Mula\u010dova nemocnice v Plzni, kter\u00e1 je sou\u010d\u00e1st\u00ed skupiny PRIVAMED Group, tradi\u010dn\u011b poskytuje komplexn\u00ed diagnostiku a l\u00e9\u010dbu c\u00e9vn\u00edch onemocn\u011bn\u00ed jak z chirurgick\u00e9ho, tak interven\u010dn\u00edho pohledu. Spole\u010dn\u011b s radiology vytv\u00e1\u0159\u00ed t\u00fdm, kter\u00fd um\u00ed nab\u00eddnout pacient\u016fm nejlep\u0161\u00ed mo\u017enou p\u00e9\u010di \u2014 od klasick\u00fdch chirurgick\u00fdch v\u00fdkon\u016f a\u017e po minim\u00e1ln\u011b invazivn\u00ed intervence \u010di jejich kombinace.<\/p>\n\n\n\n
Nej\u010dast\u011bji prov\u00e1d\u011bn\u00fdmi v\u00fdkony jsou z\u00e1kroky zam\u011b\u0159en\u00e9 na z\u00e1chranu doln\u00edch kon\u010detin p\u0159ed rozs\u00e1hl\u00fdmi amputacemi u pacient\u016f, kter\u00fdm by bez z\u00e1sahu hrozila ztr\u00e1ta kon\u010detiny. Tyto intervence jsou \u010dasto kombinac\u00ed chirurgick\u00fdch i endovaskul\u00e1rn\u00edch metod, kter\u00e9 \u0161et\u0159\u00ed zdrav\u00ed i kvalitu \u017eivota.<\/p>\n\n\n\n
O c\u00e9vn\u00ed chirurgii, jej\u00edch v\u00fdzv\u00e1ch a pl\u00e1nech jsme si pov\u00eddali s prim\u00e1\u0159em MUDr. Vil\u00e9mem Kuntscherem, Ph.D., kter\u00fd byl do veden\u00ed Chirurgick\u00e9ho odd\u011blen\u00ed Mula\u010dovy nemocnice jmenov\u00e1n v z\u00e1\u0159\u00ed 2025.<\/p>\n\n\n\n
Pane prim\u00e1\u0159i, jak\u00fd je rozd\u00edl mezi c\u00e9vn\u00ed chirurgi\u00ed a angiografi\u00ed?<\/p>\n\n\n\n
C\u00e9vn\u00ed chirurgie je obor, kter\u00fd se zab\u00fdv\u00e1 nemocemi tepen a \u017eil \u2014 tedy c\u00e9v, kter\u00e9 zaji\u0161\u0165uj\u00ed z\u00e1sobov\u00e1n\u00ed org\u00e1n\u016f i kon\u010detin krv\u00ed a odv\u00e1d\u011bj\u00ed ji zp\u011bt. C\u00e9vn\u00ed chirurg pom\u00e1h\u00e1 \u0159e\u0161it d\u016fsledky t\u011bchto chorob, nap\u0159. tepenn\u00e9 uz\u00e1v\u011bry s n\u00e1slednou nedokrevnost\u00ed n\u011bkter\u00e9 \u010d\u00e1sti t\u011bla nebo riziko masivn\u00edho krv\u00e1cen\u00ed. C\u00e9vn\u00ed chirurgie je tak\u00e9 o v\u00fdkonu na opera\u010dn\u00edm s\u00e1le, \u010dasto v celkov\u00e9 anest\u00e9zii, co\u017e pro pacienta \u010dasto znamen\u00e1 vy\u0161\u0161\u00ed z\u00e1t\u011b\u017e a del\u0161\u00ed hospitalizaci.<\/p>\n\n\n\n
U n\u011bkter\u00fdch onemocn\u011bn\u00ed je mo\u017en\u00e9 pacient\u016fm \u00fa\u010dinn\u011b pomoci i bez operace d\u00edky interven\u010dn\u00ed radiologii\/angiografii. Angiografie je zobrazovac\u00ed metoda, p\u0159i n\u00ed\u017e se pomoc\u00ed kontrastn\u00ed l\u00e1tky a rentgenov\u00fdch sn\u00edmk\u016f zobraz\u00ed c\u00e9vn\u00ed syst\u00e9m. Modern\u00ed medic\u00edna dnes \u010dasto umo\u017e\u0148uje cel\u00e9 vy\u0161et\u0159en\u00ed spojit s l\u00e9\u010debn\u00fdm v\u00fdkonem prov\u00e1d\u011bn\u00fdm p\u0159\u00edmo na angiografick\u00e9m pracovi\u0161ti \u2014 nap\u0159\u00edklad otev\u0159en\u00edm z\u00fa\u017een\u00e9 c\u00e9vy nebo zaveden\u00edm stentu, a to bez klasick\u00e9ho opera\u010dn\u00edho \u0159ezu.<\/p>\n\n\n\n
