{"id":348241,"date":"2025-06-20T16:34:01","date_gmt":"2025-06-20T15:34:01","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=348241"},"modified":"2025-06-22T13:20:51","modified_gmt":"2025-06-22T12:20:51","slug":"jizni-cechy-uspech-ceskobudejovicke-intervencni-radiologie-jako-prvni-v-ceske-republice-zavedli-do-giganticke-mozkove-vydute-u-mozkoveho-kmene-specialni-stent","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=348241","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: \u00dasp\u011bch \u010deskobud\u011bjovick\u00e9 interven\u010dn\u00ed radiologie. Jako prvn\u00ed v \u010cesk\u00e9 republice zavedli do gigantick\u00e9 mozkov\u00e9 v\u00fddut\u011b u mozkov\u00e9ho kmene speci\u00e1ln\u00ed stent"},"content":{"rendered":"
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Interven\u010dn\u00ed radiologov\u00e9 MUDr. Jind\u0159ich Sova (vlevo) a MUDr. Roman Klus<\/figcaption><\/figure>\n

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Pracovi\u0161t\u011b interven\u010dn\u00ed radiologie Nemocnice \u010cesk\u00e9 Bud\u011bjovice, a.s., slav\u00ed mimo\u0159\u00e1dn\u00fd \u00fasp\u011bch. Vedouc\u00ed l\u00e9ka\u0159 MUDr. Jind\u0159ich Sova provedl se sv\u00fdm t\u00fdmem jako prvn\u00ed v republice n\u00e1ro\u010dn\u00fd z\u00e1krok. Do gigantick\u00e9 v\u00fddut\u011b mozkov\u00e9 tepny v bl\u00edzkosti mozkov\u00e9ho kmene endovaskul\u00e1rn\u011b zavedl nov\u011b vyvinut\u00fd stent.<\/h6>\n
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Ulo\u017een\u00fd stent<\/figcaption><\/figure>\n

\"\"Ob\u0159\u00ed v\u00fddut\u011b mozkov\u00fdch tepen, kter\u00e9 z\u00e1sobuj\u00ed mozkov\u00fd kmen, je obt\u00ed\u017en\u00e9 a \u010dasto i nemo\u017en\u00e9 l\u00e9\u010dit. Bez l\u00e9\u010dby hroz\u00ed pacientovi d\u0159\u00edve \u010di pozd\u011bji t\u011b\u017ek\u00e9 ochrnut\u00ed. Mozkov\u00fd kmen \u0159\u00edd\u00ed \u0159adu \u017eivotn\u011b d\u016fle\u017eit\u00fdch funkc\u00ed v\u010detn\u011b d\u00fdch\u00e1n\u00ed. V p\u0159\u00edpad\u011b prasknut\u00ed v\u00fddut\u011b je pak pacient bezprost\u0159edn\u011b ohro\u017een na \u017eivot\u011b.<\/p>\n

\u201eP\u0159ijali jsme pacienta, kter\u00e9mu byla p\u0159ed p\u011bti lety diagnostikovan\u00e1 obrovsk\u00e1 a tvarov\u011b slo\u017eit\u00e1 v\u00fddu\u0165 (aneurysma) na mozkov\u00e9 tepn\u011b. P\u016fvodn\u011b m\u011bl b\u00fdt operov\u00e1n otev\u0159en\u011b. P\u0159i diskusi ohledn\u011b postupu l\u00e9\u010dby kolega MUDr. Roman Klus navrhl \u0159e\u0161en\u00ed, se kter\u00fdm se sezn\u00e1mil v r\u00e1mci st\u00e1\u017ee na renomovan\u00e9m pracovi\u0161ti v N\u011bmecku. T\u00edmto \u0159e\u0161en\u00edm je implantace novinky, tzv. velkoform\u00e1tov\u00e9ho stentu \u2013 speci\u00e1ln\u00ed v\u00fdztu\u017ee, kter\u00e1 se c\u00e9vou zav\u00e1d\u00ed p\u0159\u00edmo do v\u00fddut\u011b. Stent eliminuje riziko jej\u00edho prasknut\u00ed a z\u00e1rove\u0148 umo\u017e\u0148uje dostate\u010dn\u00e9 krevn\u00ed z\u00e1soben\u00ed dal\u0161\u00edch c\u00e9v v okol\u00ed v\u00fddut\u011b. Na z\u00e1klad\u011b pozitivn\u00ed zku\u0161enosti n\u011bmeck\u00fdch koleg\u016f jsme se rozhodli pro stejn\u00fd postup. V na\u0161em p\u0159\u00edpad\u011b jsme implantovali stenty dva, vzhledem k velk\u00e9 d\u00e9lce aneurysmatu. Jednalo se o technicky velmi n\u00e1ro\u010dn\u00fd z\u00e1krok, kter\u00fd ji\u017e vy\u017eadoval velkou zku\u0161enost,\u201c<\/em> popisuje MUDr. Sova.<\/p>\n

