{"id":3024,"date":"2023-02-10T20:02:26","date_gmt":"2023-02-10T20:02:26","guid":{"rendered":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024"},"modified":"2023-02-23T16:59:26","modified_gmt":"2023-02-23T16:59:26","slug":"10-opsti-principi-rekonstrukcija-supraaortalnih-grana","status":"publish","type":"page","link":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024","title":{"rendered":"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA"},"content":{"rendered":"

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

<\/p>\n

OP\u0160TI\u00a0 PRINCIPI\u00a0 REKONSTRUKCIJA\u00a0 SUPRAAORTALNIH GRANA<\/h1>\n

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

\n

Hirurgija izgleda, gledano spolja, kao uzbudljiva avantura, ali ono \u0161to u njoj zaista vredi su zvezdani trenutci mira.<\/em><\/p>\n

The simple principles on which vascular reconstruction should be build are everlast- ing as the Pyramids. Good surgery is swimming under water and holding your breath.<\/p>\n

R. Lord<\/em><\/p>\n<\/div>\n

\n

Dobro<\/span> <\/span>izvedena<\/span> <\/span>rekonstrukcija<\/span> <\/span>arterije<\/span> <\/span>podrazumeva:<\/span><\/h3>\n
    \n
  • mudrost<\/span> <\/span>u<\/span> <\/span>postavljanju<\/span> <\/span>indikacija<\/span> <\/span>i<\/span><\/li>\n
  • preciznost<\/span> <\/span>u<\/span> <\/span>tehni\u010dkom<\/span> <\/span>izvodjenju<\/span> <\/span>operacije.<\/span><\/li>\n<\/ul>\n

    V<\/span>askularn<\/span>a<\/span> <\/span>hiru<\/span>r<\/span>gij<\/span>a<\/span> <\/span>n<\/span>e<\/span> <\/span>toleri\u0161<\/span>e<\/span> <\/span>gre\u0161ke<\/span>,<\/span> <\/span>posebn<\/span>o<\/span> <\/span>n<\/span>e<\/span> <\/span>ko<\/span>d<\/span> <\/span>operacij<\/span>a<\/span> <\/span>n<\/span>a<\/span> <\/span>arterijam<\/span>a<\/span> <\/span>koje<\/span> <\/span>dovode<\/span> <\/span>krv<\/span> do<\/span> <\/span>mozga.<\/span> <\/span>Lo\u0161a<\/span> <\/span>indikacija<\/span> <\/span>ili<\/span> <\/span>tehni\u010dka<\/span> <\/span>gre\u0161ka<\/span> <\/span>dovodi<\/span> do<\/span> <\/span>komplikacije.<\/span> <\/span>Gre\u0161ka<\/span> <\/span>se<\/span> <\/span>u<\/span> <\/span>vaskularnoj<\/span> <\/span>hirurgiji<\/span> <\/span>ne<\/span> <\/span>pra\u0161ta,<\/span> <\/span>te\u0161ko<\/span> <\/span>se<\/span> <\/span>ispravlja,<\/span> <\/span>a<\/span> <\/span>dugo<\/span> <\/span>se<\/span> <\/span>ispa\u0161ta.<\/span><\/p>\n

