{"id":27012,"date":"2017-01-11T16:35:20","date_gmt":"2017-01-11T15:35:20","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27012"},"modified":"2017-01-11T16:35:20","modified_gmt":"2017-01-11T15:35:20","slug":"pacienti-se-ted-mohou-projit-chodbou-vlastni-tepny","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27012","title":{"rendered":"Pacienti se te\u010f mohou proj\u00edt „chodbou“ vlastn\u00ed tepny"},"content":{"rendered":"

Kardiologick\u00e9 centrum, kter\u00e9 s\u00eddl\u00ed v are\u00e1lu Pardubick\u00e9 nemocnice, m\u00e1 od nyn\u011bj\u0161ka k dispozici optickou koherentn\u00ed tomografii (OCT). Tato metoda je podle l\u00e9ka\u0159\u016f centra sou\u010dasn\u00fdm vrcholem zobrazovac\u00edch mo\u017enost\u00ed v diagnostice a l\u00e9\u010db\u011b nemoc\u00ed koron\u00e1rn\u00edch tepen.<\/strong> <\/p>\n

ZHODNOT\u00cd I STENTY<\/p>\n

„Obvykl\u00fdm zp\u016fsobem zobrazov\u00e1n\u00ed koron\u00e1rn\u00edch tepen je koronarografie, kdy l\u00e9ka\u0159 speci\u00e1ln\u00ed c\u00e9vkou vst\u0159ikuje kontrastn\u00ed l\u00e1tku do c\u00e9vy a pomoc\u00ed rentgenov\u00e9ho p\u0159\u00edstroje zobrazuje jej\u00ed vnit\u0159n\u00ed pr\u016fsvit. OCT pracuje s pomoc\u00ed infra\u010derven\u00e9ho sv\u011btla a dok\u00e1\u017ee zjistit nejen vnit\u0159n\u00ed pr\u016fsvit c\u00e9vy, ale i slo\u017een\u00ed c\u00e9vn\u00ed st\u011bny. Nav\u00edc tento p\u0159\u00edstroj dok\u00e1\u017ee velmi p\u0159esn\u011b hodnotit v\u00fdsledek l\u00e9\u010dby pomoc\u00ed c\u00e9vn\u00edch v\u00fdztu\u017e\u00ed, stent\u016f, jejich\u017e ulo\u017een\u00ed koronarografie p\u0159esn\u011b hodnotit neum\u00ed,“ vysv\u011btluje vedouc\u00ed l\u00e9ka\u0159 pardubick\u00e9ho kardiologick\u00e9ho centra Ivo Varva\u0159ovsk\u00fd.<\/p>\n

A\u010dkoliv metoda OCT nen\u00ed rychlej\u0161\u00ed a naopak se doba vy\u0161et\u0159en\u00ed prodlou\u017e\u00ed p\u0159ibli\u017en\u011b o 10 minut, p\u0159in\u00e1\u0161\u00ed pacientovi v\u00fdznamn\u011b v\u011bt\u0161\u00ed bezpe\u010dnost. „V kardiologii je trendem posledn\u00edho desetilet\u00ed nespol\u00e9hat na dojmy z jednotliv\u00fdch v\u00fdkon\u016f, ale \u0159\u00eddit se v\u00fdsledky velk\u00fdch a poctiv\u011b veden\u00fdch klinick\u00fdch studi\u00ed. A ty n\u00e1m \u0159\u00edkaj\u00ed, \u017ee nejv\u011bt\u0161\u00ed p\u0159\u00ednos OCT je v kvalit\u011b ulo\u017een\u00ed koron\u00e1rn\u00edho stentu. Pokud stent nep\u0159il\u00e9h\u00e1 dokonale a\u017e k c\u00e9vn\u00ed st\u011bn\u011b, nebo pokud v jeho okol\u00ed vznikne by\u0165 drobn\u00e1 trhlinka, je v\u00fdrazn\u011b vy\u0161\u0161\u00ed pravd\u011bpodobnost infarktu myokardu nebo \u00famrt\u00ed nemocn\u00e9ho.<\/p>\n

Sami jsme ji\u017e za\u017eili \u0159adu situac\u00ed, kdy n\u00e1s OCT upozornilo na pot\u0159ebu doladit um\u00edst\u011bn\u00ed stentu tam, kde samotn\u00e1 koronarografie na nic \u0161patn\u00e9ho neukazovala. Lze tedy \u0159\u00edci, \u017ee OCT ji\u017e n\u011bkolika mo\u017en\u00fdm v\u00e1\u017en\u00fdm p\u0159\u00edhod\u00e1m pomohlo p\u0159edej\u00edt,“ doplnil Ivo Varva\u0159ovsk\u00fd. Pacientovi pr\u00fd nav\u00edc na z\u00e1v\u011br v\u00fdkonu velmi imponuje proch\u00e1zka „chodbou“ jeho vlastn\u00ed koron\u00e1rn\u00ed tepny, kdy se m\u016f\u017ee rozhl\u00ed\u017eet na v\u0161echny strany a pozorovat v\u00fdsledek opravy.<\/p>\n

V\u00cdCE ANGIOPLASTIK<\/p>\n

D\u00edky po\u0159\u00edzen\u00ed OCT p\u0159\u00edstroje se zv\u00fd\u0161il po\u010det angioplastik u rozs\u00e1hl\u00e9ho posti\u017een\u00ed c\u00e9v, na kter\u00e9 si d\u0159\u00edve l\u00e9ka\u0159 bez podrobn\u00e9 znalosti rozsahu posti\u017een\u00ed netroufl. „Za z\u00e1sadn\u00ed ale pova\u017euji zv\u00fd\u0161en\u00ed bezpe\u010dnosti v\u00fdkonu, kdy m\u016f\u017eeme koron\u00e1rn\u00ed angioplastiku l\u00e9pe pl\u00e1novat a jej\u00ed v\u00fdsledek l\u00e9pe kontrolovat,“ uvedl Varva\u0159ovsk\u00fd.<\/p>\n

Pardubick\u00fd den\u00edk
\nhttp:\/\/pardubicky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Kardiologick\u00e9 centrum, kter\u00e9 s\u00eddl\u00ed v are\u00e1lu Pardubick\u00e9 nemocnice, m\u00e1 od nyn\u011bj\u0161ka k dispozici optickou koherentn\u00ed tomografii (OCT). Tato metoda je podle l\u00e9ka\u0159\u016f centra sou\u010dasn\u00fdm vrcholem […]<\/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-27012","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27012","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=27012"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27012\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27012"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}