{"id":9466,"date":"2021-04-24T23:15:38","date_gmt":"2021-04-24T20:15:38","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=9466"},"modified":"2025-09-04T00:14:14","modified_gmt":"2025-09-03T21:14:14","slug":"malformatii-arteriovenoase-mav","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/","title":{"rendered":"Malforma\u021bii arteriovenoase (MAV)"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Malforma\u021biile arteriovenoase (MAV) reprezint\u0103 conexiuni anormale \u00eentre artere \u0219i vene, care pot provoca hemoragii sau tulbur\u0103ri neurologice severe. Diagnosticul precoce este esen\u021bial pentru prevenirea complica\u021biilor majore \u0219i orientarea c\u0103tre un tratament adecvat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tratamentul MAV include op\u021biuni precum embolizarea endovascular\u0103, radiochirurgia sau interven\u021bia chirurgical\u0103 clasic\u0103. Alegerea metodei depinde de localizare, dimensiune \u0219i riscurile asociate fiec\u0103rui pacient.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Embolizarea malforma\u021biilor arteriovenoase permite \u00eenchiderea fluxului anormal prin cateterism ghidat imagistic. Aceasta reduce riscul de s\u00e2ngerare \u0219i amelioreaz\u0103 simptomele neurologice, av\u00e2nd un rol central \u00een managementul multidisciplinar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Simptomele MAV pot varia de la cefalee \u0219i convulsii p\u00e2n\u0103 la accidente vasculare cerebrale hemoragice. Monitorizarea prin imagistic\u0103 avansat\u0103 \u0219i interven\u021bia timpurie sunt factori decisivi \u00een prevenirea complica\u021biilor fatale.<\/span><\/p>\n<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" data-sheets-root=\"1\">\n<colgroup>\n<col width=\"179\" \/>\n<col width=\"337\" \/> <\/colgroup>\n<tbody>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tan\u0131m&quot;}\">Defini\u021bie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Arterioven\u00f6z malformasyon (AVM), arterler ve venler aras\u0131nda anormal bir ba\u011flant\u0131 olu\u015fmas\u0131d\u0131r. Bu ba\u011flant\u0131lar do\u011fu\u015ftan gelir ve normal k\u0131lcal damar yata\u011f\u0131n\u0131n eksikli\u011fi ile karakterizedir. V\u00fccudun her yerinde rastlanabilir.&quot;}\">Malforma\u021bia arteriovenoas\u0103 (AVM) este formarea unei conexiuni anormale \u00eentre artere \u0219i vene. Aceste conexiuni sunt congenitale \u0219i se caracterizeaz\u0103 prin absen\u021ba unei re\u021bele capilare normale. Ele pot fi \u00eent\u00e2lnite oriunde \u00een corp.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Nedenler&quot;}\">Cauze<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Do\u011fumsal (konjenital) olup kesin nedeni bilinmemektedir. Genetik fakt\u00f6rler rol oynayabilir.&quot;}\">Sunt congenitale, iar motivul exact nu este cunoscut. Factorii genetici pot juca un rol.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Belirtiler&quot;}\">Simptome<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Kafa i\u00e7inde yerlesenlerde ba\u015f a\u011fr\u0131s\u0131, n\u00f6betler, n\u00f6rolojik defisitler (g\u00f6rme, konu\u015fma veya hareket bozukluklar\u0131), ba\u015f d\u00f6nmesi, kulak \u00e7\u0131nlamas\u0131, kanama (intrakraniyal kanama), bilin\u00e7 kayb\u0131 geli\u015febilir. Ekstremitelerde, v\u00fccut i\u00e7erisinde ya da kas iskelet sisteminde yerle\u015fenlerde ise \u015fi\u015flik, a\u011fr\u0131, renk de\u011fi\u015fikli\u011fi, \u00fcf\u00fcr\u00fcm duyulmas\u0131 rastlanan bulgulardand\u0131r. Nadiren cildi inceltip kanamaya da neden olabilirler.&quot;}\">\u00cen cazurile \u00een care se localizeaz\u0103 la nivelul capului, pot ap\u0103rea dureri de cap, convulsii, deficite neurologice (probleme de vedere, vorbire sau mi\u0219care), ame\u021beli, tinitus, s\u00e2nger\u0103ri (hemoragie intracranian\u0103) \u0219i pierderea con\u0219tien\u021bei.<br \/>\nLa nivelul extremit\u0103\u021bilor, \u00een interiorul corpului sau \u00een sistemul musculoscheletal, se pot observa umfl\u0103turi, dureri, modific\u0103ri de culoare \u0219i prezen\u021ba unui zgomot vascular; rareori, acestea pot sub\u021bia pielea \u0219i provoca s\u00e2ngerare.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tan\u0131 Y\u00f6ntemleri&quot;}\">Metode de diagnostic<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;MR ve MR anjiyografi, bilgisayarl\u0131 tomografi (BT) ve BT anjiyografi, anjiyografi, Doppler ultrasonografi&quot;}\">RM \u0219i angiografia RM, tomografia computerizat\u0103 (CT) \u0219i angiografia CT, angiografia \u0219i ecografia Doppler<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tedavi Y\u00f6ntemleri&quot;}\">Metode de tratament<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Mikrocerrahi rezeksiyon, endovask\u00fcler embolizasyon, beyinde yerle\u015fenlerde stereotaktik radyocerrahi (Gamma Knife veya CyberKnife), ila\u00e7 tedavisi (semptomlar\u0131 y\u00f6netmek i\u00e7in). Periferik yani beyin d\u0131\u015f\u0131nda yerle\u015fenlerde en \u00f6nemli se\u00e7enek anjiyo ile embolizasyon islemidir. \u00c7\u00fcnk\u00fc genelde bir\u00e7ok dokunun aras\u0131na uzan\u0131rlar ve \u00e7\u0131kar\u0131lmalar\u0131 pek m\u00fcmk\u00fcn olmaz.&quot;}\">Rezec\u021bia microchirurgical\u0103, embolizarea endovascular\u0103, radioterapia stereotactic\u0103 (Gamma Knife sau CyberKnife) pentru AVM-urile cerebrale, tratament medicamentos (pentru gestionarea simptomelor). Pentru AVM-urile periferice (localizate \u00een afara creierului), op\u021biunea cea mai important\u0103 este embolizarea prin angiografie, deoarece acestea se \u00eentind adesea printre numeroase \u021besuturi \u0219i nu pot fi \u00eendep\u0103rtate u\u0219or.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Prosed\u00fcr T\u00fcrleri&quot;}\">Tipuri de procedur\u0103<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Minimal invaziv (endovask\u00fcler embolizasyon), cerrahi (mikrocerrahi rezeksiyon), radyocerrahi (stereotaktik radyocerrahi)&quot;}\">Minim invaziv (embolizarea endovascular\u0103), chirurgical (rezec\u021bie microchirurgical\u0103), radioterapeutic (radioterapia stereotactic\u0103)<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Prosed\u00fcr S\u00fcresi&quot;}\">Durata procedurii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tedavi y\u00f6ntemine ba\u011fl\u0131 olarak de\u011fi\u015fir; cerrahi genellikle birka\u00e7 saat s\u00fcrerken, embolizasyon ve radyocerrahi daha k\u0131sa s\u00fcrebilir. Endovask\u00fcler tedavi ile beyin de genellikle k\u00fcr olurken, v\u00fccuttakilerde tekrarlayan tedaviler gerekebilir.&quot;}\">Durata variaz\u0103 \u00een func\u021bie de metoda de tratament; interven\u021bia chirurgical\u0103 dureaz\u0103 de obicei c\u00e2teva ore, \u00een timp ce embolizarea \u0219i radioterapia sunt mai scurte. Tratamentul endovascular al AVM-urilor din creier este, de regul\u0103, curativ, \u00eens\u0103 \u00een cazul AVM-urilor din restul corpului pot fi necesare tratamente repetate.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Anestezi T\u00fcr\u00fc&quot;}\">Tipul de anestezie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Genellikle genel anestezi, ya da derin sedoanaljezi&quot;}\">De obicei, se utilizeaz\u0103 anestezie general\u0103 sau sedoanalgezie profund\u0103.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Haz\u0131rl\u0131k&quot;}\">Preg\u0103tiri<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Detayl\u0131 n\u00f6rolojik de\u011ferlendirme, kan testleri, g\u00f6r\u00fcnt\u00fcleme testleri, preoperatif de\u011ferlendirme&quot;}\">Evaluare neurologic\u0103 detaliat\u0103, teste de s\u00e2nge, investiga\u021bii imagistice \u0219i evaluare preoperatorie.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Yan Etkiler ve Riskler&quot;}\">Efecte secundare \u0219i riscuri<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Enfeksiyon, kanama, n\u00f6rolojik defisitler, anestezi komplikasyonlar\u0131, embolizasyon sonras\u0131 iskemik komplikasyonlar, ciltte yara&quot;}\">Infec\u021bii, s\u00e2nger\u0103ri, deficite neurologice, complica\u021bii ale anesteziei, complica\u021bii ischemice post-embolizare \u0219i leziuni cutanate<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130yile\u015fme S\u00fcresi&quot;}\">Timp de recuperare<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Cerrahi sonras\u0131 birka\u00e7 hafta ila birka\u00e7 ay; endovask\u00fcler ve radyocerrahi sonras\u0131 daha h\u0131zl\u0131 iyile\u015fme s\u00fcresi&quot;}\">Dup\u0103 interven\u021bia chirurgical\u0103, recuperarea poate dura c\u00e2teva s\u0103pt\u0103m\u00e2ni p\u00e2n\u0103 la c\u00e2teva luni; dup\u0103 embolizarea endovascular\u0103 \u0219i radioterapie, timpul de recuperare este mai scurt.