Konya’da \u00f6zel bir hastanede \u00e7al\u0131\u015fan n\u00f6roloji uzman\u0131 Do\u00e7. Dr. G\u00f6khan \u00d6zdemir, beyni besleyen ve ula\u015f\u0131lmas\u0131 daha zor olan ince damarlardaki t\u0131kan\u0131klar\u0131n tedavisinde uygulad\u0131\u011f\u0131 y\u00f6ntemle literat\u00fcre girdi.<\/p>\n
\u00d6zdemir, 40 hastada uygulad\u0131\u011f\u0131 “M3 t\u0131kan\u0131kl\u0131klar\u0131 i\u00e7in endovask\u00fcler tedavi” \u00e7al\u0131\u015fmas\u0131n\u0131n sonu\u00e7lar\u0131yla ilgili, ge\u00e7en y\u0131l Ekim ay\u0131nda d\u00fczenlenen D\u00fcnya \u0130nme Kongresi’nde sunum yapt\u0131.<\/p>\n
Do\u00e7. Dr. \u00d6zdemir, AA muhabirine, n\u00f6roloji klini\u011finde yatan hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funun fel\u00e7 nedeniyle tedavi g\u00f6rd\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funun damar t\u0131kan\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 inme ge\u00e7irdi\u011fini anlatan \u00d6zdemir, “Bu hastalarda ilk birka\u00e7 saat i\u00e7inde, ilgili inme merkezlerine ula\u015f\u0131ld\u0131\u011f\u0131nda \u00f6l\u00fcm ve sakat kalma oranlar\u0131 d\u00fc\u015fmektedir. Bu hastalar fel\u00e7ten kurtar\u0131labilmektedir.” dedi.<\/p>\n
\u00d6zdemir, beynin ula\u015f\u0131lmas\u0131 daha zor, ileri b\u00f6lgelerinde ve ince damarlardaki t\u0131kan\u0131klara m\u00fcdahale edilemedi\u011fini, bu durumlarda ila\u00e7 tedavisi uyguland\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
Kendisinin, daha ince damarlara m\u00fcdahale etti\u011fini anlatan \u00d6zdemir, “Bu hastalar\u0131m ayaktan taburcu edildi. Bu hastalara m\u00fcdahaleyle t\u00fcm damarlar\u0131n\u0131 a\u00e7abildik. Takiplerinde de herhangi bir s\u0131k\u0131nt\u0131 ya\u015famad\u0131k. Bu hastalara da m\u00fcdahale edilebilece\u011fini ve m\u00fcdahale edilmesi gerekti\u011fini, literat\u00fcrde tan\u0131mlam\u0131\u015f olduk.” ifadelerini kulland\u0131.<\/p>\n
Hastalar\u0131n fel\u00e7 tablosuyla hastaneye getirildi\u011fini, beyin MR ve tomografilerinde g\u00f6r\u00fclen damar t\u0131kan\u0131kl\u0131klar\u0131 i\u00e7in anjiyo i\u015flemine ba\u015flad\u0131klar\u0131n\u0131 ifade eden \u00d6zdemir, daha ince damarlar ve ula\u015f\u0131lmas\u0131 zor alanlara yapt\u0131\u011f\u0131 anjiyoyu, \u015fu \u015fekilde anlatt\u0131:<\/p>\n
“Kulland\u0131\u011f\u0131m\u0131z malzemeler di\u011fer malzemelere g\u00f6re daha ince, beyin dokusuna daha az zarar verecek daha yumu\u015fak malzemeler kullan\u0131yoruz. Genel olarak kulland\u0131\u011f\u0131m\u0131z sistem ayn\u0131. Damar t\u0131kan\u0131kl\u0131\u011f\u0131 olan b\u00f6lgeye anjiyoda kulland\u0131\u011f\u0131m\u0131z kataterlerle ula\u015ft\u0131ktan sonra o b\u00f6lgede p\u0131ht\u0131y\u0131 alabilecek \u00f6zel stentler kullan\u0131yoruz. Bunlar kal\u0131c\u0131 stentler de\u011fil, geriye \u00e7ekti\u011fimizde p\u0131ht\u0131y\u0131 da beraberinde getiren ve damarda a\u00e7\u0131kl\u0131\u011f\u0131 sa\u011flayan \u00f6zel stentler kullan\u0131yoruz. Yine bu hastalarda direkt o damar i\u00e7erisindeki p\u0131ht\u0131n\u0131n i\u00e7ine eritici ila\u00e7lar vererek de yine bu damarlar\u0131 a\u00e7abilmekteyiz.”<\/p>\n
