{"id":4119,"date":"2023-02-15T09:00:44","date_gmt":"2023-02-15T09:00:44","guid":{"rendered":"https:\/\/www.karotidnahirurgija.com\/?page_id=4119"},"modified":"2023-02-24T09:16:32","modified_gmt":"2023-02-24T09:16:32","slug":"16-2-dijagnoza-karotidne-aneurizme","status":"publish","type":"page","link":"https:\/\/www.karotidnahirurgija.com\/?page_id=4119","title":{"rendered":"16.2. DIJAGNOZA KAROTIDNE ANEURIZME"},"content":{"rendered":"<p><a href=\"\/index.php?page_id=4097\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/16.png\" alt=\"\"><\/a><\/p>\n<h1><a href=\"\/index.php?page_id=4010\"><\/p>\n<h1 class=\"western\">ANEURIZMA KAROTIDNE ARTERIJE<\/h1>\n<p><\/a><\/h1>\n<div>\n<h3>\n<h2>16.2. DIJAGNOZA KAROTIDNE ANEURIZME<\/p>\n<h2><\/h3>\n<\/div>\n<div>\n<p class=\"western\"><strong>DIJAGNOZA KAROTIDNE ANEURIZME<\/strong><\/p>\n<p class=\"western\">Prisustvo:<\/p>\n<ul>\n<li class=\"western\">pulsiraju\u0107eg otoka (rezistencije na vratu)<\/li>\n<li class=\"western\">sa ili bez lokalnih simptoma,<\/li>\n<li class=\"western\">sa ili bez znakova mo\u017edane ishemije obavezuje da se potvrdi ili isklju\u010di dijagnoza anaurizme karotidne arterije.<\/li>\n<\/ul>\n<p class=\"western\" align=\"JUSTIFY\"><b>Dupleks-ultrasonogra<\/b><b>fi<\/b><b>ja<\/b><b> <\/b>pru\u017ea precizne podatke o veli\u010dini aneurizme, veli\u010dini i kvalitetu prizidnog tromba (flotiraju\u0107i segmenti), prisustvu disekcije, kalcifikacija, uzgrednog <i>kinking<\/i>-a itd. Pouzdanost ultrazvu\u010dnih nalaza, kod ekstrakranijalnih karotidnih i vertebralnih aneurizmi, zavisi od lokalizacije i veli\u010dine aneurizme. U slu\u010daju pojave neurolo\u0161kih manifestacija, posle slobodnog intervala iza tupe povrede vrata, uputno je razmi\u0161ljati o mogu\u0107nosti posttraumatske aneurizme karotidne arterije i sprovesti ultrazvu\u010dnu evaluaciju. U slu\u010daju brzorastu\u0107eg tumora vrata jedna od diferencijalno dijagnosti\u010dkih pretpostavki mora da bude aneurizma karotidnih arterija.<\/p>\n<\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/195.jpg\" alt=\"\"><\/p>\n<div>\n<p style=\"text-align: right;\" align=\"CENTER\"><em>Aneurizma unutra\u0161nje karotidne arterije. Faringealni arkus je pomeren anaurizmatskom kompresijom.<\/em><\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-218.png\" alt=\"\"><br \/>\n<img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-219.png\" alt=\"\"><\/p>\n<div>\n<p><em>MSCT angiografija na popre\u010dnom preseku prikazuje neo\u010dekivano velikiprizidni tromb u aneurizmi.<br \/><\/em><\/p>\n<p align=\"CENTER\">\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-220.png\" alt=\"\"><\/p>\n<div>\n<p><b>Dupleks-ultrasonogra<\/b><b>fi<\/b><b>ja<\/b><b> <\/b>pru\u017ea precizne podatke o veli\u010dini aneurizme, veli\u010dini i kvalitetu prizidnog tromba (flotiraju\u0107i segmenti), prisustvu disekcije, kalcifikacija, uzgrednog <i>kinking<\/i>-a itd. Pouzdanost ultrazvu\u010dnih nalaza, kod ekstrakranijalnih karotidnih i vertebralnih aneurizmi, zavisi od lokalizacije i veli\u010dine aneurizme. U slu\u010daju pojave neurolo\u0161kih manifestacija, posle slobodnog intervala iza tupe povrede vrata, uputno je razmi\u0161ljati o mogu\u0107nosti posttraumatske aneurizme karotidne arterije i sprovesti ultrazvu\u010dnu evaluaciju. U slu\u010daju brzorastu\u0107eg tumora vrata jedna od diferencijalno dijagnosti\u010dkih pretpostavki mora da bude aneurizma karotidnih arterija.<\/p>\n<\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-221.png\" alt=\"\"><\/p>\n<div>\n<p align=\"CENTER\"><em>Color Duplex ultrasonografija velike aneurizme karotidne bifurkacije sa nekroti\u010dnim muralnim trombom, na popre\u010dnom i uzdu\u017enom preseku.