"9"^^ . . "9"^^ . "Endovascular Therapy of Intracranial Aneurysms - Methods, Indications, Complications"@en . "Zele\u0148\u00E1k, Kamil" . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . . "[B8D4AF928251]" . . . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat m\u00E1 b\u00FDt preferov\u00E1na v p\u0159\u00EDpadech, kdy je dostupn\u00E1, radik\u00E1ln\u00ED a s vysokou pravd\u011Bpodobnost\u00ED dlouhodob\u00E9ho efektu. Neurointerven\u010Dn\u00ED radiologov\u00E9, kte\u0159\u00ED prov\u00E1d\u011Bj\u00ED endovaskul\u00E1rn\u00ED l\u00E9\u010Dbu, mus\u00ED m\u00EDt k dispozici odpov\u00EDdaj\u00EDc\u00ED angiografick\u00E9 za\u0159\u00EDzen\u00ED, pravideln\u00FD tr\u00E9nink a dostate\u010Dn\u00FD po\u010Det nemocn\u00FDch. Tohoto lze vhodn\u011B dos\u00E1hnout pouze ve specia-lizovan\u00FDch neurovaskul\u00E1rn\u00EDch centrech, kde je dostupn\u00E1 okam\u017Eit\u00E1 neurochirurgick\u00E1 p\u00E9\u010De. Existuj\u00ED dv\u011B strategie endovaskul\u00E1rn\u00ED l\u00E9\u010Dby mozkov\u00FDch v\u00FDdut\u00ED. Prvn\u00ED z nich je uz\u00E1v\u011Br vaku aneuryzmatu kovov\u00FDmi spir\u00E1lami se zachov\u00E1n\u00EDm pr\u016Fchodnosti mate\u0159sk\u00E9 tepny. Druhou mo\u017Enost\u00ED je uz\u00E1v\u011Br mate\u0159sk\u00E9 tepny s c\u00EDlem vylou\u010Dit z ob\u011Bhu jinak nel\u00E9\u010Diteln\u00E1 aneuryzmata. Ke stabilizaci spir\u00E1l u aneuryzmat se \u0161irok\u00FDm kr\u010Dkem se vyu\u017E\u00EDvaj\u00ED intrakrani\u00E1ln\u00ED stenty, kter\u00E9 tak roz\u0161i\u0159uj\u00ED indikace endovaskul\u00E1rn\u00ED l\u00E9\u010Dby s p\u0159\u00EDzniv\u00FDm dlouhodob\u00FDm efektem l\u00E9\u010Dby. V posledn\u00ED dob\u011B se k l\u00E9\u010Db\u011B aneuryzmat vyu\u017E\u00EDvaj\u00ED stenty s v\u011Bt\u0161\u00ED hustotou \u00FApletu, co\u017E vede k naru\u0161en\u00ED toku krve do aneuryzmatu a remodelaci cel\u00E9ho l\u00E9\u010Den\u00E9ho segmentu. Nativn\u00ED CT a CT angiografie jsou z\u00E1kladn\u00ED zobrazovac\u00ED vy\u0161et\u0159en\u00ED u akutn\u00EDho subarachnoid\u00E1ln\u00EDho krv\u00E1cen\u00ED. Dal\u0161\u00ED zobrazovac\u00ED metodou pou\u017E\u00EDvanou u nemocn\u00FDch s negativn\u00EDm nebo nediagnostick\u00FDm z\u00E1v\u011Brem je katetriza\u010Dn\u00ED angiografie. Detekce a detailn\u00ED zobrazen\u00ED mal\u00FDch aneuryzmat (men\u0161\u00EDch ne\u017E 3 mm) je spolehliv\u011Bj\u0161\u00ED pomoc\u00ED katetriza\u010Dn\u00ED angiografie s 3D technikou. U v\u011Bt\u0161iny ji\u017E embolizovan\u00FDch aneuryzmat nahrazuje MR angiografie, d\u00EDky dostate\u010Dn\u00E9 spolehlivosti, neinvazivit\u011B a ni\u017E\u0161\u00EDm n\u00E1klad\u016Fm angiografii katetriza\u010Dn\u00ED v jejich dlouhodob\u00E9m sledov\u00E1n\u00ED. Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba praskl\u00FDch aneuryzmat p\u0159i srovn\u00E1n\u00ED s l\u00E9\u010Dbou chirurgickou prok\u00E1zala, v jednolet\u00E9m sledov\u00E1n\u00ED po l\u00E9\u010Db\u011B, v\u00FDznamn\u00E9 sn\u00ED\u017Een\u00ED \u00FAmrtnosti a poopera\u010Dn\u00ED invalidity. Naproti tomu nepraskl\u00E1 aneuryzmata tvo\u0159\u00ED heterogenn\u00ED skupinu s extr\u00E9mn\u00ED variabilitou rizika ruptury."