Na angiografii navazuje interven\u010dn\u00ed angiologie. Prov\u00e1d\u00ed se tzv. endovaskul\u00e1rn\u011b na radiologick\u00e9m pracovi\u0161ti – interven\u010dn\u00ed angiolog zavede do c\u00e9vn\u00edho syst\u00e9mu cestou jednoho nebo n\u011bkolika vpich\u016f hadi\u010dky (katetry) s r\u016fzn\u011b utv\u00e1\u0159en\u00fdmi pracovn\u00edmi konci a jimi dok\u00e1\u017ee d\u016fsledky n\u011bkter\u00fdch c\u00e9vn\u00edch onemocn\u011bn\u00ed ihned vy\u0159e\u0161it.<\/p>\n\n\n\n
S rozvojem c\u00e9vn\u00ed chirurgie a interven\u010dn\u00ed radiologie\/angiologie nedoch\u00e1z\u00ed k omezen\u00ed v\u00fdznamu ani jednoho z t\u011bchto obor\u016f, ukazuje se naopak, \u017ee mnoho onemocn\u011bn\u00ed lze s \u00fasp\u011bchem a s velkou v\u00fdhodou pro pacienty \u0159e\u0161it takzvan\u00fdmi hybridn\u00edmi postupy, kdy se interven\u010dn\u00ed a chirurgick\u00e9 v\u00fdkony kombinuj\u00ed.<\/p>\n\n\n\n
V posledn\u00edch t\u00fddnech jsme za\u010dali s nov\u00fdmi c\u00e9vn\u00edmi mikrochirurgick\u00fdmi v\u00fdkony, nap\u0159. arterioven\u00f3zn\u00edmi p\u0159\u00edstupy pro hemodial\u00fdzu, co\u017e roz\u0161i\u0159uje spektrum na\u0161\u00ed p\u00e9\u010de. Postupn\u011b tak\u00e9 budujeme pln\u00fd rozsah interven\u010dn\u00ed radiologie v r\u00e1mci nemocnice.<\/p>\n\n\n\n
Jak prob\u00edh\u00e1 diagnostika c\u00e9vn\u00edho onemocn\u011bn\u00ed?<\/p>\n\n\n\n
Diagnostika c\u00e9vn\u00edch onemocn\u011bn\u00ed za\u010d\u00edn\u00e1 klinick\u00fdm vy\u0161et\u0159en\u00edm a rozhovorem s pacientem, n\u00e1sledovan\u00fdm z\u00e1kladn\u00edmi metodami, jako je ultrazvuk nebo krevn\u00ed testy. D\u00e1le vyu\u017e\u00edv\u00e1me modern\u00ed zobrazovac\u00ed metody \u2014 CT, angiografii \u010di MR angiografii, kter\u00e9 pom\u00e1haj\u00ed p\u0159esn\u011b zjistit typ, rozsah a lokalizaci posti\u017een\u00ed.<\/p>\n\n\n\n
Angiografie je z\u00e1sadn\u00ed, proto\u017ee pr\u00e1v\u011b na jej\u00edm z\u00e1klad\u011b mohou c\u00e9vn\u00ed chirurg a interven\u010dn\u00ed radiolog spole\u010dn\u011b rozhodnout, kter\u00e1 p\u00e9\u010de bude pro pacienta v\u00fdhodn\u011bj\u0161\u00ed. Tato mo\u017enost volby a pl\u00e1nov\u00e1n\u00ed l\u00e9\u010dby p\u0159in\u00e1\u0161\u00ed pacient\u016fm lep\u0161\u00ed v\u00fdsledky a \u010dasto i rychlej\u0161\u00ed rekonvalescenci.<\/p>\n\n\n\n
S jak\u00fdmi v\u00fdzvami se c\u00e9vn\u00ed chirurgie nej\u010dast\u011bji pot\u00fdk\u00e1?<\/p>\n\n\n\n