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Takip&quot;}\">Monitorizare<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;D\u00fczenli n\u00f6rolojik muayeneler, kontrol g\u00f6r\u00fcnt\u00fclemeleri, tedavi sonras\u0131 olas\u0131 komplikasyonlar\u0131n izlenmesi&quot;}\">Examin\u0103ri neurologice regulate, investiga\u021bii imagistice de control \u0219i monitorizarea complica\u021biilor post-tratament<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Avantajlar&quot;}\">Avantaje<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u00c7e\u015fitli tedavi se\u00e7enekleri, minimal invaziv y\u00f6ntemlerin mevcut olmas\u0131, tedavi ile semptomlar\u0131n ve kanama riskinin azalt\u0131lmas\u0131&quot;}\">Diverse op\u021biuni de tratament, existen\u021ba metodelor minim invazive \u0219i reducerea simptomelor \u0219i a riscului de s\u00e2ngerare prin tratament<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Alternatif Tedaviler&quot;}\">Tratament alternativ<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Semptomatik tedavi (antiepileptik ila\u00e7lar), konservatif takip (d\u00fczenli g\u00f6r\u00fcnt\u00fcleme ve klinik izlem)&quot;}\">Tratament simptomatic (medicamente antiepileptice), monitorizare conservativ\u0103 (imagistic\u0103 \u0219i evaluare clinic\u0103 regulat\u0103)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_974863387\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-767948839\">\n\n\n\t<div id=\"col-1276634625\" class=\"col small-12 large-12\"  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\/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-2261685203 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-2261685203 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\">\n\t\t<span>CV<\/span>\n\t<\/a>\n\n\n<a 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href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Definitia_si_efectele_bolii_AVM\" >Defini\u021bia \u0219i efectele bolii AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Simptomele_si_semnele_malformatiei_arteriovenoase\" >Simptomele \u0219i semnele malforma\u021biei arteriovenoase<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Metode_de_tratament_pentru_boala_AVM\" >Metode de tratament pentru boala AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Beneficiile_metodei_de_embolizare_endovasculara\" >Beneficiile metodei de embolizare endovascular\u0103<\/a><\/li><li 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ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Intrebari_frecvente\" >\u00centreb\u0103ri frecvente<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Resurse_suplimentare_si_documente\" >Resurse suplimentare \u0219i documente<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Definitia_si_efectele_bolii_AVM-2\" >Defini\u021bia \u0219i efectele bolii AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Simptomele_si_semnele_malformatiei_arteriovenoase-2\" >Simptomele \u0219i semnele malforma\u021biei arteriovenoase<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Metode_de_tratament_pentru_boala_AVM-2\" >Metode de tratament pentru boala AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Beneficiile_embolizarii_endovasculare\" >Beneficiile emboliz\u0103rii endovasculare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Modul_de_aplicare_a_embolizarii_endovasculare\" >Modul de aplicare a emboliz\u0103rii endovasculare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Etapele_de_pregatire_pentru_embolizarea_endovasculara-2\" >Etapele de preg\u0103tire pentru embolizarea endovascular\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Procesul_de_monitorizare_post-embolizare_pentru_AVM\" >Procesul de monitorizare post-embolizare pentru AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Resurse_suplimentare_si_documente-2\" >Resurse suplimentare \u0219i documente<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Simptomele_AVM-urilor\" >Simptomele AVM-urilor<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Metode_de_tratament_pentru_AVM\" >Metode de tratament pentru AVM<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Beneficiile_embolizarii_endovasculare-2\" >Beneficiile emboliz\u0103rii endovasculare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Ce_se_intampla_dupa_embolizarea_endovasculara\" >Ce se \u00eent\u00e2mpl\u0103 dup\u0103 embolizarea endovascular\u0103?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Beneficiile_angioembolizarii_in_tratamentul_durerii_de_umar\" >Beneficiile angioemboliz\u0103rii \u00een tratamentul durerii de um\u0103r<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Procesul_de_recuperare_post-tratament\" >Procesul de recuperare post-tratament<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Riscurile_si_efectele_secundare_posibile_ale_angioembolizarii\" >Riscurile \u0219i efectele secundare posibile ale angioemboliz\u0103rii<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Pregatiri_necesare_inainte_de_procedura_TIPS\" >Preg\u0103tiri necesare \u00eenainte de procedura TIPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Ce_se_intampla_dupa_procedura_TIPS\" >Ce se \u00eent\u00e2mpl\u0103 dup\u0103 procedura TIPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Cazuri_in_care_TIPS_nu_este_recomandat\" >Cazuri \u00een care TIPS nu este recomandat<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Rata_de_eficacitate_a_procedurii_TIPS\" >Rata de eficacitate a procedurii TIPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Rolul_si_momentul_TIPS_in_controlul_ascitei\" >Rolul \u0219i momentul TIPS \u00een controlul ascitei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Posibilitati_de_transplant_hepatic_dupa_TIPS\" >Posibilit\u0103\u021bi de transplant hepatic dup\u0103 TIPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Durata_de_eficacitate_a_TIPS\" >Durata de eficacitate a TIPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/malformatii-arteriovenoase-mav\/#Durerea_de_umar_si_optiunile_de_tratament_prin_angioembolizare\" >Durerea de um\u0103r \u0219i op\u021biunile de tratament prin angioembolizare<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Definitia_si_efectele_bolii_AVM\"><\/span>Defini\u021bia \u0219i efectele bolii AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_8711\" aria-describedby=\"caption-attachment-8711\" style=\"width: 1528px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-8711\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm.png\" alt=\"Embolizarea unui AVM cerebral hemoragic\" width=\"1528\" height=\"485\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm.png 1528w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm-300x95.png 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm-1024x325.png 1024w\" sizes=\"(max-width: 1528px) 100vw, 1528px\" \/><figcaption id=\"caption-attachment-8711\" class=\"wp-caption-text\">Embolizarea unui AVM cerebral hemoragic<\/figcaption><\/figure>\n<p><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/arteriovenous-malformations\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Malforma\u021bia arteriovenoas\u0103, pe scurt AVM, este o fuziune anormal\u0103 a structurilor vasculare.<\/span><\/a><span style=\"font-weight: 400;\"> Aceast\u0103 condi\u021bie este, de obicei, congenital\u0103 \u0219i poate ap\u0103rea \u00een orice parte a corpului. \u00cen special, c\u00e2nd se g\u0103se\u0219te \u00een zone critice precum sistemul nervos, poate conduce la probleme de s\u0103n\u0103tate grave.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile formeaz\u0103 conexiuni directe \u00eentre artere \u0219i vene, \u00eenlocuind re\u021beaua normal\u0103 de capilare. Din cauza acestor conexiuni anormale, circula\u021bia sanguin\u0103 este afectat\u0103 \u0219i pot ap\u0103rea diverse complica\u021bii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incapacitatea s\u00e2ngelui de a transporta eficient oxigenul \u0219i nutrien\u021bii c\u0103tre celule,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eliminarea ineficient\u0103 a de\u0219eurilor din organism,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluxul excesiv de s\u00e2nge c\u0103tre o anumit\u0103 zon\u0103 poate provoca umflare \u0219i cre\u0219terea temperaturii \u00een bra\u021be \u0219i picioare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Mecanismul de formare al AVM-urilor nu este pe deplin \u00een\u021beles \u0219i nu exist\u0103 dovezi clare privind influen\u021ba genetic\u0103. Totu\u0219i, prezen\u021ba acestei anomalii structurale poate, \u00een timp, duce la disfunc\u021bii ale organelor implicate \u0219i la probleme de s\u0103n\u0103tate grave. Prin urmare, odat\u0103 diagnosticat un AVM, este esen\u021bial s\u0103 fie monitorizat \u0219i gestionat \u00een func\u021bie de severitate.<\/span><\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_293385497\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-2099858748\">\n\n\n\t<div id=\"col-434891932\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1701981980\">\n\n\n\t<div id=\"col-1246394868\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1568419225\" class=\"text\">\n\t\t\n\n<p><a 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class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-400573784 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1434839842\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2964764219\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-2964764219 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-2964764219 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1434839842 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-937844386 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-937844386 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-434891932 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-434891932 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_293385497 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Simptomele_si_semnele_malformatiei_arteriovenoase\"><\/span>Simptomele \u0219i semnele malforma\u021biei arteriovenoase<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Malforma\u021biile arteriovenoase (AVM) se g\u0103sesc de obicei \u00een sistemul nervos \u0219i, adesea, nu provoac\u0103 simptome. Totu\u0219i, c\u00e2nd \u00eencep s\u0103 se manifeste, simptomele pot varia considerabil de la o persoan\u0103 la alta.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile cerebrale, datorit\u0103 influen\u021bei asupra fluxului sanguin, pot cauza dureri de cap \u0219i alte simptome generale. \u00cen plus, \u00een func\u021bie de localizare \u0219i de regiunea cerebral\u0103 afectat\u0103, pot ap\u0103rea \u0219i alte manifest\u0103ri:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune pe o parte a corpului<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dezechilibru<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tulbur\u0103ri de vorbire<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confuzie<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cent\u00e2rziere intelectual\u0103 la copii<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crize epileptice<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">AVM-urile din m\u0103duva spin\u0103rii prezint\u0103 un set diferit de simptome, care includ:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dureri de spate \u0219i lombare<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103 \u00een picioare<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incontinen\u021b\u0103 urinar\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paralizie ap\u0103rut\u0103 din cauza unei hemoragii bru\u0219te<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste simptome variaz\u0103 \u00een func\u021bie de localizarea AVM-ului \u0219i de severitatea efectului s\u0103u. F\u0103r\u0103 tratament, simptomele pot progresa \u0219i pot conduce la complica\u021bii severe. Din acest motiv, diagnosticarea precoce \u0219i interven\u021bia sunt esen\u021biale.