{"id":17217,"date":"2014-08-19T14:13:26","date_gmt":"2014-08-19T12:13:26","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17217"},"modified":"2014-08-19T14:13:26","modified_gmt":"2014-08-19T12:13:26","slug":"osm-cechu-dostane-v-ikem-zdarma-novou-srdecni-pumpu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17217","title":{"rendered":"Osm \u010cech\u016f dostane v IKEM zdarma novou srde\u010dn\u00ed pumpu"},"content":{"rendered":"<p><strong>Celkem osm \u010desk\u00fdch pacient\u016f s diagn\u00f3zou velmi pokro\u010dil\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed dostane v pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) nejnov\u011bj\u0161\u00ed typ dlouhodob\u00e9 mechanick\u00e9 podpory srdce. IKEM, kter\u00fd se na v\u00fdvoji p\u0159\u00edstroje pod\u00edlel, dnes novou metodu p\u0159edstavil na tiskov\u00e9 konferenci.<\/strong><!--more--><\/p>\n<p>Nejnov\u011bj\u0161\u00ed typ dlouhodob\u00e9 srde\u010dn\u00ed podpory zvan\u00e9 HeartMate III pacienti z\u00edskaj\u00ed v r\u00e1mci mezin\u00e1rodn\u00ed klinick\u00e9 studie. Podle odborn\u00edk\u016f jim pom\u016f\u017ee zlep\u0161it zdravotn\u00ed stav a maj\u00ed i \u0161anci na del\u0161\u00ed \u017eivot.<\/p>\n<p>Dlouhodob\u00e1 srde\u010dn\u00ed podpora &#8222;t\u0159et\u00ed generace&#8220; je ur\u010dena p\u0159edev\u0161\u00edm pacient\u016fm s vysoce pokro\u010dilou formou srde\u010dn\u00edho selh\u00e1n\u00ed, u kter\u00fdch se vy\u010derpaly konven\u010dn\u00ed metody l\u00e9\u010dby. Vhodn\u00e1 je i u onkologicky nemocn\u00fdch. &#8222;P\u0159edstavme si intervence na nemocn\u00fdch chlopn\u00edch p\u0159\u00edpadn\u011b bypassov\u00e9 operace&#8230; Podstatn\u00e9 je, \u017ee to jsou vysoce omezen\u00ed pacienti z hlediska v\u00fdkonnosti,&#8220; uvedl z\u00e1stupce p\u0159ednosty Kardiocentra IKEM Ivan Netuka. P\u0159\u00edstroj je um\u00edst\u011bn p\u0159\u00edmo na srdci. Nevy\u017eaduje vytv\u00e1\u0159en\u00ed podko\u017en\u00ed kapsy, kter\u00e1 je spojena s chirurgick\u00fdm z\u00e1sahem s rizikem n\u00e1sledn\u00fdch komplikac\u00ed.<\/p>\n<p>Osm kus\u016f p\u0159\u00edstroje v\u010detn\u011b p\u0159\u00edslu\u0161enstv\u00ed poskytne institutu v\u00fdrobce zdarma. Cena jednoho p\u0159esahuje dva miliony korun. &#8222;My do zdravotn\u00edho syst\u00e9mu p\u0159ilo\u017e\u00edme 20 milion\u016f nav\u00edc pro na\u0161e nemocn\u00e9 za \u00fa\u010dast na t\u00e9to studii. P\u0159in\u00e1\u0161\u00ed n\u00e1m i dal\u0161\u00ed mo\u017enosti pozn\u00e1vat zku\u0161enosti koleg\u016f v cel\u00e9 Evrop\u011b. Jsme \u0161kolic\u00ed centrum jak pro v\u00fdchodn\u00ed \u010d\u00e1st Evropy, tak poprv\u00e9 i pro z\u00e1padn\u00ed \u010d\u00e1st Evropy,&#8220; uvedl \u0159editel IKEM Ale\u0161 Herman. \u010c\u00e1st v\u00fdvoje a preklinick\u00e9ho testov\u00e1n\u00ed se uskute\u010dnila v Praze a \u010de\u0161t\u00ed experti se pravideln\u011b \u00fa\u010dastnili v\u0161ech f\u00e1z\u00ed procesu ve Spojen\u00fdch st\u00e1tech.<\/p>\n<p>V z\u00e1padn\u00edch st\u00e1tech se tato metoda vyu\u017e\u00edv\u00e1 b\u011b\u017en\u011b. D\u016fvodem, pro\u010d je v \u010cR omezena, je, \u017ee se zde z\u00e1krok pro pacienty bez v\u00fdhledu n\u00e1sledn\u00e9 transplantace nehrad\u00ed. To chce IKEM zm\u011bnit.