    Indikacije<\/b><\/span> <\/b><\/span>za<\/b><\/span> <\/b><\/span>rekonstrukciju<\/b><\/span> <\/b><\/span>supraaortalnih<\/b><\/span> <\/b><\/span>grana<\/b><\/span> <\/b><\/span>postavljaju<\/span> <\/span>se<\/span> <\/span>uz<\/span> <\/span>analizu<\/span> <\/span>mogu\u0107ih<\/span> <\/span>korisnih<\/span> <\/span>efekata<\/span> <\/span>revaskularizacije<\/span> <\/span>mozga<\/span> <\/span>u<\/span> <\/span>odnosu<\/span> <\/span>na<\/span> <\/span>pretpostavljeni<\/span> <\/span>rizik<\/span> <\/span>(<\/span>risk-bene<\/b><\/span>fi<\/b><\/span>t<\/b><\/span> <\/b><\/span>analiza<\/b><\/span>).<\/span> <\/span>Uvek<\/span> <\/span>se<\/span> <\/span>mora<\/span> <\/span>imati<\/span> <\/span>u<\/span> <\/span>vidu<\/span> <\/span>prirodni<\/span> <\/span>tok<\/span> <\/span>bolest<\/span> <\/span>i<\/span> <\/span>kakva<\/span> <\/span>je<\/span> <\/span>dalja<\/span> <\/span>sudbina<\/span> <\/span>pacijenta<\/span> <\/span>ako<\/span> <\/span>ne<\/span> <\/span>bude<\/span> <\/span>operisan.<\/span> <\/span>Rezultati<\/span> <\/span>prospektivnih,<\/span> <\/span>multicentri\u010dnih<\/span> <\/span>(randomiziranih)<\/span> <\/span>studija<\/span> <\/span>su<\/span> <\/span>de<\/span>fi<\/span>nisali<\/span> <\/span>indikacije<\/span> <\/span>kod<\/span> <\/span>simptomatske<\/span> <\/span>karotidne<\/span> <\/span>bolesti.<\/span><\/p>\n

    Kad<\/span> <\/span>postoje<\/span> <\/span>indikacije<\/span> <\/span>za<\/span> <\/span>revaskularizaciju<\/span> <\/span>mozga<\/span> <\/span>moramo<\/span> <\/span>pri<\/span> <\/span>planiranju<\/span> <\/span>da<\/span> <\/span>procenimo<\/span> <\/span>pravi<\/span> <\/span>trenutak<\/span> <\/span>(<\/span>timing<\/b><\/span>)<\/span> <\/span>kada<\/span> <\/span>\u0107e<\/span> <\/span>hirur\u0161ko<\/span> <\/span>le\u010denje<\/span> <\/span>imati<\/span> <\/span>najmanji<\/span> <\/span>rizik,<\/span> <\/span>a<\/span> <\/span>najve\u0107u<\/span> <\/span>korist.<\/span><\/p>\n

    Prereno<\/b><\/span> <\/b><\/span>je<\/b><\/span> <\/b><\/span>nepotrebno,<\/b><\/span> <\/b><\/span>prekasno<\/b><\/span> <\/b><\/span>je<\/b><\/span> <\/b><\/span>beskorisno.<\/b><\/span><\/h3>\n

    Indikacije<\/span> <\/span>za<\/span> <\/span>hirur\u0161ko<\/span> <\/span>le\u010denje<\/span> <\/span>postavlja<\/span> <\/span>vaskularni<\/span> <\/span>konzilijum<\/span> <\/span>u<\/span> <\/span>kome<\/span> <\/span>su<\/span> <\/span>zajedno<\/span> <\/span>vaskularni<\/span> <\/span>hirurg,<\/span> <\/span>angiolog,<\/span> <\/span>neurolog,<\/span> <\/span>kardiolog<\/span> <\/span>i<\/span> <\/span>anesteziolog.<\/span> <\/span>Razmatra<\/span> <\/span>se:<\/span><\/p>\n

      \n
    • Lokalizacija,<\/b><\/span> <\/b><\/span>karakter<\/b><\/span> <\/b><\/span>i<\/b><\/span> <\/b><\/span>stepen<\/b><\/span> <\/b><\/span>arterijske<\/b><\/span> <\/b><\/span>lezije<\/b><\/span> <\/b><\/span>(Duplex-sonogra<\/b><\/span>fi<\/b><\/span>ja,<\/b><\/span> <\/b><\/span>arteriogra<\/b><\/span>fi<\/b><\/span>ja),<\/b><\/span><\/li>\n
    • Stadijum<\/b><\/span> <\/b><\/span>ishemi\u010dkih<\/b><\/span> <\/b><\/span>o\u0161te\u0107enja<\/b><\/span> <\/b><\/span>mozga<\/b><\/span> <\/b><\/span>(neurolo\u0161ki<\/b><\/span> <\/b><\/span>status,<\/b><\/span> <\/b><\/span>CT,<\/b><\/span> <\/b><\/span>MRI),<\/b><\/span><\/li>\n
    • Prisustvo<\/b><\/span> <\/b><\/span>udru\u017eenih<\/b><\/span> <\/b><\/span>oboljenja,<\/b><\/span> <\/b><\/span>naro\u010dito<\/b><\/span> <\/b><\/span>kardiolo\u0161ki<\/b><\/span> <\/b><\/span>rizik.<\/b><\/span><\/li>\n<\/ul>\n