C\u00e9vn\u00ed onemocn\u011bn\u00ed na periferi\u00edch (nap\u0159. na doln\u00edch kon\u010detin\u00e1ch) \u010dasto znamenaj\u00ed kritickou nedokrevnost, kter\u00e1 bez l\u00e9\u010dby vede k trval\u00e9mu posti\u017een\u00ed nebo ztr\u00e1t\u011b kon\u010detiny. U mlad\u0161\u00edch pacient\u016f je to v\u00fdznamn\u00fd handicap, ovliv\u0148uj\u00edc\u00ed pracovn\u00ed i soukrom\u00fd \u017eivot; u star\u0161\u00edch pacient\u016f m\u016f\u017ee v\u00e9st k permanentn\u00ed invalidit\u011b nebo ohro\u017een\u00ed \u017eivota. Proto je na\u0161e snaha zam\u011b\u0159ena na \u010dasn\u00e9 zachycen\u00ed a adekv\u00e1tn\u00ed l\u00e9\u010dbu, kter\u00e1 pacientovi umo\u017en\u00ed co nejvy\u0161\u0161\u00ed kvalitu \u017eivota.<\/p>\n\n\n\n
Jak\u00e9 jsou va\u0161e dal\u0161\u00ed pl\u00e1ny, pane prim\u00e1\u0159i?<\/p>\n\n\n\n
Na\u0161\u00edm c\u00edlem je nad\u00e1le roz\u0161i\u0159ovat spektrum c\u00e9vn\u00ed chirurgie a intervenc\u00ed v pln\u00e9m rozsahu \u2014 mimo n\u011bkter\u00fdch v\u00fdjime\u010dn\u011b specializovan\u00fdch v\u00fdkon\u016f, jak\u00fdmi jsou nap\u0159\u00edklad komplikovan\u00e1 aort\u00e1ln\u00ed onemocn\u011bn\u00ed, kter\u00e1 spadaj\u00ed do kompetence specializovan\u00fdch center. Kl\u00ed\u010dov\u00fd je pro n\u00e1s postupn\u00fd tr\u00e9nink zdravotnick\u00e9ho t\u00fdmu a rozvoj technick\u00e9ho z\u00e1zem\u00ed, kter\u00e9 umo\u017en\u00ed bezpe\u010dnou a efektivn\u00ed p\u00e9\u010di i u rozs\u00e1hlej\u0161\u00edch v\u00fdkon\u016f. S bezpe\u010d\u00edm pacienta na prvn\u00edm m\u00edst\u011b se rozvoj zam\u011b\u0159uje na dlouhodobou stabilitu a vysokou \u00farove\u0148 p\u00e9\u010de.<\/p>\n\n\n\n
Kam se mohou pacienti s c\u00e9vn\u00edmi pot\u00ed\u017eemi obr\u00e1tit?<\/p>\n\n\n\n
C\u00e9vn\u00ed poradna Mula\u010dovy nemocnice je otev\u0159ena v\u017edy v \u00fater\u00fd a ve st\u0159edu dopoledne. V p\u0159\u00edpad\u011b m\u00e9n\u011b akutn\u00edch obt\u00ed\u017e\u00ed doporu\u010dujeme p\u0159edem objednat n\u00e1v\u0161t\u011bvu, ale v p\u0159\u00edpadech n\u00e1hl\u00fdch pot\u00ed\u017e\u00ed je mo\u017en\u00e9 vy\u0161et\u0159en\u00ed i bez objedn\u00e1n\u00ed nebo mimo b\u011b\u017enou dobu poradny.<\/p>\n\n\n\n
C\u00e9vn\u00ed onemocn\u011bn\u00ed pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny nemocnosti a \u00famrtnosti, a\u010dkoli existuje \u0159ada \u00fa\u010dinn\u00fdch diagnostick\u00fdch a l\u00e9\u010debn\u00fdch mo\u017enost\u00ed, kter\u00e9 mohou zabr\u00e1nit v\u00e1\u017en\u00e9mu po\u0161kozen\u00ed zdrav\u00ed, zachovat funkci kon\u010detin \u010di prodlou\u017eit \u017eivot. Na\u0161e pracovi\u0161t\u011b je p\u0159ipraveno nab\u00eddnout pacient\u016fm v\u0161e, co lze modern\u00ed medic\u00ednou poskytnout \u2014 s respektem, odbornost\u00ed a p\u00e9\u010d\u00ed.<\/p>\n\n\n\n