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile extra-cerebrale<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cengro\u0219area bra\u021belor \u0219i picioarelor<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Modific\u0103ri de culoare ale pielii<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zona leziunii este cald\u0103, \u00een timp ce zonele adiacente pot fi reci.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Metode_de_tratament_pentru_boala_AVM\"><\/span>Metode de tratament pentru boala AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_5937\" aria-describedby=\"caption-attachment-5937\" style=\"width: 1176px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-5937\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg\" alt=\"Imagine AVM pulmonar\" width=\"1176\" height=\"577\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg 1176w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-300x147.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-1024x502.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-980x481.jpg 980w\" sizes=\"(max-width: 1176px) 100vw, 1176px\" \/><figcaption id=\"caption-attachment-5937\" class=\"wp-caption-text\">Imagine AVM pulmonar<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">\u00cen cazul malforma\u021biilor arteriovenoase, leziunile cu risc ridicat necesit\u0103 o aten\u021bie deosebit\u0103. \u00cen astfel de cazuri, se prefer\u0103 metode de tratament alternative \u00een locul interven\u021biei chirurgicale. Embolizarea endovascular\u0103 reprezint\u0103 o metod\u0103 important\u0103 pentru reducerea riscului asociat leziunii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Acest tratament asigur\u0103 \u00eenchiderea vaselor nodulare, minimiz\u00e2nd riscurile poten\u021biale de s\u00e2ngerare. \u00cen medie, la dou\u0103 ani dup\u0103 tratament, vasele nodulare sunt complet ocluzate. De asemenea, aceast\u0103 metod\u0103:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Faciliteaz\u0103 \u00eenchiderea leziunii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduce riscurile preoperatorii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diminueaz\u0103 probabilitatea de s\u00e2ngerare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Embolizarea endovascular\u0103 ofer\u0103 o solu\u021bie alternativ\u0103 la chirurgie \u0219i reprezint\u0103 o op\u021biune minim invaziv\u0103 pentru pacien\u021bi, fiind ideal\u0103 pentru cazurile cu risc ridicat. Dup\u0103 tratament, pacien\u021bii beneficiaz\u0103, de obicei, de un proces de recuperare rapid.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Beneficiile_metodei_de_embolizare_endovasculara\"><\/span>Beneficiile metodei de embolizare endovascular\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Embolizarea endovascular\u0103, realizat\u0103 din interiorul vaselor, ofer\u0103 numeroase avantaje. Comparativ cu chirurgia deschis\u0103, aceast\u0103 tehnic\u0103 este mai pu\u021bin invaziv\u0103 \u0219i majoritatea pacien\u021bilor sunt externati \u00een aceea\u0219i zi. Este ideal\u0103 pentru patologiile vasculare greu accesibile.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacien\u021bii se bucur\u0103 de un timp de recuperare mai scurt \u0219i de un disconfort redus. Pentru persoanele \u00een v\u00e2rst\u0103 sau cele cu afec\u021biuni concomitente, aceast\u0103 metod\u0103 reprezint\u0103 o op\u021biune mai sigur\u0103. Tratamentul efectuat prin angiografie \u00eenchis\u0103:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are un risc redus de complica\u021bii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accelereaz\u0103 procesul de recuperare,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poate gestiona cazuri complexe care altfel ar necesita interven\u021bie chirurgical\u0103 deschis\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poate s\u0103 nu necesite anestezie general\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Totu\u0219i, \u00een cazurile AVM-urilor cerebrale, riscul de s\u00e2ngerare poate fi crescut, astfel \u00eenc\u00e2t echipa de neurochirurgie trebuie s\u0103 fie preg\u0103tit\u0103; dac\u0103 este necesar, se va continua cu interven\u021bia chirurgical\u0103 deschis\u0103 pentru a reduce riscul de s\u00e2ngerare \u0219i a ob\u021bine o obliterare complet\u0103.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceast\u0103 metod\u0103 ofer\u0103, de asemenea, o alternativ\u0103 mai pu\u021bin riscant\u0103 pentru pacien\u021bii cu afec\u021biuni concomitente precum diabetul necontrolat, boli cardiace sau hipertensiune.<\/span><\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section dark\" id=\"section_1939305544\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-1052810755\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1052810755 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1235223503\">\r\n\r\n\n\t<div id=\"col-1160403157\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-78195682\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contacteaz\u0103-l acum pe Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez pentru informa\u021bii detaliate \u0219i pentru a programa o consulta\u021bie!<\/strong><\/div>\r\n\t\t\n<style>\n#text-78195682 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-78195682 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-78195682 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1160403157 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-1160403157 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1530301703\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact prin Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1530301703 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1939305544 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-233027444\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-233027444 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Modul_de_aplicare_a_metodei_de_embolizare_endovasculara\"><\/span>Modul de aplicare a metodei de embolizare endovascular\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cen cadrul acestei interven\u021bii, primul pas const\u0103 \u00een plasarea unui introducer \u00een artera din zona inghinal\u0103. Ulterior, un cateter fin \u0219i un sistem microcateter sunt direc\u021bionate, sub ghidaj angiografic, c\u0103tre zona leziunii. Odat\u0103 ajuns la leziune, se utilizeaz\u0103 materiale embolice specifice, care pot include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adezivi vasculare \u0219i materiale de umplutur\u0103 (de exemplu, glue, onyx),<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coil-urile sunt utilizate foarte rar.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Etapele_de_pregatire_pentru_embolizarea_endovasculara\"><\/span>Etapele de preg\u0103tire pentru embolizarea endovascular\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cenainte de tratamentul AVM prin embolizare endovascular\u0103, starea pacientului este evaluat\u0103 cu mare aten\u021bie. <a href=\"https:\/\/ozgurkilickesmez.com\/ro\/\">Specialistul \u00een radiologie interven\u021bional\u0103<\/a> analizeaz\u0103 cu aten\u021bie istoricul medical \u0219i informa\u021biile de s\u0103n\u0103tate ale pacientului, inclusiv testele efectuate \u00een ultimele dou\u0103 s\u0103pt\u0103m\u00e2ni. M\u0103surile preoperatorii includ:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Controlul utiliz\u0103rii medicamentelor, \u00een special a anticoagulantelor, cu ajust\u0103ri dac\u0103 este necesar,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pacientul trebuie s\u0103 nu consume alimente solide sau lichide timp de cel pu\u021bin \u0219ase ore \u00eenainte de procedur\u0103; fumatul este strict interzis.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Op\u021biunile de anestezie sunt determinate \u00een func\u021bie de natura interven\u021biei. Pentru leziunile mici, se poate aplica:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doar anestezie local\u0103 la zona de tratament,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedoanalgezie cu sedare u\u0219oar\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezie general\u0103 pentru sedare complet\u0103.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00cen cazul AVM-urilor cerebrale, se aplic\u0103 \u00eentotdeauna anestezie general\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aceste etape de preg\u0103tire sunt critice pentru succesul interven\u021biei.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Malformatia_arteriovenoasa_AVM_Procesul_de_monitorizare_post-embolizare_endovasculara\"><\/span>Malforma\u021bia arteriovenoas\u0103 (AVM): Procesul de monitorizare post-embolizare endovascular\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dup\u0103 embolizarea endovascular\u0103, pacientul este monitorizat cu aten\u021bie. Introducerul din zona de acces este \u00eendep\u0103rtat cu grij\u0103 de c\u0103tre specialist. Pacien\u021bii trata\u021bi sub anestezie local\u0103 sau sedare trebuie s\u0103 r\u0103m\u00e2n\u0103 cel pu\u021bin o noapte pentru monitorizare, iar cei trata\u021bi cu anestezie general\u0103 sunt de obicei pu\u0219i sub supraveghere \u00een terapie intensiv\u0103 pentru o noapte, pentru a asigura o recuperare sigur\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La aproximativ 6 luni se efectueaz\u0103 o angiografie de control, iar, dac\u0103 este necesar, zona este re-embolizat\u0103 printr-o nou\u0103 interven\u021bie.