@cs . . . "RIV/00179906:_____/12:10124315" . . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat - metodika, indikace, komplikace"@cs . "Kraj\u00ED\u010Dkov\u00E1, Dagmar" . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat m\u00E1 b\u00FDt preferov\u00E1na v p\u0159\u00EDpadech, kdy je dostupn\u00E1, radik\u00E1ln\u00ED a s vysokou pravd\u011Bpodobnost\u00ED dlouhodob\u00E9ho efektu. Neurointerven\u010Dn\u00ED radiologov\u00E9, kte\u0159\u00ED prov\u00E1d\u011Bj\u00ED endovaskul\u00E1rn\u00ED l\u00E9\u010Dbu, mus\u00ED m\u00EDt k dispozici odpov\u00EDdaj\u00EDc\u00ED angiografick\u00E9 za\u0159\u00EDzen\u00ED, pravideln\u00FD tr\u00E9nink a dostate\u010Dn\u00FD po\u010Det nemocn\u00FDch. Tohoto lze vhodn\u011B dos\u00E1hnout pouze ve specia-lizovan\u00FDch neurovaskul\u00E1rn\u00EDch centrech, kde je dostupn\u00E1 okam\u017Eit\u00E1 neurochirurgick\u00E1 p\u00E9\u010De. Existuj\u00ED dv\u011B strategie endovaskul\u00E1rn\u00ED l\u00E9\u010Dby mozkov\u00FDch v\u00FDdut\u00ED. Prvn\u00ED z nich je uz\u00E1v\u011Br vaku aneuryzmatu kovov\u00FDmi spir\u00E1lami se zachov\u00E1n\u00EDm pr\u016Fchodnosti mate\u0159sk\u00E9 tepny. Druhou mo\u017Enost\u00ED je uz\u00E1v\u011Br mate\u0159sk\u00E9 tepny s c\u00EDlem vylou\u010Dit z ob\u011Bhu jinak nel\u00E9\u010Diteln\u00E1 aneuryzmata. Ke stabilizaci spir\u00E1l u aneuryzmat se \u0161irok\u00FDm kr\u010Dkem se vyu\u017E\u00EDvaj\u00ED intrakrani\u00E1ln\u00ED stenty, kter\u00E9 tak roz\u0161i\u0159uj\u00ED indikace endovaskul\u00E1rn\u00ED l\u00E9\u010Dby s p\u0159\u00EDzniv\u00FDm dlouhodob\u00FDm efektem l\u00E9\u010Dby. V posledn\u00ED dob\u011B se k l\u00E9\u010Db\u011B aneuryzmat vyu\u017E\u00EDvaj\u00ED stenty s v\u011Bt\u0161\u00ED hustotou \u00FApletu, co\u017E vede k naru\u0161en\u00ED toku krve do aneuryzmatu a remodelaci cel\u00E9ho l\u00E9\u010Den\u00E9ho segmentu. Nativn\u00ED CT a CT angiografie jsou z\u00E1kladn\u00ED zobrazovac\u00ED vy\u0161et\u0159en\u00ED u akutn\u00EDho subarachnoid\u00E1ln\u00EDho krv\u00E1cen\u00ED. Dal\u0161\u00ED zobrazovac\u00ED metodou pou\u017E\u00EDvanou u nemocn\u00FDch s negativn\u00EDm nebo nediagnostick\u00FDm z\u00E1v\u011Brem je katetriza\u010Dn\u00ED angiografie. Detekce a detailn\u00ED zobrazen\u00ED mal\u00FDch aneuryzmat (men\u0161\u00EDch ne\u017E 3 mm) je spolehliv\u011Bj\u0161\u00ED pomoc\u00ED katetriza\u010Dn\u00ED angiografie s 3D technikou. U v\u011Bt\u0161iny ji\u017E embolizovan\u00FDch aneuryzmat nahrazuje MR angiografie, d\u00EDky dostate\u010Dn\u00E9 spolehlivosti, neinvazivit\u011B a ni\u017E\u0161\u00EDm n\u00E1klad\u016Fm angiografii katetriza\u010Dn\u00ED v jejich dlouhodob\u00E9m sledov\u00E1n\u00ED. Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba praskl\u00FDch aneuryzmat p\u0159i srovn\u00E1n\u00ED s l\u00E9\u010Dbou chirurgickou prok\u00E1zala, v jednolet\u00E9m sledov\u00E1n\u00ED po l\u00E9\u010Db\u011B, v\u00FDznamn\u00E9 sn\u00ED\u017Een\u00ED \u00FAmrtnosti a poopera\u010Dn\u00ED invalidity. Naproti tomu nepraskl\u00E1 aneuryzmata tvo\u0159\u00ED heterogenn\u00ED skupinu s extr\u00E9mn\u00ED variabilitou rizika ruptury." . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat - metodika, indikace, komplikace"@cs . "RIV/00179906:_____/12:10124315!RIV13-MZ0-00179906" . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat - metodika, indikace, komplikace" . . . "CZ - \u010Cesk\u00E1 republika" . . "Loj\u00EDk, Miroslav" . "5" . "endovascular therapy; subarachnoid hemorrhage; intracranial aneurysms"@en . "75" . "000309087800003" . . "1210-7859" . . "\u010Ces\u00E1k, Tom\u00E1\u0161" . "\u0158eh\u00E1k, Svatopluk" . . "Endovascular therapy of intracranial aneurysms has become the first-line treatment option whenever this option is available; it appears to be straightforward and with promising long-term effect. A neurointerventionalist performing the procedure should have appropriate radiographic equipment, training and appropriate number of patients. This can be appropriately accomplished within a specialized neurovascular center in which appropriate neurosurgical care can be instituted promptly. There are two endovascular strategies to treat cerebral aneurysms. The first involves an occlusion of the aneurysmal sac with metallic coils and preserving the parent artery. The second involves occlusion of the parent artery in order to exclude otherwise untreatable aneurysms from blood circulation. Implantation of intracranial stents stabilizes implanted coils in the aneurysmal sac of wide neck aneurysms and expands indication spectrum of endovascular therapy with long-term effect. High density mesh cylinder stents modify the blood flow by disrupting aneurysm inflow, leading to remodeling of the entire diseased arterial segment. Standard imaging protocol of acute SAH includes non-enhanced CT and CT angiography. Catheterization angiography is the imaging modality used for patients with non-conclusive or negative findings. Detection and detailed imaging of small (less then 3 mm in size) aneurysms is more reliable using catheterization angiography with 3D volume rendering technique. MR angiography is a reliable, non-invasive and cost-effective method that is gradually replacing catheterization angiography in a long-term follow-up of patients with coiled aneurysms. In comparison to neurosurgical therapy, endovascular therapy of acutely ruptured aneurysms was proved, in a one-year follow up, to significantly reduce mortality and postsurgical disability. Unruptured aneurysms form a heterogeneous entity with extreme variation in reported risk of rupture."@en . "134301" . . . . "\u017Di\u017Eka, Jan" . "Mula\u010Dov\u00E1, Martina" . . "Krajina, Anton\u00EDn" . . "Endovascular Therapy of Intracranial Aneurysms - Methods, Indications, Complications"@en . . "Habalov\u00E1, Ji\u0159ina" . "I" . "8"^^ . . "Endovaskul\u00E1rn\u00ED l\u00E9\u010Dba intrakrani\u00E1ln\u00EDch aneuryzmat - metodika, indikace, komplikace" . .