{"id":1683,"date":"2023-02-06T13:34:06","date_gmt":"2023-02-06T13:34:06","guid":{"rendered":"https:\/\/www.karotidnahirurgija.com\/?page_id=1683"},"modified":"2023-02-23T16:57:59","modified_gmt":"2023-02-23T16:57:59","slug":"1-kratko-secanje-na-pocetak","status":"publish","type":"page","link":"https:\/\/www.karotidnahirurgija.com\/?page_id=1683","title":{"rendered":"1. KRATKO SE\u0106ANJE NA PO\u010cETAK"},"content":{"rendered":"

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\n\"\"<\/p>\n

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KRATKO SE\u0106ANJE NA PO\u010cETAK<\/h1>\n<\/h1>\n
\n

If you remove from me what I owe to other people, there would be little left.<\/p>\n

Lord Byron<\/em><\/p>\n<\/div>\n

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Direr-ov bakrorez (1513): \u010cudesno izle\u010denje bolesnika sa mo\u017edanim udarom (Sv. Petar i Sv. Jovan)<\/em><\/p>\n<\/div>\n

\"\"<\/p>\n

\n

Menander-ovabista: Hemiatrofija desnog inervacionog podru\u010dja nervusa facialisa, verovatno zbog ishemi\u010dkog infarkta leve mo\u017edane hemisfere.<\/em><\/p>\n<\/div>\n

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Alexis Carrel<\/strong> (1873 \u2013 1944) hirurg koji je prvi kreirao i prou\u010davao vaskularne anestomoze, biolog, eugeni\u010dar i dobitnik Nobelove nagrade za fiziologiju i medicinu 1912.<\/em><\/p>\n<\/div>\n

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\n

Michael DeBakey<\/strong> (1908 \u2013 2008) planetarno slavni hirurg libanskog porekla. Inovator koji je osmislio i prvi uradio ve\u0107inu danas klasi\u010dnih<\/em><\/p>\n

kardiovaskularnih operacija. Nau\u010dnik i edukator. Direktor Methodist Heart & Vascular Center Houston, Texas.<\/em><\/p>\n<\/div>\n

\n

Karotidna arterija ishranjuje mozak. Re\u010d \u201ckarotida<\/b>\u201d izvedena je iz gr\u010dkog \u201ckaros<\/b>\u201d (tonjenje u duboki san ). Latinski arteria-e soporales<\/b><\/i> <\/b><\/i>ili \u201carterije<\/b> <\/b>sna<\/b>\u201d. Pritiskanje karotidne arterije izaziva privremeni gubitak svesti. Ovaj manevar se koristi u cirkuskim predstavama i de\u010djim igrama, za simuliranje \u201chipnoze\u201d.<\/p>\n

Galen<\/b> <\/b>(131 \u2013 201 posle Hrista) je animalnim disekcijama otkrio da arterije sadr\u017ee krv. Dedukcijom je zaklju\u010dio da krv ishranjuje mozak i opisao Rete<\/i> <\/i>mirabile<\/i> <\/i>(\u010dudesna mre\u017ea) – arterijski pleksusi na bazi mozga, gde nastaje \u201canimal<\/i> <\/i>spirit<\/i>\u201d \u2013 \u017eivotvorni duh (du\u0161a).<\/p>\n

Virchow<\/b> <\/b>(1856): postoji veza izme\u0111u karotidne tromboze i ishemije mozga sa posledi\u010dnim slepilom.<\/p>\n

Chiari<\/b> <\/b>(1905): tromboti\u010dni depoziti na bazi karotidnog plaka izazivaju embolizaciju mo\u017edanih arterija i mo\u017edani udar.<\/p>\n

Carrel<\/b> <\/b>(1905) antologijski rad o tehnici arterijskih anastomoza u eksperimentima na \u017eivotinjama (kamen temeljac vaskularne i transplantacione hirurgije), Nobelova nagrada.<\/p>\n

Takayasu<\/b> <\/b>(1908): arteritis brahiocefali\u010dnih arterija (odsutne pulsacije na arterijama vrata) je razlog ishemi\u010dnih lezija na retini.<\/p>\n

Hunt<\/b><\/span> <\/b><\/span>(1913):<\/span> <\/span>prvi<\/span> <\/span>publikovao<\/span> <\/span>dokaz<\/span> <\/span>da<\/span> <\/span>tromboza<\/span> <\/span>karotidne<\/span> <\/span>arterije<\/span> <\/span>dovodi<\/span> <\/span>do<\/span> <\/span>ishemi\u010dkog<\/span> <\/span>infarkta<\/span> <\/span>mozga<\/span> <\/span>i<\/span> <\/span>kontralateralne<\/span> <\/span>hemiplegije.<\/span><\/p>\n

\"\"<\/p>\n

Naslovna strana rada koji je publikovao Ramsay Hunt, dokazuju\u0107i da su stenosti\u010dne lezije karotidnih arterija odgovorne za ishemi\u010dke infarkcije mozga. Hunt JR.: Proceedings of the American Neurological Associatin Meeting, 1913; 704.<\/em><\/p>\n

Egas<\/b><\/span> <\/b><\/span>Moniz<\/b><\/span> <\/b><\/span>(1927),<\/span> <\/span>u<\/span> <\/span>Portugalu<\/span> <\/span>razvija<\/span> <\/span>tehniku<\/span> <\/span>karotidne<\/span> <\/span>arteriogra<\/span>fi<\/span>je<\/span> <\/span>(Nobelova<\/span> <\/span>nagrada<\/span> <\/span>za<\/span> <\/span>prefrontalnu<\/span> <\/span>leukotomiju).<\/span><\/p>\n