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Intrebari_frecvente\"><\/span>\u00centreb\u0103ri frecvente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-5990\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular.jpg\" alt=\"\" width=\"1600\" height=\"400\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular.jpg 1600w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-300x75.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-1024x256.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/02\/sikca-sorulan-sorular-1536x384.jpg 1536w\" sizes=\"(max-width: 1600px) 100vw, 1600px\" \/><\/p>\n<p><strong>Este boala AVM mortal\u0103?<\/strong><\/p>\n<p>Boala arteriovenoas\u0103 (AVM) este o afec\u021biune grav\u0103 care, dac\u0103 nu este tratat\u0103, prezint\u0103 un risc de <a href=\"https:\/\/ozgurkilickesmez.com\/beyin-kanamasi\/\">hemoragie cerebral\u0103<\/a>. Probabilitatea anual\u0103 de s\u00e2ngerare este de aproximativ 2%. Prin urmare, aceast\u0103 afec\u021biune poate fi fatal\u0103. Diagnosticul precoce \u0219i interven\u021bia prompt\u0103 sunt esen\u021biale, deoarece progresia bolii poate pune \u00een pericol func\u021biile vitale \u0219i conduce la probleme de s\u0103n\u0103tate severe.<\/p>\n<p><strong>Este periculoas\u0103 malforma\u021bia vascular\u0103 din creier?<\/strong><\/p>\n<p>Malforma\u021bia arteriovenoas\u0103 din creier, cunoscut\u0103 ca AVM, este o afec\u021biune periculoas\u0103. \u00cen mod normal, arterele \u0219i venele din creier func\u021bioneaz\u0103 separat, \u00eens\u0103 \u00een cazul AVM-ului acestea se \u00eempletesc, form\u00e2nd o structur\u0103 anormal\u0103. Aceast\u0103 configura\u021bie accelereaz\u0103 fluxul sanguin \u0219i cre\u0219te presiunea, rezult\u00e2nd un risc crescut de hemoragie cerebral\u0103 \u0219i probleme de s\u0103n\u0103tate severe.<\/p>\n<p><strong>Se vindec\u0103 singur\u0103 malforma\u021bia vascular\u0103?<\/strong><\/p>\n<p>Malforma\u021bia vascular\u0103 nu se vindec\u0103 de la sine; tratamentul este, prin urmare, esen\u021bial. F\u0103r\u0103 interven\u021bie, complica\u021biile generate de malforma\u021bie pot conduce la probleme de s\u0103n\u0103tate grave, \u00een special \u00een organele critice, cum ar fi creierul. Pentru AVM-urile localizate \u00een astfel de zone, este necesar\u0103 monitorizarea \u0219i interven\u021bia prompt\u0103, utiliz\u00e2nd embolizarea, interven\u021bia chirurgical\u0103, radioterapia sau o combina\u021bie a acestora.<\/p>\n<p><strong>AVM este o boal\u0103 genetic\u0103?<\/strong><\/p>\n<p>Malforma\u021bia arteriovenoas\u0103 (AVM) nu este considerat\u0103, de obicei, o boal\u0103 genetic\u0103. Aceasta apare rar \u00een mod familial, astfel \u00eenc\u00e2t riscul ca un p\u0103rinte cu AVM s\u0103 transmit\u0103 boala copiilor s\u0103i nu este mai mare dec\u00e2t \u00een popula\u021bia general\u0103. Studiile au ar\u0103tat c\u0103 AVM apare \u00een mare parte \u00eent\u00e2mpl\u0103tor \u0219i nu prezint\u0103 o transmitere genetic\u0103 semnificativ\u0103.<\/p>\n<p><strong>La ce trebuie s\u0103 fie aten\u021bi pacien\u021bii cu AVM?<\/strong><\/p>\n<p>Pacien\u021bii cu malforma\u021bie arteriovenoas\u0103 trebuie s\u0103 efectueze controale medicale regulate \u0219i s\u0103 raporteze orice schimbare a simptomelor. Este important s\u0103 urmeze tratamentul medicamentos prescris pentru gestionarea simptomelor precum durerile de cap, convulsiile \u0219i deficitele neurologice, s\u0103 evite activit\u0103\u021bile fizice intense ce pot cre\u0219te tensiunea arterial\u0103, s\u0103 adopte un stil de via\u021b\u0103 s\u0103n\u0103tos \u0219i s\u0103 practice tehnici de reducere a stresului. \u00cen cazul apari\u021biei unor dureri de cap severe sau modific\u0103ri neurologice, trebuie s\u0103 solicite imediat asisten\u021b\u0103 medical\u0103.<\/p>\n<p><strong>Ce se \u00eent\u00e2mpl\u0103 dac\u0103 malforma\u021bia vascular\u0103 nu este tratat\u0103?<\/strong><\/p>\n<p>Dac\u0103 AVM-ul nu este tratat, complica\u021biile cauzate de re\u021beaua anormal\u0103 de vase pot conduce la probleme grave. Vasele sub presiune ridicat\u0103 se pot rupe, provoc\u00e2nd o hemoragie cerebral\u0103 brusc\u0103, care poate afecta func\u021biile motorii, vorbirea sau vederea \u0219i, pe termen lung, poate cauza leziuni neurologice severe \u0219i chiar deces.<\/p>\n<p><strong>Cum se diagnosticheaz\u0103 malforma\u021biile arteriovenoase?<\/strong><\/p>\n<p>AVM-urile sunt, de obicei, diagnosticate prin tehnici imagistice precum tomografia computerizat\u0103 (CT), imagistica prin rezonan\u021b\u0103 magnetic\u0103 (RMN) \u0219i angiografia cerebral\u0103 efectuat\u0103 cu injec\u021bie de agent de contrast, care ajut\u0103 la determinarea dimensiunii, localiz\u0103rii \u0219i rela\u021biei cu structurile adiacente.<\/p>\n<p><strong>Cum afecteaz\u0103 simptomele AVM via\u021ba de zi cu zi?<\/strong><\/p>\n<p>AVM-urile pot afecta semnificativ via\u021ba de zi cu zi. Aproximativ 50% dintre pacien\u021bi pot prezenta ca prim simptom o hemoragie cerebral\u0103, ceea ce poate conduce la deficite neurologice (sl\u0103biciune, paralizie sau dificult\u0103\u021bi de vorbire) \u00een 20-30% din cazuri \u0219i la deces \u00een 10-15% din cazuri. De asemenea, 15-40% dintre pacien\u021bi pot avea crize epileptice, iar 10-50% pot suferi de dureri de cap, afect\u00e2nd mobilitatea, comunicarea \u0219i func\u021biile cognitive, ceea ce perturb\u0103 activit\u0103\u021bile zilnice \u0219i via\u021ba profesional\u0103. La tineri, aceste simptome pot genera, de asemenea, stres \u0219i anxietate, sc\u0103z\u00e2nd semnificativ calitatea vie\u021bii.<\/p>\n<p><strong>C\u00e2t de eficient\u0103 este embolizarea \u00een tratamentul AVM?<\/strong><\/p>\n<p>C\u00e2nd este utilizat\u0103 ca tratament unic, embolizarea pentru AVM atinge rate de obliterare complet\u0103 \u00eentre 13,7% \u0219i 95,6%, cu o rat\u0103 de succes mai mare \u00een cazurile selectate. Rata complica\u021biilor clinice este de aproximativ 24,1%, cu un risc de s\u00e2ngerare de 9,7% \u0219i o mortalitate de 1,5% asociat\u0103 interven\u021biei. C\u00e2nd este folosit\u0103 ca metod\u0103 adjuvant\u0103 \u00eenainte de rezec\u021bia chirurgical\u0103, AVM-ul poate fi redus cu aproximativ 80%, facilit\u00e2nd o interven\u021bie chirurgical\u0103 mai sigur\u0103, de\u0219i exist\u0103 un risc de s\u00e2ngerare de 3,4% preoperator. Eficacitatea \u0219i siguran\u021ba variaz\u0103 \u00een func\u021bie de caracteristicile individuale ale pacientului \u0219i ale AVM-ului.<\/p>\n<p><strong>Dac\u0103 AVM-ul nu este tratat, poate conduce la complica\u021bii?<\/strong><\/p>\n<p>AVM-urile netratate prezint\u0103 un risc anual de s\u00e2ngerare de 2-4%, iar fiecare episod de s\u00e2ngerare are un risc de mortalitate de 10-15% \u0219i poate conduce la invaliditate de p\u00e2n\u0103 la 50%. Drenajul venos profund, anevrismele asociate \u0219i localizarea infratentorial\u0103 pot cre\u0219te acest risc. De asemenea, AVM-urile netratate pot provoca convulsii, dureri de cap cronice \u0219i deficite neurologice focalizate, afect\u00e2nd semnificativ calitatea vie\u021bii.<\/p>\n<p><strong>\u00cen ce cazuri se prefer\u0103 metodele chirurgicale \u00een tratamentul AVM-urilor?<\/strong><\/p>\n<p>Rezec\u021bia chirurgical\u0103 este preferat\u0103 \u00een general pentru AVM-urile de dimensiuni mici, localizate \u00een zonele non-critice ale creierului \u0219i care, conform clasific\u0103rii Spetzler\u2013Martin, sunt de grad sc\u0103zut (grad I \u0219i II). \u00cen AVM-urile de grad I, s-a ob\u021binut o obliterare complet\u0103 de 98,2% \u00een 38,5% dintre cazuri, iar \u00een cele de grad II, \u00een 27,2% dintre cazuri. De asemenea, 85,8% dintre pacien\u021bii cu AVM nerezruptate trata\u021bi chirurgical au atins o stare func\u021bional\u0103 optim\u0103 postoperatorie. \u00cen AVM-urile de grad III, IV \u0219i V, riscurile chirurgicale cresc, astfel c\u0103 se pot opta pentru abord\u0103ri multimodale, inclusiv embolizarea preoperatorie, pentru a reduce riscurile. Decizia chirurgical\u0103 trebuie personalizat\u0103 \u00een func\u021bie de caracteristicile AVM-ului, starea clinic\u0103 a pacientului \u0219i expertiza echipei medicale.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Resurse_suplimentare_si_documente\"><\/span>Resurse suplimentare \u0219i documente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Endovascular-Treatment-of-Slow-Flow-Vascular.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Endovascular-Treatment-of-Slow-Flow-Vascular.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Interventional-therapy-of-extracranial.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Interventional-therapy-of-extracranial.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Management-of-Venous-Malformations.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Management-of-Venous-Malformations.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Peripheral-Arteriovenous-Malformations.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Peripheral-Arteriovenous-Malformations.pdf<\/a><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Definitia_si_efectele_bolii_AVM-2\"><\/span>Defini\u021bia \u0219i efectele bolii AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_8711-2\" aria-describedby=\"caption-attachment-8711-2\" style=\"width: 1528px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-8711\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm.png\" alt=\"Embolizarea unui AVM cerebral hemoragic\" width=\"1528\" height=\"485\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm.png 1528w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm-300x95.png 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/avm-1024x325.png 1024w\" sizes=\"(max-width: 1528px) 100vw, 1528px\" \/><figcaption id=\"caption-attachment-8711-2\" class=\"wp-caption-text\">Embolizarea unui AVM cerebral hemoragic<\/figcaption><\/figure>\n<p><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/arteriovenous-malformations\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Malforma\u021bia arteriovenoas\u0103, pe scurt AVM, este o fuziune anormal\u0103 a vaselor de s\u00e2nge.