      Svaki<\/span> <\/span>lek<\/span> <\/span>ima<\/span> <\/span>ne\u017eeljena<\/span> <\/span>dejstva.<\/span> <\/span>Zato<\/span> <\/span>i<\/span> <\/span>operacije<\/span> <\/span>imaju<\/span> <\/span>svoje<\/span> <\/span>kontraindikacije.<\/span><\/p>\n

      Kriterijumi<\/span> <\/span>operabiliteta<\/span> <\/span>su:<\/span> <\/span>neurolo\u0161ki,<\/span> <\/span>angiolo\u0161ki<\/span> <\/span>i<\/span> <\/span>op\u0161ti.<\/span><\/p>\n

      Neurolo\u0161ki<\/b><\/span> <\/b><\/span>kriterijumi<\/b><\/span> <\/b><\/span>operabiliteta:<\/b><\/span> <\/b><\/span>Rekonstruktivni<\/span> <\/span>zahvati<\/span> <\/span>se<\/span> <\/span>ne<\/span> <\/span>planiraju<\/span> <\/span>u<\/span> <\/span>slu\u010daju<\/span> <\/span>sve\u017eeg<\/span> <\/span>neurolo\u0161kog<\/span> <\/span>de<\/span>fi<\/span>cita<\/span> <\/span>(mesec<\/span> <\/span>dana),<\/span> <\/span>ako<\/span> <\/span>je<\/span> <\/span>CT<\/span> <\/span>nalaz<\/span> <\/span>pozitivan,<\/span> <\/span>zbog<\/span> <\/span>mogu\u0107e<\/span> <\/span>konverzije<\/span> <\/span>ishemi\u010dnog<\/span> <\/span>insulta<\/span> <\/span>u<\/span> <\/span>hemoragi\u010dnu<\/span> <\/span>infarkciju<\/span> <\/span>mozga.<\/span><\/p>\n

      Arterijski<\/b><\/span> <\/b><\/span>(lokalni)<\/b><\/span> <\/b><\/span>nalaz:<\/b><\/span> <\/b><\/span>Inoperabilne<\/span> <\/span>su<\/span> <\/span>multiple<\/span> <\/span>arterijske<\/span> <\/span>lezije<\/span> <\/span>bez<\/span> <\/span>dobrog<\/span> <\/span>distalnog<\/span> <\/span>arterijskog<\/span> <\/span>segmenta.<\/span><\/p>\n

      Kriterijumi<\/b><\/span> <\/b><\/span>op\u0161teg<\/b><\/span> <\/b><\/span>operabiliteta<\/b><\/span> <\/b><\/span>podrazumevaju<\/span> <\/span>procenu<\/span> <\/span>o<\/span> <\/span>tome<\/span> <\/span>kako<\/span> <\/span>\u0107e<\/span> <\/span>bolesnik<\/span> <\/span>podneti<\/span> <\/span>planiranu<\/span> <\/span>operaciju.<\/span> <\/span>Zavise<\/span> <\/span>od<\/span> <\/span>op\u0161teg<\/span> <\/span>stanja,<\/span> <\/span>kao<\/span> <\/span>i<\/span> <\/span>funkcionalne<\/span> <\/span>rezerve<\/span> <\/span>kardio-respiratornog,<\/span> <\/span>nervnog,<\/span> <\/span>ekskretornog<\/span> <\/span>i<\/span> <\/span>drugih<\/span> <\/span>sistema.<\/span> <\/span>Posebnu<\/span> <\/span>pa\u017enju<\/span> <\/span>zahteva<\/span> <\/span>kardiolo\u0161ki<\/span> <\/span>status.<\/span> <\/span>Ako<\/span> <\/span>postoji<\/span> <\/span>sumnja<\/span> <\/span>na<\/span> <\/span>arteritis<\/span> <\/span>(npr.Takayasu)<\/span> <\/span>neophodno<\/span> <\/span>je<\/span> <\/span>proveriti<\/span> <\/span>sistemske<\/span> <\/span>parametre<\/span> <\/span>in<\/span>fl<\/span>amacije<\/span> <\/span>da<\/span> <\/span>bi<\/span> <\/span>se<\/span> <\/span>izbegla<\/span> <\/span>operacija<\/span> <\/span>u<\/span> <\/span>aktivnoj<\/span> <\/span>fazi<\/span> <\/span>bolesti.<\/span><\/p>\n