Samotn\u00e9mu dvouhodinov\u00e9mu v\u00fdkonu p\u0159edch\u00e1zela dvoudenn\u00ed intenzivn\u00ed p\u0159\u00edprava ve spolupr\u00e1ci s v\u00fdrobcem stentu, v\u010detn\u011b 3D modelace v\u00fddut\u011b. \u201eJsme r\u00e1di, \u017ee z\u00e1krok prob\u011bhl \u00fasp\u011b\u0161n\u011b a pacient mohl b\u00fdt propu\u0161t\u011bn dom\u016f. Je to pro n\u00e1s nejen radost, ale i z\u00e1vazek do budoucna,\u201c<\/em> dopl\u0148uje MUDr. Sova.<\/p>\n

Gigantick\u00e1 aneurysmata mozkov\u00fdch tepen v oblasti mozkov\u00e9ho kmene jsou vz\u00e1cn\u00e1, a proto je jejich l\u00e9\u010dba v\u017edy vysoce individualizovan\u00e1. L\u00e9\u010dba vy\u017eaduje t\u011bsnou sou\u010dinnost interven\u010dn\u00edch radiolog\u016f, neurochirurg\u016f, neurolog\u016f a dal\u0161\u00edch specialist\u016f. Plat\u00ed p\u0159itom jednoduch\u00e9 pravidlo: \u010c\u00edm v\u011bt\u0161\u00ed a slo\u017eit\u011bj\u0161\u00ed je v\u00fddu\u0165, t\u00edm n\u00e1ro\u010dn\u011bj\u0161\u00ed je jej\u00ed l\u00e9\u010dba.<\/p>\n

\u201eL\u00e9\u010dba mozkov\u00fdch v\u00fddut\u00ed je v\u017edy t\u00fdmovou prac\u00ed \u2013 nejen mezi jednotliv\u00fdmi obory, ale i mezi specializovan\u00fdmi centry v republice,\u201c<\/em> vysv\u011btluje prim\u00e1\u0159 Neurochirurgick\u00e9ho odd\u011blen\u00ed doc. MUDr. Ji\u0159\u00ed Fiedler, Ph.D., MBA, a p\u0159ibli\u017euje n\u00e1ro\u010dnost p\u0159\u00edprav: \u201ePacient k n\u00e1m byl p\u0159elo\u017een z Fakultn\u00ed nemocnice Brno s pl\u00e1nem prov\u00e9st velmi n\u00e1ro\u010dn\u00fd opera\u010dn\u00ed v\u00fdkon \u2013 c\u00e9vn\u00ed bypass. T\u011bch prov\u00e1d\u00edme v r\u00e1mci \u010cesk\u00e9 republiky nejv\u00edce a disponujeme i speci\u00e1ln\u00edm p\u0159\u00edstrojem, kter\u00fd n\u00e1m umo\u017e\u0148uje hodnotit tyto vysoce specializovan\u00e9 operace pomoc\u00ed m\u011b\u0159en\u00ed pr\u016ftoku mozkov\u00fdch c\u00e9v. Jedn\u00e1 o velmi raritn\u00ed a n\u00e1ro\u010dn\u00fd p\u0159\u00edpad, proto jsme cel\u00fd z\u00e1krok konzultovali i s p\u0159edn\u00edmi odborn\u00edky ze Spojen\u00fdch st\u00e1t\u016f a Japonska. P\u0159i fin\u00e1ln\u00ed diskusi jsme se rozhodli pro kone\u010dn\u00e9 \u0159e\u0161en\u00ed rukou radiolog\u016f. Jsem r\u00e1d, \u017ee kolegov\u00e9 z interven\u010dn\u00ed radiologie dok\u00e1zali naj\u00edt jin\u00e9 \u0159e\u0161en\u00ed \u2013 a pacientovi pomoci.\u201c<\/em><\/p>\n

