{"id":4551,"date":"2016-04-19T14:02:23","date_gmt":"2016-04-19T14:02:23","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=4551"},"modified":"2016-04-19T14:02:23","modified_gmt":"2016-04-19T14:02:23","slug":"4551-2","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/4551-2\/","title":{"rendered":"Procedur\u0103 \u00een premier\u0103 \u00een Rom\u00e2nia"},"content":{"rendered":"<p style=\"text-align: justify\">Procedur\u0103 \u00een premier\u0103 \u00een Rom\u00e2nia: echipa Cardiostructural Clinic din cadrul Spitalului Monza a finalizat cu succes, pe 13 aprilie 2016, <span style=\"color: #ff0000\"><strong>implantarea unei\u00a0valve aortic\u0103 Lotus \u00a0unei femei de 86 de ani, suferind de stenoz\u0103 aortic\u0103 str\u00e2ns\u0103.<\/strong><\/span><\/p>\n<p style=\"text-align: justify\">Aceast\u0103 procedur\u0103, cunoscut\u0103 sub numele TAVI (trans aortic valve implantation) sau TAVR (trans aortic valve replacement) este conceput\u0103 pentru a trata stenoza aortic\u0103 sever\u0103 \u0219i a \u00eembun\u0103t\u0103\u021bi func\u021bia cardiac\u0103, f\u0103r\u0103 a elimina valva aortic\u0103 nativ\u0103 care este disfunc\u021bional\u0103 (\u00eengustat\u0103\/stenotic\u0103 dn cauza depunerii de calciu pe orificiul de deschidere a acesteia).<\/p>\n<p style=\"text-align: justify\"><strong><span style=\"color: #ff0000\">Avantajele noii genera\u0163ii de proteze Lotus\u00a0<\/span><\/strong><\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\">Noutatea pe care o aduce ultima genera\u021bie de proteze Lotus este aceea c\u0103 \u00eencepe s\u0103 func\u021bioneze imediat dup\u0103 ce debuteaz\u0103 procedura de implant, astfel \u00eenc\u00e2t starea pacientului este stabil\u0103 pe tot pacursul interven\u021biei. De asemenea, permite o pozi\u021bionare extrem de precis\u0103, cu un rezultat ce poate fi anticipat \u00eenainte de eliberarea final\u0103, astfel \u00eenc\u00e2t complica\u021biile sunt extrem de reduse, iar medicul poate prezice un rezultat perfect \u00eenc\u0103 de la \u00eenceput. Datorit\u0103 designului modern, proteza se adapteaz\u0103 perfect la anatomia pacientului \u0219i riscul de regurgitare aortic\u0103 rezidual\u0103 este foarte mic. Sistemul de eliberare a valvei este simplu \u0219i intuitiv \u0219i permite un control perfect al implantului. Dac\u0103 rezultatul este mai pu\u021bin dec\u00e2t perfect, valva se poate repozi\u021biona ori de c\u00e2te ori este necesar.<\/p>\n<p style=\"text-align: justify\"><span style=\"color: #ff0000\"><strong>Echipa medical\u0103\u00a0<\/strong><\/span><\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\">Procedura a decurs f\u0103r\u0103 incidente, iar pacienta a fost detubat\u0103 la 3 ore de la procedur\u0103, la 24 de ore fiind \u00eentr-o stare clinic\u0103 foarte bun\u0103. Echipa medical\u0103 multidisciplinar\u0103 a fost coordonat\u0103 de c\u0103tre Conf. Dr. \u0218erban B\u0103l\u0103nescu (foto), medic primar cardiolog, \u0219ef sec\u021bie Cardiologie \u0219i coordonator Cardiostructural Clinic, iar din echip\u0103 au mai f\u0103cut parte Dr. Andrada Bogdan, medic specialist cardiolog, specialist cardiologie interven\u021bional\u0103, Dr. C\u0103lin Popa, medic primar chirurgie vascular\u0103, Dr. Ana Fruntelat\u0103, medic primar cardiolog, Dr. Cristina C\u0103ld\u0103raru, medic specialist cardiolog, Dr. Bogdan Vintil\u0103, medic specialist chirurgie vascular\u0103, Dr. Carmen \u0218teiu, medic specialist ATI.