<\/span><\/a><span style=\"font-weight: 400;\"> Aceast\u0103 condi\u021bie este, de obicei, congenital\u0103 \u0219i poate ap\u0103rea \u00een orice parte a corpului. \u00cen special, atunci c\u00e2nd se g\u0103se\u0219te \u00een zone critice precum sistemul nervos, poate conduce la probleme de s\u0103n\u0103tate grave.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile formeaz\u0103 conexiuni directe \u00eentre artere \u0219i vene, \u00een loc de re\u021beaua normal\u0103 de capilare. Din cauza acestor conexiuni anormale, circula\u021bia sanguin\u0103 este perturbat\u0103 \u0219i pot ap\u0103rea diverse complica\u021bii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incapacitatea s\u00e2ngelui de a transporta eficient oxigenul \u0219i nutrien\u021bii c\u0103tre celule,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eliminarea inadecvat\u0103 a de\u0219eurilor din organism,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Un flux excesiv de s\u00e2nge c\u0103tre o anumit\u0103 zon\u0103 poate provoca umflare \u0219i cre\u0219terea temperaturii \u00een bra\u021be \u0219i picioare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Mecanismul exact al form\u0103rii AVM-urilor nu este pe deplin \u00een\u021beles \u0219i nu exist\u0103 dovezi clare care s\u0103 sus\u021bin\u0103 o cauzalitate genetic\u0103 semnificativ\u0103. Totu\u0219i, prezen\u021ba acestei anomalii structurale poate conduce, \u00een timp, la disfunc\u021bii ale organelor implicate \u0219i la probleme de s\u0103n\u0103tate severe. De aceea, odat\u0103 ce un AVM este diagnosticat, monitorizarea \u0219i gestionarea sa sunt esen\u021biale.<\/span><\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_1965698109\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1195397257\">\n\n\n\t<div id=\"col-38924096\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-2079516307\">\n\n\n\t<div id=\"col-197637663\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-4235607445\" class=\"text\">\n\t\t\n\n<p><a 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class=\"wpcf7-form-control-wrap\" data-name=\"email-563\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"email-563\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-quarter\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"TRIMITE\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"_wpcf7_ak_js\" value=\"65\"\/><script>\ndocument.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1721269124 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-417239791\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-184355575\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-184355575 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-184355575 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-417239791 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-822342496 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-822342496 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-38924096 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-38924096 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1965698109 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Simptomele_si_semnele_malformatiei_arteriovenoase-2\"><\/span>Simptomele \u0219i semnele malforma\u021biei arteriovenoase<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">AVM-urile se g\u0103sesc de obicei \u00een sistemul nervos \u0219i, \u00een mod frecvent, nu provoac\u0103 simptome. Totu\u0219i, atunci c\u00e2nd \u00eencep s\u0103 se manifeste, simptomele pot varia semnificativ de la un pacient la altul.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile cerebrale pot provoca dureri de cap \u0219i alte simptome generale datorit\u0103 afect\u0103rii fluxului sanguin \u00een creier. \u00cen func\u021bie de loca\u021bie \u0219i de regiunea afectat\u0103, se pot manifesta:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune pe o parte a corpului,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dezechilibru,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tulbur\u0103ri de vorbire,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confuzie,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cent\u00e2rziere intelectual\u0103 la copii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crize epileptice.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">AVM-urile din m\u0103duva spin\u0103rii prezint\u0103 un set diferit de simptome, cum ar fi:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dureri de spate \u0219i lombare,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103 \u00een picioare,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incontinen\u021b\u0103 urinar\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paralizie cauzat\u0103 de o hemoragie brusc\u0103.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste simptome variaz\u0103 \u00een func\u021bie de localizarea \u0219i severitatea AVM-ului. F\u0103r\u0103 tratament, simptomele pot progresa \u0219i pot conduce la complica\u021bii grave, de aceea este esen\u021bial\u0103 diagnosticarea \u0219i interven\u021bia timpurie.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile extra-cerebrale<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cengro\u0219area bra\u021belor \u0219i picioarelor,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Modific\u0103ri de culoare ale pielii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zona leziunii este cald\u0103, \u00een timp ce zonele adiacente pot fi reci.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Metode_de_tratament_pentru_boala_AVM-2\"><\/span>Metode de tratament pentru boala AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_5937-2\" aria-describedby=\"caption-attachment-5937-2\" style=\"width: 1176px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-5937\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg\" alt=\"Imagine AVM pulmonar\" width=\"1176\" height=\"577\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg 1176w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-300x147.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-1024x502.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-980x481.jpg 980w\" sizes=\"(max-width: 1176px) 100vw, 1176px\" \/><figcaption id=\"caption-attachment-5937-2\" class=\"wp-caption-text\">Imagine AVM pulmonar<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">\u00cen cazul malforma\u021biilor arteriovenoase cu risc ridicat, leziunile necesit\u0103 o aten\u021bie deosebit\u0103. \u00cen astfel de situa\u021bii, se prefer\u0103 tratamente alternative \u00een locul interven\u021biei chirurgicale. Embolizarea endovascular\u0103 este o metod\u0103 esen\u021bial\u0103 pentru reducerea riscului asociat leziunii.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Acest tratament asigur\u0103 \u00eenchiderea vaselor nodulare, minimiz\u00e2nd riscul de s\u00e2ngerare. \u00cen medie, la doi ani dup\u0103 tratament, vasele nodulare sunt complet ocluzate. \u00cen plus, aceast\u0103 metod\u0103:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Faciliteaz\u0103 \u00eenchiderea leziunii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduce riscurile preoperatorii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diminueaz\u0103 probabilitatea de s\u00e2ngerare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Embolizarea endovascular\u0103 ofer\u0103 o alternativ\u0103 la chirurgie \u0219i este o op\u021biune minim invaziv\u0103 pentru cazurile cu risc ridicat. Astfel, pacien\u021bii se pot bucura, de obicei, de un proces de recuperare mai rapid.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Beneficiile_embolizarii_endovasculare\"><\/span>Beneficiile emboliz\u0103rii endovasculare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Metoda de embolizare endovascular\u0103, aplicat\u0103 din interiorul vaselor, ofer\u0103 numeroase avantaje. Comparativ cu chirurgia deschis\u0103, aceast\u0103 tehnic\u0103 este mai pu\u021bin invaziv\u0103, iar majoritatea pacien\u021bilor sunt externati \u00een aceea\u0219i zi. Este ideal\u0103 pentru patologiile vasculare greu accesibile.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacien\u021bii beneficiaz\u0103 de un timp de recuperare mai scurt \u0219i de un disconfort redus. Aceast\u0103 metod\u0103 este deosebit de potrivit\u0103 pentru persoanele \u00een v\u00e2rst\u0103 sau cele cu afec\u021biuni concomitente. Totodat\u0103, de\u0219i la AVM-urile cerebrale exist\u0103 un risc de s\u00e2ngerare, se recomand\u0103 ca echipa de neurochirurgie s\u0103 fie preg\u0103tit\u0103, iar, dac\u0103 este necesar, s\u0103 se recurg\u0103 la interven\u021bie chirurgical\u0103 deschis\u0103 pentru a asigura o embolizare complet\u0103 \u0219i reducerea riscului de s\u00e2ngerare.<\/span><\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section dark\" id=\"section_525581106\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-2058149913\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2058149913 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1168525618\">\r\n\r\n\n\t<div id=\"col-157778235\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2973362754\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contacteaz\u0103-l acum pe Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez pentru informa\u021bii detaliate \u0219i pentru a programa o consulta\u021bie!<\/strong><\/div>\r\n\t\t\n<style>\n#text-2973362754 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-2973362754 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-2973362754 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-157778235 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-157778235 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1259968550\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Bun\u0103%2C+v\u0103+contactez+de+pe+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact prin Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1259968550 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_525581106 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-498825048\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-498825048 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Modul_de_aplicare_a_embolizarii_endovasculare\"><\/span>Modul de aplicare a emboliz\u0103rii endovasculare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cen aceast\u0103 procedur\u0103, primul pas const\u0103 \u00een plasarea unui introducer \u00een artera din zona inghinal\u0103. Ulterior, un cateter fin \u0219i un sistem microcateter sunt direc\u021bionate, sub ghidaj angiografic, c\u0103tre zona leziunii. Odat\u0103 ajuns la leziune, se utilizeaz\u0103 materiale embolice specifice, care pot include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adezivi vasculare \u0219i materiale de umplutur\u0103 (de exemplu, glue, onyx),<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coil-urile sunt utilizate foarte rar.