{"id":154640,"date":"2019-03-17T16:43:42","date_gmt":"2019-03-17T15:43:42","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=154640"},"modified":"2019-03-19T18:27:21","modified_gmt":"2019-03-19T17:27:21","slug":"jizni-cechy-ceskobudejovicke-centrum-vysoce-specializovane-cerebrovaskularni-pece-ma-za-sebou-svetove-unikatni-operaci","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=154640","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e9 centrum vysoce specializovan\u00e9 cerebrovaskul\u00e1rn\u00ed p\u00e9\u010de m\u00e1 za sebou sv\u011btov\u011b unik\u00e1tn\u00ed operaci"},"content":{"rendered":"

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Sv\u011btov\u00e9 prvenstv\u00ed dr\u017e\u00ed centrum specializovan\u00e9 cerebrovaskul\u00e1rn\u00ed p\u00e9\u010de Nemocnice \u010cesk\u00e9 Bud\u011bjovice. Jako prvn\u00ed pou\u017eili v p\u0159\u00edpad\u011b akutn\u00ed c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody (CMP) zp\u016fsoben\u00e9 uz\u00e1v\u011brem mozkov\u00e9 c\u00e9vy zkostnat\u011bl\u00fdm vmetkem otev\u0159enou mikrochirurgii. Operace se odehr\u00e1la v roce 2017. Pacientka byla rok sledov\u00e1na, zda se CMP nebude opakovat. Pr\u00e1ce \u010deskobud\u011bjovick\u00fdch odborn\u00edk\u016f byla pops\u00e1na v ofici\u00e1ln\u00edm \u017eurn\u00e1lu Kongresu americk\u00fdch neurochirurg\u016f.<\/h6>\n
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Foto ze \u017eurn\u00e1lu Operative Neurosurgery<\/figcaption><\/figure>\n

\"\"\u201eL\u00e9\u010dbou prvn\u00ed volby akutn\u00ed ischemick\u00e9 CMP zp\u016fsoben\u00e9 uz\u00e1v\u011brem mozkov\u00e9 c\u00e9vy je IVT – IntraVenosn\u00ed Trombol\u00fdza: nitro\u017eiln\u00ed pod\u00e1n\u00ed l\u00e9ku rozpou\u0161t\u011bj\u00edc\u00edho sra\u017eeninu v mozkov\u00e9 c\u00e9v\u011b,\u201c<\/em> popisuje neurochirurg Ji\u0159\u00ed Fiedler a pokra\u010duje: \u201eNedojde-li k rozpu\u0161t\u011bn\u00ed sra\u017eeniny s IVT, nastupuje druh\u00e1 volba, kterou je Mechanick\u00e1 Trombektomie (MT). Jde o vyta\u017een\u00ed sra\u017eeniny z mozkov\u00e9 tepny mechanick\u00fdm za\u0159\u00edzen\u00edm, kter\u00e9 je do mozkov\u00e9 c\u00e9vy zavedeno vnit\u0159kem tepny p\u0159es t\u0159\u00edslo. Tato l\u00e9\u010dba je v rukou neurolog\u016f a interven\u010dn\u00edch radiolog\u016f a obecn\u011b v n\u00ed je cel\u00e1 \u010cesk\u00e1 republika vynikaj\u00edc\u00ed.\u201c<\/em><\/p>\n

Ob\u011b tyto l\u00e9\u010dby jsou v Nemocnici \u010cesk\u00e9 Bud\u011bjovice standardem. Probl\u00e9mem je kost\u011bn\u00fd vmetek v mozkov\u00e9 c\u00e9v\u011b. Zde IVT a MT mohou selhat. Pr\u00e1v\u011b v takov\u00e9m p\u0159\u00edpad\u011b \u010deskobud\u011bjovi\u010dt\u00ed neurochirurgov\u00e9 pou\u017eili otev\u0159enou mikrochirurgii okam\u017eit\u011b po IVT a vmetek odstranili. \u201ePodobn\u00e1 operace je pops\u00e1na l\u00e9ka\u0159i z Kanady a Japonska, ale ne v souvislosti s IVT. Dle na\u0161ich informac\u00ed jsme byli prvn\u00ed na sv\u011bt\u011b, kdo tento sc\u00e9n\u00e1\u0159 vyu\u017eil,\u201c<\/em> \u0159\u00edk\u00e1 Ji\u0159\u00ed Fiedler a upozor\u0148uje na zm\u00edn\u011bn\u00fd \u010dl\u00e1nek v presti\u017en\u00edm Operative Neurosurgery. \u201eM\u00e1me radost z toho, \u017ee tento \u010dl\u00e1nek p\u0159i hodnocen\u00ed \u010dtenosti \u010dl\u00e1nk\u016f \u010dasopisu Operative Neurosurgery m\u011bs\u00edc od zve\u0159ejn\u011bn\u00ed shl\u00e9dlo 800 neurochirurg\u016f. Je to top \u010dtvrt\u00fd recentn\u011b \u010dten\u00fd \u010dl\u00e1nek \u017eurn\u00e1lu.\u201c<\/em><\/p>\n

(tznem)<\/strong><\/p>\n

\u010cl\u00e1nek se nach\u00e1z\u00ed ZDE<\/a><\/h6>\n

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