      Preoperativno<\/b><\/span> <\/b><\/span>planiranje<\/b><\/span> <\/b><\/span>rekonstrukcije<\/b><\/span> <\/b><\/span>supraaortalnih<\/b><\/span> <\/b><\/span>grana:<\/b><\/span> <\/b><\/span>Strategija<\/span> <\/span>i<\/span> <\/span>taktika<\/span> <\/span>hirur\u0161kog<\/span> <\/span>zahvata<\/span> <\/span>se<\/span> <\/span>mora<\/span> <\/span>planirati.<\/span> <\/span>Ovo<\/span> <\/span>je<\/span> <\/span>posebno<\/span> <\/span>va\u017eno<\/span> <\/span>za<\/span> <\/span>ve\u0107e<\/span> <\/span>hirur\u0161ke<\/span> <\/span>zahvate,<\/span> <\/span>koji<\/span> <\/span>se<\/span> <\/span>moraju<\/span> <\/span>izvesti<\/span> <\/span>na<\/span> <\/span>atipi\u010dan<\/span> <\/span>na\u010din,<\/span> <\/span>u<\/span> <\/span>visoko<\/span> <\/span>rizi\u010dnih<\/span> <\/span>pacijenata.<\/span> <\/span>Reoperacije,<\/span> <\/span>prisustvo<\/span> <\/span>infekcije,<\/span> <\/span>potreba<\/span> <\/span>za<\/span> <\/span>ekstraanatomskom<\/span> <\/span>rekonstrukcijom<\/span> <\/span>zahtevaju<\/span> <\/span>pa\u017eljivo:<\/span><\/p>\n

        \n
      • preoperativno<\/b><\/span> <\/b><\/span>planiranje<\/b><\/span> <\/b><\/span>hirur\u0161kog<\/b><\/span> <\/b><\/span>pristupa<\/b><\/span> <\/b><\/span>arterijskom<\/b><\/span> <\/b><\/span>segmentu,<\/b><\/span><\/li>\n
      • odabir<\/b><\/span> <\/b><\/span>tipa<\/b><\/span> <\/b><\/span>rekonstrukcije<\/b><\/span> <\/b><\/span>(transpozicija,<\/b><\/span> <\/b><\/span>by<\/b><\/span> <\/b><\/span>pass,<\/b><\/span> <\/b><\/span>endarterektomija),<\/b><\/span><\/li>\n
      • vrste<\/b><\/span> <\/b><\/span>anestezije<\/b><\/span> <\/b><\/span>i<\/b><\/span> <\/b><\/span>grafta.<\/b><\/span><\/li>\n<\/ul>\n<\/div>\n