<\/em><\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-222.png\" alt=\"\"><\/p>\n<div>\n<p class=\"western\" align=\"JUSTIFY\"><b>Arteriogra<\/b><b>fi<\/b><b>ja<\/b><b> <\/b>obezbe\u0111uje realnu procenu lokalizacije, vrste i veli\u010dine aneurizme. Definitivna dijagnoza aneurizme karotidne arterije se postavljala kompjuterizovanom tomografijom arterija (MSCT), magnetnom rezonancom (MRI) i selektivnom angiografijom. Arteriografijom je mogu\u0107e otkrivanje karakteristi\u010dnih znakova bolesti koje je uzrok pojave aneurizme (fibromuskularna displazija, disekcija). MSCT i DSA pregled omogu\u0107ava detekciju plivaju\u0107eg tromba koji je slabo pri\u010dvr\u0161\u0107en za zid. U akutnom stadijumu karotidne disekcije, ukoliko postoji komunikacija sa lumenom arterije, MRI metodom nije uvek mogu\u0107a diferencijacija izbo\u010denja zida arterije od hematoma zbog registracije signala visokog intenziteta u nivou turbulencije. Kompjuterizovana tomografija vrata obezbe\u0111uje sagledavanje topografskih odnosa aneurizme sa okolnim strukturama dubokih regiona vrata. Spiralna CT angiografija obezbe\u0111uje efikasnu dijagnozu arhitekture muralnih lezija, kao i analizu kompozicije prizidnog tromba, \u0161to je va\u017eno naro\u010dito kod pseudoaneurizmi.<\/p>\n<p class=\"western\" align=\"JUSTIFY\"><b>Leukopenija<\/b><b> <\/b><b>i<\/b><b> <\/b><b>trombocitopenija<\/b><b> <\/b>se javljaju kod inflamatorne aneurizme. Kriterijumi za dijagnozu inflamatorne aneurizme su: pozitivan nalaz hemokulture, patohistolo\u0161ki nalaz inflamacije zida aneurizme, pozitivan nalaz u brisu zida aneurizme. Naj\u010de\u0161\u0107i uzro\u010dnik inflamatorne aneurizme karotidne arterije je <i>Staphylococcus<\/i><i> <\/i><i>aureus<\/i>, a re\u0111i <i>Salmonella<\/i>, <i>Pseudomonas<\/i><i> <\/i><i>aeruginosa<\/i>, <i>Streptococcus<\/i>, <i>Staphylococcus<\/i><i> <\/i><i>albus,<\/i><i> <\/i><i>Klebsiaela<\/i>, <i>Escherichia<\/i><i> <\/i><i>colli<\/i>.<\/p>\n<p class=\"western\" align=\"JUSTIFY\"><b>Diferencijalna<\/b><b> <\/b><b>dijagnoza.<\/b><b> <\/b>Svaka pulsiraju\u0107a rezistencija na vratu mo\u017ee biti aneurizma karotidne arterije, ali i tortuozitet karotidne arterije (<i>kinking,<\/i><i> <\/i><i>coiling<\/i>), difuzna ili nodozna struma, peritonzilni ili parafaringealnini apsces, tumor vrata, glomus tumor, maksilofacijalni tumori, inflamatorni procesi na okolnom limfnom i adenoidnom tkivu.<\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-223.png\" alt=\"\"><\/p>\n<div>\n<p style=\"text-align: left;\" align=\"CENTER\"><em>Color Duplex ultrasonografski nalaz glomus tumora.<\/em><\/p>\n<p style=\"text-align: right;\" align=\"CENTER\"><em>MSCT angiografija potvrdjuje glomus tumor u karotidnoj bifurkaciji.<\/em><\/p>\n<p align=\"CENTER\">\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/KNJIGA-Karotidna-hirurgija-224.png\" alt=\"\"><\/p>\n<div>\n<p align=\"CENTER\"><em>Disekcija i ekstirpacija glomus tumora. Uporno kapilarno krvarenje zahteva dobru lokalnu hemostazu. Krvarenje prestaje posle ekstirpacije tumora.<\/em><\/p>\n<\/div>\n<p><img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/198-1.jpg\" alt=\"\"><br \/>\n<img decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/02\/198-2.jpg\" alt=\"\"><\/p>\n<p><!--more--><br \/>\n<!