Nejd\u016fle\u017eit\u011bj\u0161\u00ed je samoz\u0159ejm\u011b prevence – kombinace zdrav\u00e9ho \u017eivotn\u00edho stylu a pravideln\u00fdch kontrol. Jezte pest\u0159e, h\u00fdbejte se, neku\u0159te, omezte alkohol a sledujte sv\u016fj krevn\u00ed tlak, cholesterol i cukr v krvi. Ka\u017ed\u00fd mal\u00fd krok, kter\u00fd dnes ud\u011bl\u00e1te pro sv\u00e9 c\u00e9vy, v\u00e1m m\u016f\u017ee zachr\u00e1nit \u017eivot z\u00edtra. Ne\u010dekejte, a\u017e p\u0159ijde probl\u00e9m \u2013 prevence je v\u017edy \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e l\u00e9\u010dba.<\/p>\n\n\n\n
MUDr. Vil\u00e9m Kuntscher, Ph.D. absolvoval v roce 1994 L\u00e9ka\u0159skou fakultu Univerzity Karlovy v Plzni. Svou profesn\u00ed dr\u00e1hu zah\u00e1jil na Chirurgick\u00e9 klinice FN Plze\u0148, kde p\u016fsobil jako l\u00e9ka\u0159 v letech 1994\u20132011. V letech 2011-2014 zast\u00e1val pozici prim\u00e1\u0159e Chirurgick\u00e9ho odd\u011blen\u00ed Nemocnice Rokycany. Od roku 2014 p\u016fsobil jako l\u00e9ka\u0159 na Chirurgick\u00e9m odd\u011blen\u00ed FN Plze\u0148 a sou\u010dasn\u011b od roku 2017 tak\u00e9 na Kardiochirurgick\u00e9m odd\u011blen\u00ed FN Plze\u0148. Na podzim 2025 byl jmenov\u00e1n prim\u00e1\u0159em Chirurgick\u00e9ho odd\u011blen\u00ed Mula\u010dovy nemocnice.<\/p>\n\n\n\n
Vedle klinick\u00e9 praxe se dlouhodob\u011b v\u011bnoval pedagogick\u00e9 \u010dinnosti na L\u00e9ka\u0159sk\u00e9 fakult\u011b UK v Plzni, kde v letech 1997-2025 p\u016fsobil jako asistent. V roce 1997 z\u00edskal atestaci z chirurgie I. stupn\u011b, v roce 2001 atestaci z chirurgie II. stupn\u011b a titul Ph.D. v oboru c\u00e9vn\u00ed a transplanta\u010dn\u00ed chirurgie. V roce 2003 slo\u017eil atestaci z c\u00e9vn\u00ed chirurgie.<\/p>\n\n\n\n
Jeho profesn\u00ed p\u016fsoben\u00ed je spojeno p\u0159edev\u0161\u00edm s obory v\u0161eobecn\u00e9, c\u00e9vn\u00ed a kardiochirurgick\u00e9 chirurgie, viscer\u00e1ln\u00ed chirurgie a endokrinochirurgie, kter\u00fdm se v\u011bnuje v\u00edce ne\u017e t\u0159i desetilet\u00ed.<\/p>\n\n\n\n
Mula\u010dova nemocnice v Plzni<\/p>\n\n\n\n
PRIVAMED Group<\/p>\n\n\n\n
Den\u00edk.cz<\/p>\n\n\n\n
https:\/\/pr.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Mula\u010dova nemocnice v Plzni, kter\u00e1 je sou\u010d\u00e1st\u00ed skupiny PRIVAMED Group, tradi\u010dn\u011b poskytuje komplexn\u00ed diagnostiku a l\u00e9\u010dbu c\u00e9vn\u00edch onemocn\u011bn\u00ed jak z chirurgick\u00e9ho, tak interven\u010dn\u00edho pohledu. Spole\u010dn\u011b […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":18804,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-64193","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64193","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=64193"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64193\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64193"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}