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Etapele_de_pregatire_pentru_embolizarea_endovasculara-2\"><\/span>Etapele de preg\u0103tire pentru embolizarea endovascular\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul AVM, \u00eenainte de embolizarea endovascular\u0103, starea pacientului este evaluat\u0103 cu mare aten\u021bie de c\u0103tre <a href=\"https:\/\/ozgurkilickesmez.com\/ro\/\">specialistul \u00een radiologie interven\u021bional\u0103<\/a>. Se analizeaz\u0103 istoricul medical \u0219i se revizuiesc testele efectuate \u00een ultimele dou\u0103 s\u0103pt\u0103m\u00e2ni. M\u0103surile preoperatorii includ:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Controlul \u0219i, dac\u0103 este necesar, ajustarea medicamentelor, \u00een special a anticoagulantelor,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pacientul trebuie s\u0103 nu consume alimente sau lichide timp de cel pu\u021bin \u0219ase ore \u00eenainte de interven\u021bie; fumatul este strict interzis.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Op\u021biunile de anestezie se aleg \u00een func\u021bie de natura interven\u021biei. Pentru leziuni mici se poate aplica:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezie local\u0103 la zona de tratament,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedoanalgezie cu sedare u\u0219oar\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezie general\u0103 pentru sedare complet\u0103.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00cen cazul AVM-urilor cerebrale, se utilizeaz\u0103 \u00eentotdeauna anestezie general\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aceste etape de preg\u0103tire sunt esen\u021biale pentru succesul interven\u021biei.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Procesul_de_monitorizare_post-embolizare_pentru_AVM\"><\/span>Procesul de monitorizare post-embolizare pentru AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dup\u0103 embolizarea endovascular\u0103, pacientul este monitorizat cu aten\u021bie. Introducerul din zona de acces este \u00eendep\u0103rtat cu grij\u0103, iar pacien\u021bii care au primit anestezie local\u0103 sau sedare trebuie s\u0103 r\u0103m\u00e2n\u0103 \u00een spital cel pu\u021bin o noapte. Cei trata\u021bi cu anestezie general\u0103 sunt de obicei plasa\u021bi \u00een terapie intensiv\u0103 pentru o noapte, pentru a asigura o recuperare optim\u0103. Ulterior, la aproximativ 6 luni se efectueaz\u0103 o angiografie de control, iar dac\u0103 este necesar, zona respectiv\u0103 este re-embolizat\u0103.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Resurse_suplimentare_si_documente-2\"><\/span>Resurse suplimentare \u0219i documente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Endovascular-Treatment-of-Slow-Flow-Vascular.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Endovascular-Treatment-of-Slow-Flow-Vascular.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Interventional-therapy-of-extracranial.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Interventional-therapy-of-extracranial.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Management-of-Venous-Malformations.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Management-of-Venous-Malformations.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Peripheral-Arteriovenous-Malformations.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/Peripheral-Arteriovenous-Malformations.pdf<\/a><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Simptomele_AVM-urilor\"><\/span>Simptomele AVM-urilor<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">AVM-urile, de obicei, se localizeaz\u0103 \u00een sistemul nervos \u0219i adesea nu provoac\u0103 simptome. Totu\u0219i, odat\u0103 ce \u00eencep s\u0103 se manifeste, simptomele pot varia semnificativ de la un pacient la altul.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AVM-urile cerebrale pot determina apari\u021bia durerilor de cap \u0219i a altor simptome generale datorit\u0103 afect\u0103rii fluxului sanguin \u00een creier. \u00cen func\u021bie de loca\u021bie \u0219i de regiunea afectat\u0103, se pot observa:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune pe o parte a corpului,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dezechilibru,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tulbur\u0103ri de vorbire,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confuzie,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cent\u00e2rziere intelectual\u0103 la copii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Crize epileptice.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">AVM-urile din m\u0103duva spin\u0103rii prezint\u0103 un set diferit de simptome, cum ar fi:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dureri de spate \u0219i lombare,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amor\u021beal\u0103 \u00een picioare,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sl\u0103biciune,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Incontinen\u021b\u0103 urinar\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paralizie ap\u0103rut\u0103 \u00een urma unei hemoragii bru\u0219te.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Simptomele AVM-urilor variaz\u0103 \u00een func\u021bie de localizare \u0219i de severitatea afec\u021biunii. Dac\u0103 nu sunt tratate, acestea pot progresa \u0219i pot conduce la complica\u021bii grave. De aceea, diagnosticul precoce \u0219i interven\u021bia sunt esen\u021biale.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Metode_de_tratament_pentru_AVM\"><\/span>Metode de tratament pentru AVM<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_5937-3\" aria-describedby=\"caption-attachment-5937-3\" style=\"width: 1176px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-5937\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg\" alt=\"Imagine AVM pulmonar\" width=\"1176\" height=\"577\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm.jpg 1176w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-300x147.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-1024x502.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/akciger-avm-980x481.jpg 980w\" sizes=\"(max-width: 1176px) 100vw, 1176px\" \/><figcaption id=\"caption-attachment-5937-3\" class=\"wp-caption-text\">Imagine AVM pulmonar<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">\u00cen cazul malforma\u021biilor arteriovenoase cu risc ridicat, leziunile necesit\u0103 o aten\u021bie sporit\u0103. \u00cen astfel de cazuri, se prefer\u0103 metodele alternative de tratament, cum ar fi embolizarea endovascular\u0103, \u00een locul interven\u021biei chirurgicale. Aceast\u0103 metod\u0103 reduce riscul prin \u00eenchiderea vaselor nodulare \u0219i minimizeaz\u0103 poten\u021bialele s\u00e2nger\u0103ri.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen medie, la doi ani dup\u0103 tratament, vasele nodulare sunt complet ocluzate. De asemenea, metoda:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Faciliteaz\u0103 \u00eenchiderea leziunii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduce riscurile preoperatorii,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diminueaz\u0103 probabilitatea de s\u00e2ngerare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Embolizarea endovascular\u0103 ofer\u0103 o solu\u021bie alternativ\u0103 la chirurgie, fiind o metod\u0103 minim invaziv\u0103 ideal\u0103 pentru cazurile cu risc ridicat, iar pacien\u021bii beneficiaz\u0103 de un proces de recuperare rapid.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Beneficiile_embolizarii_endovasculare-2\"><\/span>Beneficiile emboliz\u0103rii endovasculare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Prin embolizarea endovascular\u0103, tratamentul se realizeaz\u0103 din interiorul vaselor, oferind numeroase avantaje. Comparativ cu chirurgia deschis\u0103, aceast\u0103 tehnic\u0103 este mai pu\u021bin invaziv\u0103, iar majoritatea pacien\u021bilor sunt externati \u00een aceea\u0219i zi. Este ideal\u0103 pentru patologiile vasculare greu accesibile.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacien\u021bii experimenteaz\u0103 un timp de recuperare mai scurt \u0219i un disconfort redus. Aceast\u0103 metod\u0103 este potrivit\u0103 \u00een special pentru persoanele \u00een v\u00e2rst\u0103 sau cu afec\u021biuni concomitente. Totodat\u0103, de\u0219i \u00een cazurile de AVM cerebrale riscul de s\u00e2ngerare poate fi mai mare, se recomand\u0103 ca echipa de neurochirurgie s\u0103 fie preg\u0103tit\u0103, iar dac\u0103 este necesar, se poate trece la o interven\u021bie chirurgical\u0103 deschis\u0103 pentru a reduce riscul \u0219i a ob\u021bine o embolizare complet\u0103.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ce_se_intampla_dupa_embolizarea_endovasculara\"><\/span>Ce se \u00eent\u00e2mpl\u0103 dup\u0103 embolizarea endovascular\u0103?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_5935\" aria-describedby=\"caption-attachment-5935\" style=\"width: 1066px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-full wp-image-5935\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/omuz-agrisi-embolizasyon-once-sonra.jpg\" alt=\"Imagine \u00eenainte \u0219i dup\u0103 angioembolizare pentru durerea de um\u0103r\" width=\"1066\" height=\"634\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/omuz-agrisi-embolizasyon-once-sonra.jpg 1066w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/omuz-agrisi-embolizasyon-once-sonra-300x178.