-- {\"type\":\"layout\",\"children\":[{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-4,3-4\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-4\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/16.png\",\"image_svg_color\":\"emphasis\",\"link\":\"index.php?page_id=4097\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"3-4\"},\"children\":[{\"type\":\"headline\",\"props\":{\"content\":\"\n\n<h1 class=\\\"western\\\">ANEURIZMA KAROTIDNE ARTERIJE<\\\/h1>\",\"link\":\"index.php?page_id=4010\",\"title_color\":\"success\",\"title_decoration\":\"line\",\"title_element\":\"h1\",\"title_font_family\":\"default\"}},{\"type\":\"description_list\",\"props\":{\"column_breakpoint\":\"m\",\"layout\":\"grid-2\",\"list_element\":\"ul\",\"list_marker\":\"disc\",\"list_marker_color\":\"primary\",\"list_size\":\"collapse\",\"list_style\":\"striped\",\"meta_align\":\"below-content\",\"meta_style\":\"text-meta\",\"show_content\":true,\"show_link\":true,\"show_meta\":true,\"show_title\":true,\"title_element\":\"div\",\"title_grid_column_gap\":\"small\",\"title_grid_row_gap\":\"small\",\"title_grid_width\":\"auto\"},\"children\":[{\"type\":\"description_list_item\",\"props\":{\"title\":\"\n\n<h2>16.2. DIJAGNOZA KAROTIDNE ANEURIZME\n\n<h2>\"}}]}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"preserve_color\":true,\"style\":\"secondary\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-4\"},\"children\":[]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"3-4\"},\"children\":[{\"type\":\"nav\",\"props\":{\"grid\":\"1\",\"grid_divider\":true,\"image_vertical_align\":true,\"nav_style\":\"primary\",\"show_image\":true,\"show_meta\":true},\"children\":[{\"type\":\"nav_item\",\"props\":{\"icon\":\"git-branch\"},\"source\":{\"query\":{\"name\":\"customMenuItems\",\"arguments\":{\"id\":59,\"parent\":\"\",\"heading\":\"\",\"include_heading\":true,\"ids\":[\"4106\",\"4153\"]}},\"props\":{\"type\":{\"filters\":{\"search\":\"\"},\"name\":\"title\"},\"active\":{\"filters\":{\"search\":\"\"},\"name\":\"active\"},\"content\":{\"filters\":{\"search\":\"\"},\"name\":\"title\"},\"link\":{\"filters\":{\"search\":\"\"},\"name\":\"url\"}}}}],\"name\":\"submeni\"}]}],\"props\":{\"layout\":\"1-4,3-4\"}}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"small\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\"},\"children\":[{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"column_divider\":true,\"content\":\"\n\n<p class=\\\"western\\\"><strong>DIJAGNOZA KAROTIDNE ANEURIZME<\\\/strong><\\\/p>\\n\n\n<p class=\\\"western\\\">Prisustvo:<\\\/p>\\n\n\n<ul>\\n\n\n<li class=\\\"western\\\">pulsiraju\\u0107eg otoka (rezistencije na vratu)<\\\/li>\\n\n\n<li class=\\\"western\\\">sa ili bez lokalnih simptoma,<\\\/li>\\n\n\n<li class=\\\"western\\\">sa ili bez znakova mo\\u017edane ishemije obavezuje da se potvrdi ili isklju\\u010di dijagnoza anaurizme karotidne arterije.<\\\/li>\\n<\\\/ul>\\n\n\n<p class=\\\"western\\\" align=\\\"JUSTIFY\\\"><b>Dupleks-ultrasonogra<\\\/b><b>fi<\\\/b><b>ja<\\\/b><b> <\\\/b>pru\\u017ea precizne podatke o veli\\u010dini aneurizme, veli\\u010dini i kvalitetu prizidnog tromba (flotiraju\\u0107i segmenti), prisustvu disekcije, kalcifikacija, uzgrednog <i>kinking<\\\/i>-a itd. Pouzdanost ultrazvu\\u010dnih nalaza, kod ekstrakranijalnih karotidnih i vertebralnih aneurizmi, zavisi od lokalizacije i veli\\u010dine aneurizme. U slu\\u010daju pojave neurolo\\u0161kih manifestacija, posle slobodnog intervala iza tupe povrede vrata, uputno je razmi\\u0161ljati o mogu\\u0107nosti posttraumatske aneurizme karotidne arterije i sprovesti ultrazvu\\u010dnu evaluaciju. U slu\\u010daju brzorastu\\u0107eg tumora vrata jedna od diferencijalno dijagnosti\\u010dkih pretpostavki mora da bude aneurizma karotidnih arterija.<\\\/p>\\n\n\n<p><\\\/p>\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-2,1-2\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/195.jpg\",\"image_svg_color\":\"emphasis\",\"image_width\":\"700\",\"margin\":\"default\"}},{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p style=\\\"text-align: right;\\\" align=\\\"CENTER\\\"><em>Aneurizma unutra\\u0161nje karotidne arterije. Faringealni arkus je pomeren anaurizmatskom kompresijom.