Sectia clinica Chirurgie Vascular\u0103\u00a0<\/b>din cadrul Spitalului Clinic Jude\u021bean de Urgen\u021b\u0103 \u201ePius Br\u00eenzeu\u201d Timi\u0219oara marcheaz\u0103 un nou moment de referin\u021b\u0103 \u00een medicina vascular\u0103 rom\u00e2neasc\u0103:\u00a0prima interven\u021bie EVAR (Endovascular Aortic Repair) realizat\u0103\u00a0\u00een regim de urgen\u021b\u0103<\/u><\/b>\u00a0\u00een cadrul institu\u021biei, pentru tratamentul unei patologii aortice acute cu risc vital major.<\/p>\n
Cazul clinic<\/b><\/p>\n
Pacientul, un b\u0103rbat de\u00a078 de ani<\/b>\u00a0cu multiple comorbidit\u0103\u021bi cardiovasculare \u0219i neurologice, s-a prezentat la urgen\u021b\u0103 acuz\u00e2nd\u00a0dureri abdominale acute<\/b>, cunoscut anterior cu diagnostic de anevrism de aort\u0103 abdominal\u0103. Investiga\u021biile imagistice au confirmat un anevrism de\u00a0dimensiuni critice \u2013 aproximativ 11,2 \u00d7 8,5 cm<\/b>\u00a0\u2013, cu indica\u021bie de interven\u021bie endovascular\u0103 de urgen\u021b\u0103.<\/p>\n
La aceste dimensiuni, riscul de ruptur\u0103 aortic\u0103 \u0219i deces este extrem de ridicat, iar decizia de a opta pentru o abordare minim invaziv\u0103 a fost esen\u021bial\u0103 pentru \u0219ansele de supravie\u021buire \u0219i recuperare ale pacientului.<\/p>\n
Ce reprezint\u0103 procedura EVAR?<\/b><\/p>\n
Tehnica\u00a0EVAR (Endovascular Aortic Repair)<\/b>\u00a0const\u0103 \u00een excluderea anevrismului aortic prin plasarea unei\u00a0endoproteze vasculare<\/b>\u00a0(stent-graft) pe cale endovascular\u0103, f\u0103r\u0103 incizie chirurgical\u0103 clasic\u0103 abdominal\u0103. Fa\u021b\u0103 de chirurgia deschis\u0103, EVAR ofer\u0103:<\/p>\n
\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Traum\u0103 chirurgical\u0103 semnificativ redus\u0103<\/p>\n
- \n
- Timp de recuperare mult mai scurt<\/li>\n
- Risc perioperator mai mic, \u00een special la pacien\u021bii v\u00e2rstnici cu comorbidit\u0103\u021bi<\/li>\n
- Rezultate conforme standardelor interna\u021bionale actuale<\/li>\n<\/ul>\n
O echip\u0103, un succes<\/b><\/p>\n
Reu\u0219ita acestei interven\u021bii a fost posibil\u0103 prin\u00a0colaborarea unei echipe multidisciplinare de excep\u021bie<\/b>:<\/p>\n
Echipa Chirurgie Vascular\u0103<\/b><\/p>\n
- \n
- Conf. Dr.\u00a0Sorin Barac<\/b>\u00a0\u2013 \u0218ef Sec\u021bie Chirurgie Vascular\u0103<\/li>\n
- Dr.\u00a0Adrian M\u0103nesc<\/b>\u00a0\u2013 Medic specialist Chirurgie Vascular\u0103<\/li>\n
- Dr.\u00a0Octavian Barbu<\/b>\u00a0\u2013 Medic rezident Chirurgie Vascular\u0103<\/li>\n
- Dr.\u00a0Raul Florea<\/b>\u00a0\u2013 Medic rezident Chirurgie Vascular\u0103<\/li>\n<\/ul>\n
Echipa ATI<\/b><\/p>\n
- \n
- Dr.\u00a0Giorgiana Boboutanu<\/b>\u00a0\u2013 Medic primar ATI<\/li>\n
