{"id":2799,"date":"2023-02-10T11:06:15","date_gmt":"2023-02-10T11:06:15","guid":{"rendered":"https:\/\/www.karotidnahirurgija.com\/?page_id=2799"},"modified":"2023-02-24T12:34:47","modified_gmt":"2023-02-24T12:34:47","slug":"8-1-morfologija-karotidnog-plaka","status":"publish","type":"page","link":"https:\/\/www.karotidnahirurgija.com\/?page_id=2799","title":{"rendered":"8.1. MORFOLOGIJA KAROTIDNOG PLAKA"},"content":{"rendered":"

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

<\/p>\n

INDIKACIJE ZA ENDARTEREKTOMIJU KOD SIMPTOMATSKE KAROTIDNE STENOZE<\/h1>\n

<\/a><\/h1>\n

\n

8.1. MORFOLOGIJA KAROTIDNOG PLAKA

<\/h3>\n<\/div>\n
\n

MORFOLOGIJA<\/b><\/span> <\/b><\/span>KAROTIDNOG<\/b><\/span> <\/b><\/span>PLAKA<\/b><\/span> <\/b><\/span>je<\/span> <\/span>bitan<\/span> <\/span>podatak<\/span> <\/span>u<\/span> <\/span>indikacionom<\/span> <\/span>procesu<\/span> <\/span>odlu\u010divanja.<\/span> <\/span>Duplex-ultrasonogra<\/span>fi<\/span>ja<\/span> <\/span>daje<\/span> <\/span>precizne<\/span> <\/span>podatke<\/span> <\/span>o:<\/span><\/p>\n

    \n
  • Veli\u010dini<\/b><\/span> <\/b><\/span>plaka<\/b><\/span> <\/b><\/span>(stepen<\/span> <\/span>stenoze),<\/span><\/li>\n
  • Konfiguraciji<\/b><\/span> <\/b><\/span>povr\u0161ine<\/b><\/span> <\/b><\/span>plaka<\/b><\/span> <\/b><\/span>(egzulceracija,<\/span> <\/span>prizidni<\/span> <\/span>tromb),<\/span><\/li>\n
  • Histolo\u0161ka<\/b><\/span> <\/b><\/span>kompozicija<\/b><\/span> <\/b><\/span>karotidnog<\/b><\/span> <\/b><\/span>plaka<\/b><\/span> <\/b><\/span>(fibrozni,<\/span> <\/span>kalcifikovani,intraplakalna <\/span> <\/span>hemoragija).<\/span><\/li>\n<\/ul>\n

    Kompozicija ateroskleroti\u010dnog plaka se pri Duplex-sonografiji mo\u017ee proceniti kao: Heterogena<\/b> <\/b>(kompleksan plak od ehogenog i eholucentnog materijala) ili Homogena<\/b> <\/b>(plak sa uniformnom ehografskom gustinom). Heterogen plak je mnogo \u010de\u0161\u0107e simptomatski nego homogen. Karotidni plak kod kojeg eholucentni heterogeni areali komuniciraju sa lumenom je ulcerisan.<\/p>\n

    Arteriografski nalaz (MSCT) mo\u017ee da precizira stepen stenoze i\/ili da prika\u017ee lezije delova arterija koje nisu dostupne neinvazivnoj dijagnostici, kao i da defini\u0161e dijagnozu ne-arterioskleroti\u010dnih oboljenja arterija (fibromuskularna displazija, arteritis, kinking, coiling).<\/p>\n<\/div>\n

    \"\"<\/p>\n

    \n

    Simptomatska visokostepena stenoza unutra\u0161nje karotidne arterije komplikovanim (heterogenim) plakom, <\/em>koji indikuje karotidnu endarterektomiju
    (Duplex ultrasonografija: popre\u010dni i uzdu\u017eni presek).<\/em><\/p>\n<\/div>\n

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

    \n

    Ateromatozna ulceracija karotidnog plaka
    (prizidni tromb) sa ipsilateralnom
    fokalnom ishemi\u010dkom simptomatologijom.<\/em><\/p>\n<\/div>\n

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

    \n

    Visoko-stepena (85%) heterogena stenoza unutra\u0161nje karotidne arterije koja indukuje simptomatologiju po tipu TIA.<\/em><\/p>\n

    \u00a0<\/em><\/p>\n<\/div>\n

    \"\"<\/p>\n

    \n

    MSCT karotidna angiorafija prikazuje kratku bifurkacionu skoro okluzivnu leziju ACI, sa tandem stenozom u petroznom kanalu<\/em><\/p>\n<\/div>\n

    \n

    Eholucentni<\/b> <\/b>(heterogeni, emboligeni) plakseotkrivau 20% asimptomskihkaro- tidnih stenoza, a mnogo \u010de\u0161\u0107e, u 70% bolesnika sa simptomima. Kompjuterizovana tomografija mozga potvr\u0111uje da eholucentni plak nosi tri puta ve\u0107i rizik od is- hemi\u010dkog mo\u017edanog udara.<\/p>\n<\/div>\n

    \"\"<\/p>\n

    \n

    Visokostepena ateroskleroti\u010dna stenoza zajedni\u010dke i unutra\u0161nje karotidne arterije.<\/em><\/p>\n<\/div>\n

    \"\"<\/p>\n

    \n

    MSCT analiza teksture stenoze sa prizidnim trombima.<\/em><\/p>\n

    \n<\/div>\n


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

    INDIKACIJE ZA ENDARTEREKTOMIJU KOD SIMPTOMATSKE KAROTIDNE STENOZE 8.1. MORFOLOGIJA KAROTIDNOG PLAKA MORFOLOGIJA KAROTIDNOG PLAKA je bitan podatak u indikacionom procesu odlu\u010divanja. Duplex-ultrasonografija daje precizne podatke o: Veli\u010dini plaka (stepen stenoze), Konfiguraciji povr\u0161ine plaka (egzulceracija, prizidni tromb), Histolo\u0161ka kompozicija karotidnog plaka (fibrozni, kalcifikovani,intraplakalna hemoragija). Kompozicija ateroskleroti\u010dnog plaka se pri Duplex-sonografiji mo\u017ee proceniti kao: Heterogena (kompleksan plak […]<\/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-2799","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n8.1. 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