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2021\/04\/omuz-agrisi-embolizasyon-once-sonra-1024x609.jpg 1024w\" sizes=\"(max-width: 1066px) 100vw, 1066px\" \/><figcaption id=\"caption-attachment-5935\" class=\"wp-caption-text\">Imagine \u00eenainte \u0219i dup\u0103 angioembolizare pentru durerea de um\u0103r<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Pentru a asigura confortul pacientului, se administreaz\u0103 ini\u021bial anestezie local\u0103 \u0219i sedative u\u0219oare. Zona de interven\u021bie este cur\u0103\u021bat\u0103 \u0219i dezinfectat\u0103 cu aten\u021bie, iar semnele vitale, \u00een special ritmul cardiac \u0219i tensiunea arterial\u0103, sunt monitorizate atent pe parcursul procedurii.<\/span><\/p>\n<p><b>Plasarea cateterului:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">De obicei, se efectueaz\u0103 o mic\u0103 incizie \u00een zona inghinal\u0103 pentru a accesa o ven\u0103 mare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Un cateter sub\u021bire \u0219i flexibil este introdus \u00een ven\u0103 \u0219i ghidat, folosind fluoroscopia, c\u0103tre vena \u021bint\u0103.<\/span><\/li>\n<\/ul>\n<p><b>Angiografie:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Se injecteaz\u0103 un agent de contrast prin cateter pentru a vizualiza vasele de s\u00e2nge prin raze X.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aceast\u0103 procedur\u0103 ajut\u0103 radiologul interven\u021bional s\u0103 identifice exact vena care trebuie embolizat\u0103.<\/span><\/li>\n<\/ul>\n<p><b>Embolizare:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diferite materiale embolice, cum ar fi particule mici, sunt administrate prin cateter \u00een vena \u021bint\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alegerea materialului embolic se face \u00een func\u021bie de afec\u021biunea tratat\u0103 \u0219i de rezultatul dorit.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aceste materiale opresc sau reduc semnificativ fluxul sanguin \u00een zona vizat\u0103.<\/span><\/li>\n<\/ul>\n<p><b>Finalizare \u0219i recuperare:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dup\u0103 finalizarea emboliz\u0103rii, cateterul este \u00eendep\u0103rtat cu grij\u0103, iar locul de acces este acoperit cu un pansament.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pacien\u021bii sunt monitoriza\u021bi timp de c\u00e2teva ore pentru a se asigura c\u0103 nu apar complica\u021bii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Majoritatea pacien\u021bilor sunt externati \u00een aceea\u0219i zi \u0219i pot reveni la activit\u0103\u021bile normale \u00een c\u00e2teva zile.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Toate aceste etape sunt realizate cu mare aten\u021bie pentru a asigura o interven\u021bie sigur\u0103 \u0219i eficient\u0103.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Beneficiile_angioembolizarii_in_tratamentul_durerii_de_umar\"><\/span>Beneficiile angioemboliz\u0103rii \u00een tratamentul durerii de um\u0103r<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Angioembolizarea ofer\u0103 avantaje semnificative \u00een tratamentul durerii de um\u0103r. Fiind o procedur\u0103 minim invaziv\u0103, nu necesit\u0103 incizii mari \u0219i se efectueaz\u0103 printr-o mic\u0103 perfora\u021bie, ceea ce asigur\u0103 o recuperare rapid\u0103 \u0219i confortabil\u0103. Pacien\u021bii se pot \u00eentoarce la activit\u0103\u021bile normale la scurt timp dup\u0103 interven\u021bie.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Minim invaziv:<\/b><span style=\"font-weight: 400;\"> Se efectueaz\u0103 printr-o mic\u0103 perfora\u021bie, f\u0103r\u0103 incizii mari, facilit\u00e2nd o recuperare rapid\u0103 \u0219i confortabil\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recuperare rapid\u0103:<\/b><span style=\"font-weight: 400;\"> Pacien\u021bii pot relua activit\u0103\u021bile normale la scurt timp dup\u0103 procedur\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Control eficient al durerii:<\/b><span style=\"font-weight: 400;\"> Angioembolizarea poate oferi un control eficient \u0219i de lung\u0103 durat\u0103 al durerii de um\u0103r.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Op\u021biune alternativ\u0103 de tratament:<\/b><span style=\"font-weight: 400;\"> Ofer\u0103 o alternativ\u0103 promi\u021b\u0103toare \u00een cazurile \u00een care alte tratamente nu sunt eficiente.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00cen concluzie, angioembolizarea reprezint\u0103 o metod\u0103 eficient\u0103, rapid\u0103 \u0219i minim invaziv\u0103 pentru tratamentul durerilor de um\u0103r.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Procesul_de_recuperare_post-tratament\"><\/span>Procesul de recuperare post-tratament<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Primele ore dup\u0103 procedur\u0103:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Odihn\u0103:<\/b><span style=\"font-weight: 400;\"> Ve\u021bi fi monitorizat \u00een camera de recuperare pentru c\u00e2teva ore pentru a preveni s\u00e2nger\u0103rile la locul de acces \u0219i pentru a detecta eventuale complica\u021bii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Repous la pat:<\/b><span style=\"font-weight: 400;\"> \u00cen func\u021bie de procedur\u0103 \u0219i de zona embolizat\u0103, este posibil s\u0103 fie necesar s\u0103 r\u0103m\u00e2ne\u021bi la pat timp de c\u00e2teva ore p\u00e2n\u0103 la o zi, pentru a preveni s\u00e2ngerarea \u0219i a permite stabilizarea materialului embolic.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Managementul durerii:<\/b><span style=\"font-weight: 400;\"> Este posibil s\u0103 sim\u021bi\u021bi un disconfort u\u0219or sau durere la locul de acces; dac\u0103 este necesar, vi se vor administra analgezice.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Dieta:<\/b><span style=\"font-weight: 400;\"> Pute\u021bi continua o diet\u0103 normal\u0103, dar este important s\u0103 consuma\u021bi suficiente lichide pentru a elimina agentul de contrast.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Primele c\u00e2teva zile:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recuperare acas\u0103:<\/b><span style=\"font-weight: 400;\"> Majoritatea pacien\u021bilor sunt externati \u00een aceea\u0219i zi sau a doua zi.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Revenire treptat\u0103 la activit\u0103\u021bi:<\/b><span style=\"font-weight: 400;\"> Urma\u021bi recomand\u0103rile medicului \u0219i reveni\u021bi treptat la activit\u0103\u021bile normale, evit\u00e2nd eforturile excesive timp de c\u00e2teva zile.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monitorizarea complica\u021biilor:<\/b><span style=\"font-weight: 400;\"> Fi\u021bi atent la semne precum febr\u0103, cre\u0219terea durerii, umfl\u0103turi, ro\u0219ea\u021b\u0103 sau secre\u021bii la locul de acces \u0219i raporta\u021bi imediat medicului.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">S\u0103pt\u0103m\u00e2nile urm\u0103toare:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consult de control:<\/b><span style=\"font-weight: 400;\"> Ve\u021bi avea o programare de control pentru a evalua succesul emboliz\u0103rii \u0219i progresul recuper\u0103rii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Continuarea recuper\u0103rii:<\/b><span style=\"font-weight: 400;\"> Zona tratat\u0103 va continua s\u0103 se vindece, iar simptomele vor sc\u0103dea treptat.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ajust\u0103ri medicamentoase \u0219i modific\u0103ri ale stilului de via\u021b\u0103:<\/b><span style=\"font-weight: 400;\"> Medicamentele pot fi ajustate \u0219i se pot recomanda modific\u0103ri ale dietei \u0219i exerci\u021biilor pentru a sus\u021bine recuperarea \u0219i a preveni complica\u021biile.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Pe termen lung:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Controluri regulate:<\/b><span style=\"font-weight: 400;\"> Continua\u021bi controalele periodice conform recomand\u0103rilor medicului pentru a monitoriza starea de s\u0103n\u0103tate \u0219i a detecta eventuale probleme.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stil de via\u021b\u0103 s\u0103n\u0103tos:<\/b><span style=\"font-weight: 400;\"> Adoptarea unei diete echilibrate, exerci\u021bii regulate \u0219i gestionarea eficient\u0103 a stresului contribuie la men\u021binerea unei st\u0103ri optime de s\u0103n\u0103tate pe termen lung.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Riscurile_si_efectele_secundare_posibile_ale_angioembolizarii\"><\/span>Riscurile \u0219i efectele secundare posibile ale angioemboliz\u0103rii<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Ca orice interven\u021bie medical\u0103, angioembolizarea poate prezenta anumite riscuri \u0219i efecte secundare, de\u0219i acestea sunt, \u00een general, reduse. Iat\u0103 c\u00e2teva dintre posibilele riscuri:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u00e2ngerare sau infec\u021bie la locul de acces al cateterului,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reac\u021bie alergic\u0103 la agentul de contrast,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Deteriorarea vaselor de s\u00e2nge sau a organelor adiacente,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Formarea cheagurilor de s\u00e2nge,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Migrarea materialului embolic \u00een zone nedorite.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste riscuri pot fi minimizate prin evalu\u0103ri prealabile atente \u0219i respectarea strict\u0103 a protocoalelor de tratament, asigur\u00e2nd astfel siguran\u021ba pacientului.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Pregatiri_necesare_inainte_de_procedura_TIPS\"><\/span>Preg\u0103tiri necesare \u00eenainte de procedura TIPS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cenainte de procedura TIPS (Shunt Portosistemic Intrahepatic Transjugular), pacientul trebuie s\u0103 respecte anumite m\u0103suri de precau\u021bie. Pacientul trebuie s\u0103 fie la post de cel pu\u021bin opt ore; \u00een aceast\u0103 perioad\u0103 se permite administrarea de lichide, dup\u0103 care acestea se administreaz\u0103 intravenos, dac\u0103 nu este o situa\u021bie de urgen\u021b\u0103.