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

        OP\u0160TI\u00a0 PRINCIPI\u00a0 REKONSTRUKCIJA\u00a0 SUPRAAORTALNIH GRANA Hirurgija izgleda, gledano spolja, kao uzbudljiva avantura, ali ono \u0161to u njoj zaista vredi su zvezdani trenutci mira. The simple principles on which vascular reconstruction should be build are everlast- ing as the Pyramids. Good surgery is swimming under water and holding your breath. R. Lord Dobro izvedena rekonstrukcija arterije […]<\/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-3024","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA<\/title>\n<meta name=\"description\" content=\"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.karotidnahirurgija.com\/?page_id=3024\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA\" \/>\n<meta property=\"og:description\" content=\"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.karotidnahirurgija.com\/?page_id=3024\" \/>\n<meta property=\"og:site_name\" content=\"KAROTIDNA HIRURGIJA\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-23T16:59:26+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=3024\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=3024\",\"name\":\"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#website\"},\"datePublished\":\"2023-02-10T20:02:26+00:00\",\"dateModified\":\"2023-02-23T16:59:26+00:00\",\"description\":\"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=3024#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=3024\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?page_id=3024#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#website\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/\",\"name\":\"KAROTIDNA HIRURGIJA\",\"description\":\"Knjiga o karotidnoj hirurgiji - sve \u0161to je pouzdano i znano\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#\\\/schema\\\/person\\\/84f97392d514f154c03f71f594debb3c\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/#\\\/schema\\\/person\\\/84f97392d514f154c03f71f594debb3c\",\"name\":\"karotida\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"url\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"contentUrl\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\",\"width\":500,\"height\":112,\"caption\":\"karotida\"},\"logo\":{\"@id\":\"https:\\\/\\\/www.karotidnahirurgija.com\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/LOGO-KH-tree1.png\"},\"sameAs\":[\"https:\\\/\\\/www.karotidnahirurgija.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA","description":"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024","og_locale":"en_US","og_type":"article","og_title":"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA","og_description":"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.","og_url":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024","og_site_name":"KAROTIDNA HIRURGIJA","article_modified_time":"2023-02-23T16:59:26+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024","url":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024","name":"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA - KAROTIDNA HIRURGIJA","isPartOf":{"@id":"https:\/\/www.karotidnahirurgija.com\/#website"},"datePublished":"2023-02-10T20:02:26+00:00","dateModified":"2023-02-23T16:59:26+00:00","description":"Vaskularna hirurgija ne toleri\u0161e gre\u0161ke, posebno ne kod operacija na arterijama koje dovode krv do mozga. Lo\u0161a indikacija ili tehni\u010dka gre\u0161ka dovodi do komplikacije. Gre\u0161ka se u vaskularnoj hirurgiji ne pra\u0161ta, te\u0161ko se ispravlja, a dugo se ispa\u0161ta.","breadcrumb":{"@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.karotidnahirurgija.com\/?page_id=3024"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.karotidnahirurgija.com\/?page_id=3024#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.karotidnahirurgija.com\/"},{"@type":"ListItem","position":2,"name":"10. OP\u0160TI PRINCIPI REKONSTRUKCIJA SUPRAAORTALNIH GRANA"}]},{"@type":"WebSite","@id":"https:\/\/www.karotidnahirurgija.com\/#website","url":"https:\/\/www.karotidnahirurgija.com\/","name":"KAROTIDNA HIRURGIJA","description":"Knjiga o karotidnoj hirurgiji - sve \u0161to je pouzdano i znano","publisher":{"@id":"https:\/\/www.karotidnahirurgija.com\/#\/schema\/person\/84f97392d514f154c03f71f594debb3c"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.karotidnahirurgija.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/www.karotidnahirurgija.com\/#\/schema\/person\/84f97392d514f154c03f71f594debb3c","name":"karotida","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","url":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","contentUrl":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png","width":500,"height":112,"caption":"karotida"},"logo":{"@id":"https:\/\/www.karotidnahirurgija.com\/wp-content\/uploads\/2023\/02\/LOGO-KH-tree1.png"},"sameAs":["https:\/\/www.karotidnahirurgija.com"]}]}},"_links":{"self":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/3024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3024"}],"version-history":[{"count":39,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/3024\/revisions"}],"predecessor-version":[{"id":5799,"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=\/wp\/v2\/pages\/3024\/revisions\/5799"}],"wp:attachment":[{"href":"https:\/\/www.karotidnahirurgija.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}