<\\\/em><\\\/p>\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-218.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"580\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-2,1-2\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-219.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"700\",\"margin\":\"default\"}},{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p><em>MSCT angiografija na popre\\u010dnom preseku prikazuje neo\\u010dekivano velikiprizidni tromb u aneurizmi.<br \\\/><\\\/em><\\\/p>\\n\n\n<p align=\\\"CENTER\\\"><\\\/p>\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-220.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"580\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\"},\"children\":[{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"column_divider\":true,\"content\":\"\n\n<p><b>Dupleks-ultrasonogra<\\\/b><b>fi<\\\/b><b>ja<\\\/b><b> <\\\/b>pru\\u017ea precizne podatke o veli\\u010dini aneurizme, veli\\u010dini i kvalitetu prizidnog tromba (flotiraju\\u0107i segmenti), prisustvu disekcije, kalcifikacija, uzgrednog <i>kinking<\\\/i>-a itd. Pouzdanost ultrazvu\\u010dnih nalaza, kod ekstrakranijalnih karotidnih i vertebralnih aneurizmi, zavisi od lokalizacije i veli\\u010dine aneurizme. U slu\\u010daju pojave neurolo\\u0161kih manifestacija, posle slobodnog intervala iza tupe povrede vrata, uputno je razmi\\u0161ljati o mogu\\u0107nosti posttraumatske aneurizme karotidne arterije i sprovesti ultrazvu\\u010dnu evaluaciju. U slu\\u010daju brzorastu\\u0107eg tumora vrata jedna od diferencijalno dijagnosti\\u010dkih pretpostavki mora da bude aneurizma karotidnih arterija.<\\\/p>\\n\n\n<p><\\\/p>\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-2,1-2\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-221.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"700\",\"margin\":\"default\"}},{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p align=\\\"CENTER\\\"><em>Color Duplex ultrasonografija velike aneurizme karotidne bifurkacije sa nekroti\\u010dnim muralnim trombom, na popre\\u010dnom i uzdu\\u017enom preseku.<\\\/em><\\\/p>\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-222.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"580\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\"},\"children\":[{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"column_divider\":true,\"content\":\"\n\n<p class=\\\"western\\\" align=\\\"JUSTIFY\\\"><b>Arteriogra<\\\/b><b>fi<\\\/b><b>ja<\\\/b><b> <\\\/b>obezbe\\u0111uje realnu procenu lokalizacije, vrste i veli\\u010dine aneurizme. Definitivna dijagnoza aneurizme karotidne arterije se postavljala kompjuterizovanom tomografijom arterija (MSCT), magnetnom rezonancom (MRI) i selektivnom angiografijom. Arteriografijom je mogu\\u0107e otkrivanje karakteristi\\u010dnih znakova bolesti koje je uzrok pojave aneurizme (fibromuskularna displazija, disekcija). MSCT i DSA pregled omogu\\u0107ava detekciju plivaju\\u0107eg tromba koji je slabo pri\\u010dvr\\u0161\\u0107en za zid. U akutnom stadijumu karotidne disekcije, ukoliko postoji komunikacija sa lumenom arterije, MRI metodom nije uvek mogu\\u0107a diferencijacija izbo\\u010denja zida arterije od hematoma zbog registracije signala visokog intenziteta u nivou turbulencije. Kompjuterizovana tomografija vrata obezbe\\u0111uje sagledavanje topografskih odnosa aneurizme sa okolnim strukturama dubokih regiona vrata. Spiralna CT angiografija obezbe\\u0111uje efikasnu dijagnozu arhitekture muralnih lezija, kao i analizu kompozicije prizidnog tromba, \\u0161to je va\\u017eno naro\\u010dito kod pseudoaneurizmi.