\u00d6zdemir, D\u00fcnya \u0130nme Kongresi’nde bu y\u00f6ntemle ilgili sunum yapt\u0131\u011f\u0131n\u0131 dile getirerek, \u015f\u00f6yle devam etti:<\/p>\n
“Japonya’dan Amerika Birle\u015fik Devletleri’ne kadar geni\u015f bir kat\u0131l\u0131m oldu. Beyni besleyen k\u00fc\u00e7\u00fck damarlara m\u00fcdahale ile ilgili canl\u0131 yay\u0131nda sunum yapt\u0131k, \u00fclkemizi temsil ettik. Bu konuyla ilgili geni\u015f \u00e7er\u00e7eveli ilk yap\u0131lan yay\u0131n oldu. Daha \u00f6nce 1-2 yapm\u0131\u015ft\u0131m d\u00fcnyada ama daha geni\u015f \u00e7apl\u0131 bir \u00e7al\u0131\u015fma \u015fu ana kadar yap\u0131lmam\u0131\u015ft\u0131. Bu \u015fekilde k\u00fc\u00e7\u00fck damar t\u0131kan\u0131kl\u0131klar\u0131na m\u00fcdahale etti\u011fim hasta say\u0131s\u0131 40’a yak\u0131n. Bu hastalar\u0131 b\u00fcy\u00fck bir damar t\u0131kan\u0131kl\u0131\u011f\u0131 oldu\u011funu d\u00fc\u015f\u00fcnerek anjiyoya ald\u0131k. Anjiyoya ald\u0131\u011f\u0131m\u0131zda k\u00fc\u00e7\u00fck damar t\u0131kan\u0131kl\u0131\u011f\u0131 oldu\u011funu, beyni besleyen daha k\u00fc\u00e7\u00fck damarlar\u0131n t\u0131kal\u0131 oldu\u011funu g\u00f6rd\u00fck fakat beynin stratejik alanlar\u0131n\u0131 besleyen damarlard\u0131. Yani a\u011f\u0131r bir felce sebep olabilecek, a\u011f\u0131r bir konu\u015fma bozuklu\u011funa sebep olabilecek beynin o b\u00f6lgelerini besleyen kritik k\u00fc\u00e7\u00fck damarlar\u0131n t\u0131kal\u0131 oldu\u011funu tespit ettik ve onlara m\u00fcdahalemizi yapt\u0131k ve sa\u011fl\u0131kla taburcu ettik.”<\/p>\n
M\u00fcdahale etti\u011fi hastalardan vefat eden olmad\u0131\u011f\u0131n\u0131 vurgulayan \u00d6zdemir, “Sadece bir hastam\u0131zda hafif bir beyin kanamas\u0131 oldu ama o hastam\u0131z\u0131 da ayaktan taburcu ettik.”<\/p>\n
Kaynak: AA<\/p>\n","protected":false},"excerpt":{"rendered":"
Konya’da \u00e7al\u0131\u015ft\u0131\u011f\u0131 hastanede 40 hastaya uygulama yapan n\u00f6roloji uzman\u0131 G\u00f6khan \u00d6zdemir, beyni besleyen ve ula\u015f\u0131lmas\u0131…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,17438],"tags":[],"class_list":["post-70978","post","type-post","status-publish","format-standard","hentry","category-saglik","category-yasam"],"views":392,"_links":{"self":[{"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/posts\/70978","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/comments?post=70978"}],"version-history":[{"count":1,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/posts\/70978\/revisions"}],"predecessor-version":[{"id":70980,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/posts\/70978\/revisions\/70980"}],"wp:attachment":[{"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/media?parent=70978"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/categories?post=70978"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.haberegider.com\/blog\/wp-json\/wp\/v2\/tags?post=70978"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}