- Dr.\u00a0Andira Dinu<\/b>\u00a0\u2013 Medic rezident ATI<\/li>\n
- As.\u00a0Anechitei Ludmila<\/b>\u00a0\u2013 Asistent medical ATI<\/li>\n
- As.\u00a0Coroian Valentin<\/b>\u00a0\u2013 Asistent medical ATI<\/li>\n<\/ul>\n
Bloc Operator & Terapie Intensiv\u0103<\/b><\/p>\n
- \n
- As.\u00a0Cecilia Duma<\/b>\u00a0\u2013 Asistent medical instrumentar<\/li>\n
- As.\u00a0Adelina Olariu<\/b>\u00a0\u2013 Asistent medical instrumentar<\/li>\n
- Ovidiu Moldovan<\/b>\u00a0\u2013 Brancardier, Bloc Operator 2<\/li>\n<\/ul>\n
Acces public \u0219i decontat prin CJAS<\/b><\/p>\n
Un element de importan\u021b\u0103 major\u0103 pentru pacien\u021bii din vestul Rom\u00e2niei:\u00a0procedura este disponibil\u0103 \u00een sistemul public de s\u0103n\u0103tate \u0219i decontat\u0103 prin CJAS<\/b>, oferind acces la terapii minim invazive avansate, inclusiv \u00een situa\u021bii de urgen\u021b\u0103 major\u0103, f\u0103r\u0103 costuri suplimentare pentru pacient.<\/p>\n
O direc\u021bie clar\u0103 de dezvoltare<\/b><\/p>\n
Aceast\u0103 premier\u0103 confirm\u0103 angajamentul\u00a0SCJUT \u201ePius Br\u00eenzeu\u201d Timi\u0219oara<\/b>\u00a0de a implementa proceduri moderne, cu impact direct asupra prognosticului pacien\u021bilor cu patologie vascular\u0103 sever\u0103, sus\u021binut de managementul institu\u021biei \u0219i de efortul constant al echipelor medicale implicate.<\/p>\n
Felicit\u0103ri \u00eentregii echipe<\/b><\/p>\n
Un g\u00e2nd de apreciere \u0219i recuno\u0219tin\u021b\u0103 se \u00eendreapt\u0103 c\u0103tre\u00a0to\u021bi cei implica\u021bi<\/b>\u00a0\u2013 at\u00e2t echipei operatorii care a f\u0103cut posibil\u0103 aceast\u0103 interven\u021bie de excep\u021bie, c\u00e2t \u0219i\u00a0personalului medical \u0219i de \u00eengrijire care vegheaz\u0103 \u00een continuare la recuperarea pacientului<\/b>. Fiecare gest de profesionalism, fiecare tur\u0103 de gard\u0103 \u0219i fiecare moment de dedicare conteaz\u0103 \u00een egal\u0103 m\u0103sur\u0103. Medicina de performan\u021b\u0103 nu se termin\u0103 \u00een sala de opera\u021bie \u2013 ea continu\u0103 la patul bolnavului, zi \u0219i noapte, p\u00e2n\u0103 la \u00eens\u0103n\u0103to\u0219ire.<\/p>\n
\n\n\t\t\tPrima interven\u021bie EVAR (Endovascular Aortic Repair) realizat\u0103 \u00een regim de urgen\u021b\u0103 la Spitalul Clinic Jude\u021bean de Urgen\u021b\u0103 \u201ePius Br\u00eenzeu\u201d Timi\u0219oara\t\t<\/div>\n - As.\u00a0Adelina Olariu<\/b>\u00a0\u2013 Asistent medical instrumentar<\/li>\n
- Dr.\u00a0Andira Dinu<\/b>\u00a0\u2013 Medic rezident ATI<\/li>\n
- Dr.\u00a0Adrian M\u0103nesc<\/b>\u00a0\u2013 Medic specialist Chirurgie Vascular\u0103<\/li>\n
- Conf. Dr.\u00a0Sorin Barac<\/b>\u00a0\u2013 \u0218ef Sec\u021bie Chirurgie Vascular\u0103<\/li>\n
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