implic\u0103 plasarea unei endoproteze (un stent graft) \u00een aort\u0103 printr-o abordare arterial\u0103 transfemural\u0103 percutanat\u0103. Este indicat\u0103 pacien\u0163ilor cu dilata\u0163ie aortic\u0103 abdominal\u0103 care dep\u0103\u015fe\u015fte 5 cm la b\u0103rba\u0163i \u015fi 4,5 cm la femei. Interven\u0163ia se desf\u0103\u015foar\u0103 \u00eentr-un mediu steril, \u00eentr-o unitate dotat\u0103 cu un sistem de angiografie de v\u00e2rf, cu pacientul intubat \u015fi ventilat mecanic.<\/p>\n<p>\nTEVAR este o procedur\u0103 indicat\u0103 \u00een special pentru disec\u0163ia de aort\u0103 de tip B \u015fi pseudoanevrisme asociate cu durere toracic\u0103, precum \u015fi pentru anevrismele toraco-abdominale asimptomatice cu un diametru mai mare de 6 cm \u015fi o cre\u015ftere rapid\u0103 \u00eentr-un interval de \u015fase luni.<\/p>\n<p>\nMontarea endoprotezei \u00een cazul <a href=\"https:\/\/www.sanador.ro\/procedura-tevar-anevrism-aorta-toracica\">procedurii TEVAR<\/a> implic\u0103 o incizie \u00een artera femural\u0103 comun\u0103. Dup\u0103 plasarea uneia sau mai multor proteze, care se suprapun la nivelul aortei toracice, devine necesar\u0103 introducere unui dispozitiv numit \u201eumbrel\u0103\u201d \u00een artera subclavie st\u00e2ng\u0103. Acest lucru se face pentru a preveni circularea s\u00e2ngelui \u00een jurul endoprotezei toracice, ceea ce ar putea men\u0163ine alimentarea anevrismului.<\/p>\n<p>\nLa Spitalul Clinic SANADOR, interven\u0163iile de cardiologie interven\u0163ional\u0103 se desf\u0103\u015foar\u0103 \u00een Laboratorul de Cateterism Cardiac, echipat cu dou\u0103 angiografe Philips Azurion 7 de ultim\u0103 genera\u0163ie. Tratamentele endovasculare cum sunt TEVAR, EVAR \u015fi <a href=\"https:\/\/www.sanador.ro\/TAVI-implantarea-transcateter-a-valvei-aortice\">TAVI<\/a> (implantarea transcateter a valvei aortice) sunt efectuate de medici cu o vast\u0103 experien\u0163\u0103, care au parcurs stagii extinse de formare, at\u00e2t \u00een \u0163ar\u0103, c\u00e2t \u015fi \u00een str\u0103in\u0103tate. \u00cen timpul interven\u0163iilor, mediul steril este asigurat de un sistem de ventila\u0163ie sofisticat, care evacueaz\u0103 eficient ionii genera\u0163i, reduc\u00e2nd astfel expunerea pacientului la radia\u0163ii.<\/p>\n<p>\n&nbsp;<\/p>\n<p>\n&nbsp;<\/p>\n<p>\n&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ame\u0163eala, durerile \u00een piept, abdomen sau spate pot indica apari\u0163ie a unei complica\u0163ii severe, poten\u0163ial fatale: ruptura de anevrism aortic. \u00centr-un astfel de caz, este vital ca pacientul s\u0103 ajung\u0103 imediat la spital pentru administrarea tratamentului, deoarece un anevrism rupt reprezint\u0103 o urgen\u0163\u0103 medical\u0103 major\u0103 \u015fi poate duce la deces. Pentru a preveni o asemenea [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[510],"tags":[36148,17459,12845,10130,21023,12923],"class_list":["post-218851","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-afectiune","tag-minim","tag-pacient","tag-potential","tag-procedura","tag-tratament"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/218851","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=218851"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/218851\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=218851"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=218851"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=218851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}