<\\\/p>\\n\n\n<p class=\\\"western\\\" align=\\\"JUSTIFY\\\"><b>Leukopenija<\\\/b><b> <\\\/b><b>i<\\\/b><b> <\\\/b><b>trombocitopenija<\\\/b><b> <\\\/b>se javljaju kod inflamatorne aneurizme. Kriterijumi za dijagnozu inflamatorne aneurizme su: pozitivan nalaz hemokulture, patohistolo\\u0161ki nalaz inflamacije zida aneurizme, pozitivan nalaz u brisu zida aneurizme. Naj\\u010de\\u0161\\u0107i uzro\\u010dnik inflamatorne aneurizme karotidne arterije je <i>Staphylococcus<\\\/i><i> <\\\/i><i>aureus<\\\/i>, a re\\u0111i <i>Salmonella<\\\/i>, <i>Pseudomonas<\\\/i><i> <\\\/i><i>aeruginosa<\\\/i>, <i>Streptococcus<\\\/i>, <i>Staphylococcus<\\\/i><i> <\\\/i><i>albus,<\\\/i><i> <\\\/i><i>Klebsiaela<\\\/i>, <i>Escherichia<\\\/i><i> <\\\/i><i>colli<\\\/i>.<\\\/p>\\n\n\n<p class=\\\"western\\\" align=\\\"JUSTIFY\\\"><b>Diferencijalna<\\\/b><b> <\\\/b><b>dijagnoza.<\\\/b><b> <\\\/b>Svaka pulsiraju\\u0107a rezistencija na vratu mo\\u017ee biti aneurizma karotidne arterije, ali i tortuozitet karotidne arterije (<i>kinking,<\\\/i><i> <\\\/i><i>coiling<\\\/i>), difuzna ili nodozna struma, peritonzilni ili parafaringealnini apsces, tumor vrata, glomus tumor, maksilofacijalni tumori, inflamatorni procesi na okolnom limfnom i adenoidnom tkivu.<\\\/p>\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-2,1-2\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-223.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"700\",\"margin\":\"default\"}},{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p style=\\\"text-align: left;\\\" align=\\\"CENTER\\\"><em>Color Duplex ultrasonografski nalaz glomus tumora.<\\\/em><\\\/p>\\n\n\n<p style=\\\"text-align: right;\\\" align=\\\"CENTER\\\"><em>MSCT angiografija potvrdjuje glomus tumor u karotidnoj bifurkaciji.<\\\/em><\\\/p>\\n\n\n<p align=\\\"CENTER\\\"><\\\/p>\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/KNJIGA-Karotidna-hirurgija-224.png\",\"image_svg_color\":\"emphasis\",\"image_width\":\"580\",\"margin\":\"default\"}}]}]}]},{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"padding\":\"xsmall\",\"style\":\"default\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"middle\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"props\":{\"layout\":\"1-2,1-2\"},\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p align=\\\"CENTER\\\"><em>Disekcija i ekstirpacija glomus tumora. Uporno kapilarno krvarenje zahteva dobru lokalnu hemostazu. Krvarenje prestaje posle ekstirpacije tumora.<\\\/em><\\\/p>\",\"margin\":\"default\"}},{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/198-1.jpg\",\"image_svg_color\":\"emphasis\",\"image_width\":\"580\",\"margin\":\"default\"}}]},{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"media_overlay_gradient\":\"\",\"position_sticky_breakpoint\":\"m\",\"width_medium\":\"1-2\"},\"children\":[{\"type\":\"image\",\"props\":{\"image\":\"wp-content\\\/uploads\\\/2023\\\/02\\\/198-2.jpg\",\"image_svg_color\":\"emphasis\",\"image_width\":\"700\",\"margin\":\"default\"}}]}]}]}],\"version\":\"3.0.25\"} --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ANEURIZMA KAROTIDNE ARTERIJE 16.2. DIJAGNOZA KAROTIDNE ANEURIZME DIJAGNOZA KAROTIDNE ANEURIZME Prisustvo: pulsiraju\u0107eg otoka (rezistencije na vratu) sa ili bez lokalnih simptoma, sa ili bez znakova mo\u017edane ishemije obavezuje da se potvrdi ili isklju\u010di dijagnoza anaurizme karotidne arterije. Dupleks-ultrasonografija pru\u017ea precizne podatke o veli\u010dini aneurizme, veli\u010dini i kvalitetu prizidnog tromba (flotiraju\u0107i segmenti), prisustvu disekcije, kalcifikacija, uzgrednog [&hellip;]<\/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-4119","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>16.2. 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