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Se efectueaz\u0103 teste de hemostaz\u0103, iar valorile (INR, APTT, fibrinogen, num\u0103rul de trombocite) trebuie s\u0103 fie \u00een limite normale.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Se efectueaz\u0103 teste pentru boli transmise prin s\u00e2nge: HBs, HIV \u0219i HCV.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Se m\u0103soar\u0103 nivelurile de BUN \u0219i creatinin\u0103 pentru evaluarea func\u021biei renale.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Este necesar\u0103 evaluarea func\u021biilor cardiace.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">De asemenea, pacientul trebuie s\u0103 continue medica\u021bia pentru inim\u0103 \u0219i tensiunea arterial\u0103. Dac\u0103 aceste medicamente se administreaz\u0103 diminea\u021ba, se recomand\u0103 consumul unei cantit\u0103\u021bi minime de ap\u0103. Pacien\u021bii diabetici nu trebuie s\u0103 ia medicamente hipoglicemiante; \u00een special, medicamentele care con\u021bin metformin nu se administreaz\u0103 cu 48 de ore \u00eenainte \u0219i dup\u0103 procedur\u0103.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antibioticele pot fi administrate \u00eenainte de procedurile de embolizare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedativele se administreaz\u0103 pentru a asigura confortul pacientului \u00eenainte de interven\u021bie.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00cen final, toate produsele de s\u00e2nge necesare trebuie s\u0103 fie preg\u0103tite, iar starea vaselor ficatului trebuie evaluat\u0103 prin ecografie. Fiecare etap\u0103 este esen\u021bial\u0103 pentru desf\u0103\u0219urarea sigur\u0103 \u0219i eficient\u0103 a procedurii.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Ce_se_intampla_dupa_procedura_TIPS\"><\/span>Ce se \u00eent\u00e2mpl\u0103 dup\u0103 procedura TIPS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dup\u0103 finalizarea procedurii TIPS, procesul de recuperare se desf\u0103\u0219oar\u0103 \u00een mai multe etape. Ini\u021bial, s\u00e2ngerarea de la locul de acces este oprit\u0103 prin presiune manual\u0103, iar zona este bandajat\u0103 pentru a minimiza riscul de s\u00e2ngerare ulterioar\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/ozgurkilickesmez.com\/kontrast-madde\/\">Agentul de contrast<\/a> poate provoca efecte secundare, motiv pentru care se recomand\u0103 consumul de lichide \u00een cantit\u0103\u021bi mari. Starea general\u0103 a pacientului este monitorizat\u0103 \u00een spital timp de c\u00e2teva zile. \u00cen perioada post-procedural\u0103 se recomand\u0103 urm\u0103toarele m\u0103suri:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monitorizarea regulat\u0103 a presiunii \u00een atriul drept,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Administrarea de medicamente diuretice pentru a stimula urinarea \u0219i a reduce sarcina cardiac\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Consultarea medicului \u00een cazul apari\u021biei simptomelor de tuse sau dificult\u0103\u021bi de respira\u021bie, care pot indica edem pulmonar.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">De asemenea, controalele ecografice planificate pentru evaluarea st\u0103rii stentului sunt foarte importante:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La 3, 6 \u0219i 12 luni dup\u0103 procedur\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dup\u0103 primul an, la fiecare 6 luni.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste controale sunt esen\u021biale pentru evaluarea succesului pe termen lung al interven\u021biei.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cazuri_in_care_TIPS_nu_este_recomandat\"><\/span>Cazuri \u00een care TIPS nu este recomandat<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Exist\u0103 anumite condi\u021bii \u00een care procedura TIPS nu poate fi aplicat\u0103, stabilite pentru siguran\u021ba pacientului. Insuficien\u021ba hepatic\u0103 sever\u0103 este una dintre principalele contraindica\u021bii; pacien\u021bii cu func\u021bie hepatic\u0103 slab\u0103 trebuie s\u0103 primeasc\u0103 alternative terapeutice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De asemenea, TIPS nu se efectueaz\u0103 la pacien\u021bii cu infec\u021bii active, care trebuie tratate \u00eenainte, \u0219i nu este recomandat \u00een prezen\u021ba hipertensiunii pulmonare, a cancerului sau a tulbur\u0103rilor de coagulare. Pacien\u021bii cu boal\u0103 polichistic\u0103 renal\u0103 nu sunt candida\u021bi potrivi\u021bi pentru aceast\u0103 interven\u021bie.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insuficien\u021b\u0103 hepatic\u0103 sever\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infec\u021bie activ\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hipertensiune pulmonar\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prezen\u021ba cancerului<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tulbur\u0103ri de coagulare<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Istoric de reac\u021bii alergice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boal\u0103 polichistic\u0103 renal\u0103<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Fiecare caz trebuie evaluat cu aten\u021bie, iar riscurile TIPS trebuie luate \u00een considerare, \u00een special la pacien\u021bii cu cancer, tulbur\u0103ri de coagulare sau istorii de reac\u021bii alergice.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Rata_de_eficacitate_a_procedurii_TIPS\"><\/span>Rata de eficacitate a procedurii TIPS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Eficacitatea procedurii TIPS variaz\u0103 \u00een func\u021bie de starea ficatului, s\u0103n\u0103tatea general\u0103 a pacientului \u0219i r\u0103spunsul la tratament. \u00cen general, rata de succes se situeaz\u0103 \u00eentre 80% \u0219i 90%, \u00eens\u0103 aceasta poate varia semnificativ de la un pacient la altul. \u00cen unele cazuri, TIPS nu ofer\u0103 o solu\u021bie complet\u0103.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Rolul_si_momentul_TIPS_in_controlul_ascitei\"><\/span>Rolul \u0219i momentul TIPS \u00een controlul ascitei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">TIPS este utilizat pentru a controla ascita prin reducerea presiunii portal\u0103. Efectele nu sunt imediate; \u00een prima s\u0103pt\u0103m\u00e2n\u0103 post-procedur\u0103, de obicei, nu se observ\u0103 o reducere semnificativ\u0103 a ascitei. \u00cen primele c\u00e2teva s\u0103pt\u0103m\u00e2ni, majoritatea pacien\u021bilor vor \u00eencepe s\u0103 observe o sc\u0103dere, iar la c\u00e2teva luni, ascita poate fi complet controlat\u0103.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Posibilitati_de_transplant_hepatic_dupa_TIPS\"><\/span>Posibilit\u0103\u021bi de transplant hepatic dup\u0103 TIPS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dac\u0103 rezultatele post-TIPS nu sunt satisf\u0103c\u0103toare, se poate lua \u00een considerare un transplant hepatic. Medicul va evalua fluxul sanguin \u00een ficat, presiunea portal\u0103 \u0219i starea general\u0103 a ficatului, precum \u0219i func\u021bia altor organe \u0219i prezen\u021ba complica\u021biilor, pentru a decide dac\u0103 este necesar un transplant.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Durata_de_eficacitate_a_TIPS\"><\/span>Durata de eficacitate a TIPS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Durata de eficacitate a procedurii TIPS depinde de starea general\u0103 a pacientului, func\u021bia hepatic\u0103, presiunea \u00een vena portal\u0103 \u0219i caracteristicile stentului utilizat. \u00cen general, efectele TIPS dureaz\u0103 \u00eentre doi \u0219i cinci ani, iar monitorizarea post-procedur\u0103 este esen\u021bial\u0103 pentru men\u021binerea beneficiilor.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Starea de s\u0103n\u0103tate a pacientului<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Func\u021biile hepatice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Presiunea \u00een vena portal\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tipul \u0219i dimensiunea stentului<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Durerea_de_umar_si_optiunile_de_tratament_prin_angioembolizare\"><\/span>Durerea de um\u0103r \u0219i op\u021biunile de tratament prin angioembolizare<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Durerea de um\u0103r poate fi cauzat\u0103 de d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Malforma\u021biile arteriovenoase (MAV) reprezint\u0103 conexiuni anormale \u00eentre artere \u0219i vene, care pot provoca hemoragii sau tulbur\u0103ri neurologice severe. Diagnosticul precoce este esen\u021bial pentru prevenirea complica\u021biilor majore \u0219i orientarea c\u0103tre un tratament adecvat. Tratamentul MAV include op\u021biuni precum embolizarea endovascular\u0103, radiochirurgia sau interven\u021bia chirurgical\u0103 clasic\u0103. Alegerea metodei depinde de localizare, dimensiune \u0219i riscurile asociate fiec\u0103rui pacient. [&#8230;]\n","protected":false},"author":2,"featured_media":9470,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[321],"tags":[],"class_list":["post-9466","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tratamente"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9466","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=9466"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9466\/revisions"}],"predecessor-version":[{"id":12065,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9466\/revisions\/12065"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/9470"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=9466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=9466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=9466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}