<\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\">Beneficiul pe care \u00eel ofer\u0103 Spitalul Monza pacientului cardiac const\u0103 \u00een abordarea integrat\u0103 a afec\u021biunilor acestuia. Pacientul beneficiaz\u0103 de un consult multidisciplinar, indica\u021bia fiind stabilit\u0103 individual \u00een urma examenelor clinice, biologice \u0219i imagistice de c\u0103tre medicul cardiolog, chirurgul cardiac \u0219i medicul anestezist.<\/p>\n<p style=\"text-align: justify\">Un alt avantaj esen\u021bial \u00een abordarea pacientului cu indica\u021bie de \u00eenlocuire a valvei aortice prin procedur\u0103 interven\u021bional\u0103 este acela c\u0103, \u00een cazul oric\u0103rei complica\u021bii ap\u0103rute pe parcurs, exist\u0103 suportul echipei de chirurgie cardiovascular\u0103 care poate interveni atunci c\u00e2nd situa\u021bia o impune.<\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\"><strong><span style=\"color: #ff0000\">Despre stenoza aortic\u0103<\/span><\/strong><\/p>\n<p style=\"text-align: justify\">Stenoza aortic\u0103 indic\u0103 faptul c\u0103 valva aortic\u0103 nu se poate deschide complet \u00een momentul eject\u0103rii s\u00e2ngelui. Din cauza depunerilor de calciu care rigidizeaz\u0103 valva, inima \u00eencepe s\u0103 lupte contra unui obstacol sever pentru a-\u0219i putea \u00eendeplini func\u021bia de pomp\u0103 \u0219i creeaz\u0103 un baraj care genereaz\u0103 anumite simptome precum respira\u021bie \u00eengreunat\u0103, ame\u021beal\u0103, pierdere de con\u0219tien\u021b\u0103, dureri toracice.<\/p>\n<p style=\"text-align: justify\">\n<p style=\"text-align: justify\">\u00cen majoritatea cazurilor, stenoza aortic\u0103 apare din cauza unui proces de \u00eemb\u0103tr\u00e2nire a valvei sau apare pe o valv\u0103 anormal\u0103 de la na\u0219tere care, \u00een timp, sufer\u0103 anumite modific\u0103ri. O cauz\u0103 mai rar\u0103 este boala reumatismal\u0103 valvular\u0103.<\/p>\n<p style=\"text-align: justify\">Stenoza aortic\u0103 este o boal\u0103 sever\u0103 \u0219i lent progresiv\u0103. De la instalarea simptomelor, f\u0103r\u0103 interven\u021bie, speran\u021ba de via\u021b\u0103 este redus\u0103 la maximum c\u00e2\u021biva ani. Singura modalitate de a opri evolu\u021bia c\u0103tre o boal\u0103 cardiac\u0103 terminal\u0103 este \u00eenlocuirea valvular\u0103. \u00cen timp ce majoritatea pacien\u021bilor pot beneficia de interven\u021bia cardiac\u0103 pe cord deschis, persoanele care au un risc operator ridicat (interven\u021bia chirurgical\u0103 clasic\u0103 este \u00eenso\u021bit\u0103 de un risc crescut de complica\u021bii \u0219i mortalitate) pot beneficia de implantarea unei proteze valvulare aortice transcateter<\/p>\n<p style=\"text-align: justify\">\n","protected":false},"excerpt":{"rendered":"<p>Procedur\u0103 \u00een premier\u0103 \u00een Rom\u00e2nia: echipa Cardiostructural Clinic din cadrul Spitalului Monza a finalizat cu succes, pe 13 aprilie 2016, implantarea unei\u00a0valve aortic\u0103 Lotus \u00a0unei femei de 86 de ani, [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":4552,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4551","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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