Miller<\/b><\/span> <\/b><\/span>Fisher<\/b><\/span> <\/b><\/span>(1951)<\/span> <\/span>dokazuje<\/span> <\/span>korelaciju<\/span> <\/span>izme\u0111u<\/span> <\/span>patolo\u0161kog<\/span> <\/span>nalaza<\/span> <\/span>na<\/span> <\/span>karotidnim<\/span> <\/span>arterijama<\/span> <\/span>i<\/span> <\/span>mo\u017edane<\/span> <\/span>ishemije<\/span> <\/span>i<\/span> <\/span>razlikuje<\/span> <\/span>hemodinamske<\/span> <\/span>i<\/span> <\/span>emboligene<\/span> <\/span>konsekvence<\/span> <\/span>karotidnog<\/span> <\/span>arterioskleroti\u010dnog<\/span> <\/span>plaka.<\/span><\/p>\n

Argentinski<\/span> <\/span>hirur\u0161ki<\/span> <\/span>trio:<\/span> <\/span>Carrea,<\/b><\/span> <\/b><\/span>Molins<\/b><\/span> <\/b><\/span>i<\/b><\/span> <\/b><\/span>Murphy<\/b><\/span> <\/b><\/span>(1951)<\/span> <\/span>izveo,<\/span> <\/span>verovatno,<\/span> <\/span>prvi<\/span> <\/span>operativni<\/span> <\/span>zahvat<\/span> <\/span>na<\/span> <\/span>karotidnoj<\/span> <\/span>arteriji.<\/span> <\/span>O\u010duvani<\/span> <\/span>deo<\/span> <\/span>unutra\u0161nje<\/span> <\/span>karotidne<\/span> <\/span>arterije<\/span> <\/span>iznad<\/span> <\/span>stenoze<\/span> <\/span>anastomoziran<\/span> <\/span>sa<\/span> <\/span>spolja\u0161njom<\/span> <\/span>karotidnom<\/span> <\/span>arterijom.<\/p>\n

Eastcott<\/b> <\/b>(1954) St.Mary\u2018s Hospital, London. Resekcija stenoziranog dela unutra\u0161nje karotidne arterije i anastomoza sa zajedni\u010dkom karotidnom arterijom termino-terminalno. Protekcija mozga izvedena je op\u0161tom hipotermijom. Pacijent je oslobo\u0111en tegoba i \u017eiveo je normalno narednih 20 godina (Lancet).<\/p>\n

\"\"<\/p>\n<\/p>\n

Atmosfera u hiru\u0161koj sali – Eastcot<\/strong>t (1954) St.Mary\u2018s Hospital, London. Prva resekcija stenoziranog dela unutra\u0161nje karotidne arterije.<\/em><\/p>\n

Protekcija mozga op\u0161tom hipotermijom.<\/em><\/p>\n

Mistakes in vascular surgery are inexcusable, difficult to correct, and are being suffered from for a long time!<\/em><\/p>\n

DeBakey<\/b> <\/b> <\/b>(1953) je u\u010dinio prvu karotidnu endarterektomiju, onako kako se ona i danas radi, ali je ona publikovana tek 1959. godine. Karotid- na endarterektomija je potisla druge hirur\u0161ke metode, pru\u017eaju\u0107i dobre rane i udaljene rezultate i postala naj\u010de\u0161\u0107i operativni zahvat u vaskularnoj hirurgiji u svim razvijenim zamljama Sveta.<\/p>\n

Javid<\/b> <\/b>i Thompson<\/b> <\/b>uvode intraluminalni protektivni shunt, na osnovu sugestije Stanley<\/b> <\/b>Crawford<\/b>-a (1961).<\/p>\n

DeBakey<\/b> <\/b>i saradnici 1958. uvode u rutinsku praksu by<\/i> <\/i>pass<\/i> <\/i>rekonstrukcije (transcervikalne i transtorakalne) za rekonstrukciju supraaortalnih grana.<\/p>\n

Nepoverenje i predrasude zbog rizika operacija na karotidnim arterijama usporavale su razvoj ove oblasti sve dok indikacione dileme nisu re\u0161ene u tri velike prospektivne multicentri\u010dne randomizirane studije: North American Symptomatic Carotid Endarterectomy Trial (NASCET<\/b>), European Carotid Surgery Trial (ESCT<\/b>) i Veterans Administration (V<\/b>A<\/b>) Symptomatic Trial. Povoljan u\u010dinak karotidne endarterektomije kod pacijenata sa simptomima ishemije i znacima karotidne stenoze (ve\u0107e od 70%) je jasno dokazan.<\/p>\n

U me\u0111uvremenu se razvija endovaskularna<\/b> <\/b>hirurgija<\/b> <\/b>(dilatacija, stent) i nove terapijske alternative.<\/p>\n<\/p>\n<\/div>\n


\n<\/p>\n","protected":false},"excerpt":{"rendered":"

KRATKO SE\u0106ANJE NA PO\u010cETAK If you remove from me what I owe to other people, there would be little left. Lord Byron Direr-ov bakrorez (1513): \u010cudesno izle\u010denje bolesnika sa mo\u017edanim udarom (Sv. Petar i Sv. Jovan) Menander-ovabista: Hemiatrofija desnog inervacionog podru\u010dja nervusa facialisa, verovatno zbog ishemi\u010dkog infarkta leve mo\u017edane hemisfere. Alexis Carrel (1873 \u2013 1944) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1683","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n1. KRATKO SE\u0106ANJE NA PO\u010cETAK - KAROTIDNA HIRURGIJA<\/title>\n<meta name=\"description\" content=\"Karotidna arterija ishranjuje mozak. Re\u010d \u201ckarotida\u201d izvedena je iz gr\u010dkog \u201ckaros\u201d (tonjenje u duboki san ). 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