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Text a foto: (tz-nem)<\/strong><\/p>\n

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3D zobrazen\u00ed v\u00fddut\u011b basil\u00e1rn\u00ed tepny<\/figcaption><\/figure>\n
\n

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Informovali jsme:<\/h4>\n

JI\u017dN\u00cd \u010cECHY: Nemocnice \u010cesk\u00e9 Bud\u011bjovice jako prvn\u00ed v republice zaji\u0161\u0165uje specializovan\u00fd transport mal\u00fdch kojenc\u016f pomoc\u00ed syst\u00e9mu pro komplexn\u00ed resuscita\u010dn\u00ed p\u00e9\u010di<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovi\u010dt\u00ed neurochirurgov\u00e9 boduj\u00ed ve sv\u011bt\u011b. Doc. Ji\u0159\u00ed Fiedler je jedn\u00edm z hlavn\u00edch autor\u016f studie publikovan\u00e9 ve 3. nejlep\u0161\u00edm sv\u011btov\u00e9m l\u00e9ka\u0159sk\u00e9m \u010dasopise<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u0160pi\u010dkov\u00e1 p\u00e9\u010de o p\u00e1te\u0159 a rekordn\u00ed po\u010det operac\u00ed: Neurochirurgick\u00e9 odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice z\u00edskalo presti\u017en\u00ed statut<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Nemocnice \u010cesk\u00e9 Bud\u011bjovice jako t\u0159et\u00ed v \u010cR prov\u00e1d\u00ed roboticky asistovan\u00e9 operace kolenn\u00edho kloubu<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Porodnice Nemocnice \u010cesk\u00e9 Bud\u011bjovice posiluje individu\u00e1ln\u00ed p\u0159\u00edstup k porodu a roz\u0161i\u0159uje kompetence porodn\u00edch asistentek<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Modernizace magnetick\u00e9 rezonance v Nemocnici \u010cesk\u00e9 Bud\u011bjovice: Nov\u00e1 technologie zvy\u0161uje p\u0159esnost diagnostiky i komfort pacient\u016f<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Lep\u0161\u00ed p\u00e9\u010de pro \u017eeny s onemocn\u011bn\u00edm prsu. Nov\u00fd mamograf umo\u017e\u0148uje p\u0159esn\u011bj\u0161\u00ed diagnostiku a \u0161etrn\u011bj\u0161\u00ed z\u00e1kroky<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e1 nemocnice se \u0159ad\u00ed k elitn\u00edm chirurgick\u00fdm pracovi\u0161t\u00edm<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Neonatologie Nemocnice \u010cesk\u00e9 Bud\u011bjovice u rodi\u010d\u016f boduje<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Nemocnice \u010cesk\u00e9 Bud\u011bjovice obh\u00e1jila statut Perinatologick\u00e9ho centra intenzivn\u00ed p\u00e9\u010de<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: Nemocnice \u010c. Bud\u011bjovice zabodovala v celorepublikov\u00e9 anket\u011b<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e1 neurochirurgie stoup\u00e1 mezi evropskou elitu: spoluzakl\u00e1d\u00e1 presti\u017en\u00ed iniciativu EXPERVASC<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovi\u010dt\u00ed chirurgov\u00e9 odoperuj\u00ed slep\u00e9 st\u0159evo u d\u011bt\u00ed bez znateln\u00e9 jizvy<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e1 nemocnice provedla prvn\u00ed roboticky asistovanou operaci srdce<\/a><\/h6>\n
JI\u017dN\u00cd \u010cECHY: \u010ceskobud\u011bjovick\u00e1 nemocnice disponuje jako jedin\u00e1 v kraji specializovan\u00fdm centrem pro hepatopankreatobili\u00e1rn\u00ed chirurgii<\/a><\/h6>\n
\n

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