<\/p>\n<p>IKEM pat\u0159\u00ed k dev\u00edti \u0161pi\u010dkov\u00fdm centr\u016fm ze \u0161esti zem\u00ed, kde se tento p\u0159\u00edstroj poprv\u00e9 na sv\u011bt\u011b mohl implantovat pacient\u016fm. Podle Netuky se tak za\u0159adil do &#8222;elitn\u00edho klubu&#8220; \u0161pi\u010dkov\u00fdch center, kter\u00e1 jsou nap\u0159\u00edklad v Berl\u00edn\u011b, Hannoveru, Torontu nebo Sydney. C\u00edlem studie je podle Netuky implantovat a dlouhodob\u011b sledovat 50 nemocn\u00fdch.<\/p>\n<p>Prvn\u00edm pacientem, kter\u00fd m\u011bs\u00edc po \u00fasp\u011b\u0161n\u00e9 operaci opustil nemocnici, je t\u0159iasedmdes\u00e1tilet\u00fd Zden\u011bk Hostek. &#8222;P\u0159edt\u00edm jsem nemohl ani chodit. U\u0161el jsem deset metr\u016f, zastavil se a nemohl jsem d\u00fdchat. Trvalo to hodn\u011b let. Nap\u0159ed mi dali kardiostimul\u00e1tor, ale nebylo to ono,&#8220; \u0159ekl.<\/p>\n<p>Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed je podle p\u0159ednosty Kardiocentra IKEM Jana Pirka epidemi\u00ed vysp\u011bl\u00fdch zem\u00ed. N\u00e1r\u016fst pacient\u016f je ohromn\u00fd. \u010cekac\u00ed listiny na nov\u00fd p\u0159\u00edstroj v IKEM zat\u00edm nejsou. Pracovn\u00edci institutu nicm\u00e9n\u011b proch\u00e1zej\u00ed seznamy nemocn\u00fdch, zda mezi nimi nen\u00ed vhodn\u00fd kandid\u00e1t. Je pr\u00fd problematick\u00e9, kdy se rozhodnout pro p\u0159\u00edstroj a kdy je\u0161t\u011b zv\u00e1\u017eit, \u017ee \u010dlov\u011bk m\u016f\u017ee \u017e\u00edt bez n\u011bj. I tento p\u0159\u00edstroj je toti\u017e podle nich velk\u00fdm z\u00e1sahem do t\u011bla pacienta.<\/p>\n<p>\u010cesk\u00e9 poji\u0161\u0165ovny zat\u00edm z\u00e1kroky hrad\u00ed jen u pacient\u016f, kte\u0159\u00ed spl\u0148uj\u00ed krit\u00e9ria na transplantaci srdce. Podle Pirka je to ot\u00e1zkou priorit a ekonomiky, zda toto umo\u017en\u00ed. &#8222;\u017dijeme v Evrop\u011b, nejen v okoln\u00edch st\u00e1tech ale i t\u0159eba v Kazachst\u00e1nu se toto pou\u017e\u00edv\u00e1 jako definitivn\u00ed \u0159e\u0161en\u00ed,&#8220; dodal Pirk s t\u00edm, \u017ee pokud se chce \u010cR udr\u017eet na stejn\u00e9 \u00farovni, m\u011blo by se toto \u0159e\u0161en\u00ed poskytovat i \u010desk\u00fdm pacient\u016fm.<\/p>\n<p>Prvn\u00ed mechanickou srde\u010dn\u00ed podporu implantovali v institutu p\u0159ed jeden\u00e1cti lety. Ro\u010dn\u011b zde pomohou a\u017e sedmi des\u00edtk\u00e1m lid\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Celkem osm \u010desk\u00fdch pacient\u016f s diagn\u00f3zou velmi pokro\u010dil\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed dostane v pra\u017esk\u00e9m Institutu klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) nejnov\u011bj\u0161\u00ed typ dlouhodob\u00e9 mechanick\u00e9 podpory srdce. <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17217\" title=\"Osm \u010cech\u016f dostane v IKEM zdarma novou srde\u010dn\u00ed pumpu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-17217","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17217"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17217\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17217"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}