{"id":25465,"date":"2023-11-03T13:40:49","date_gmt":"2023-11-03T12:40:49","guid":{"rendered":"https:\/\/test.nemji.cz\/helpie_faq\/angiografie-a-intervencni-radiologie\/"},"modified":"2024-05-14T08:53:40","modified_gmt":"2024-05-14T06:53:40","slug":"angiografie-a-intervencni-radiologie","status":"publish","type":"helpie_faq","link":"https:\/\/www.nemji.cz\/en\/helpie_faq\/angiografie-a-intervencni-radiologie\/","title":{"rendered":"Angiography and Interventional Radiology"},"content":{"rendered":"<h5><strong>Co je Angiografie?<\/strong><\/h5>\n<p>Angiografie je vy\u0161et\u0159en\u00ed, je\u017e se prov\u00e1d\u00ed pomoc\u00ed RTG z\u00e1\u0159en\u00ed a kontrastn\u00ed l\u00e1tky, kter\u00e1 se vst\u0159ikuje do c\u00e9vy. Vy\u0161et\u0159en\u00ed\u00a0 vyu\u017e\u00edv\u00e1me zejm\u00e9na k zobrazen\u00ed tepen. Klasick\u00fdm po\u017eadavkem je vy\u0161et\u0159en\u00ed tepenn\u00e9ho syst\u00e9mu doln\u00edch kon\u010detin p\u0159i podez\u0159en\u00ed na ischemickou chorobu doln\u00edch kon\u010detin. Krom\u011b toho lze zjistit z\u00fa\u017een\u00ed ledvinn\u00fdch tepen \u010di z\u00fa\u017een\u00ed krkavic (kr\u010dn\u00ed tepny). Tato metoda vy\u0161et\u0159en\u00ed c\u00e9vn\u00edho z\u00e1soben\u00ed je pomalu vytla\u010dov\u00e1na CT angiografi\u00ed a MR angiografi\u00ed u nich\u017e v\u0161ak nen\u00ed mo\u017en\u00e9 sou\u010dasn\u011b prov\u00e9st terapeutick\u00fd z\u00e1krok &#8211; angioplastika (rozta\u017een\u00ed c\u00e9vy balonkem) nebo zaveden\u00ed v\u00fdztuhy v podob\u011b kovov\u00e9 trubi\u010dky (stent).<\/p>\n<h5><strong>Pr\u016fb\u011bh vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed vle\u017ee p\u0159i m\u00edstn\u00edm znecitliv\u011bn\u00ed. Pacient le\u017e\u00ed na vy\u0161et\u0159ovac\u00edm stole v angiografick\u00e9m s\u00e1le. L\u00e9ka\u0159 znecitliv\u00ed m\u00edsto vpichu nap\u0159. t\u0159\u00edslo (eventu\u00e1ln\u011b jin\u00e9 vstupn\u00ed m\u00edsto) a provede punkci stehenn\u00ed tepny (nebo jinou tepnu dle vstupn\u00edho m\u00edsta). Do tepny zasune pomoc\u00ed vodi\u010de tenkou plastovou trubi\u010dku a skrz n\u00ed pak vypust\u00ed kontrastn\u00ed l\u00e1tku. U vy\u0161et\u0159ovac\u00edho stolu je k dispozici rentgenov\u00fd p\u0159\u00edstroj, na jeho\u017e obrazovce l\u00e9ka\u0159 vid\u00ed v re\u00e1ln\u00e9m \u010dase pr\u016ftok kontrastn\u00ed l\u00e1tky tepnami a najde tak na c\u00e9v\u00e1ch patologicky posti\u017een\u00e1 m\u00edsta. Vy\u0161et\u0159en\u00ed trv\u00e1 v celkov\u011b pr\u016fm\u011bru kolem jedn\u00e9 hodiny, v\u010detn\u011b p\u0159\u00edpadn\u00e9ho terapeutick\u00e9ho v\u00fdkonu. Rentgenov\u00e9 sn\u00edmky jsou ulo\u017eeny do po\u010d\u00edta\u010de a l\u00e9ka\u0159 se na n\u011b m\u016f\u017ee pod\u00edvat i kdykoliv pozd\u011bji.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/11\/angio.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25462\" src=\"\/wp-content\/uploads\/2023\/11\/angio.jpg\" alt=\"\" width=\"619\" height=\"161\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio.jpg 700w, \/wp-content\/uploads\/2023\/11\/angio-300x78.jpg 300w, \/wp-content\/uploads\/2023\/11\/angio-18x5.jpg 18w, \/wp-content\/uploads\/2023\/11\/angio-580x151.jpg 580w\" sizes=\"auto, (max-width: 619px) 100vw, 619px\" \/><\/a><\/p>\n<p>V p\u0159\u00edpad\u011b n\u00e1lezu z\u00fa\u017een\u00e9ho m\u00edsta ho m\u016f\u017ee l\u00e9ka\u0159 roz\u0161\u00ed\u0159it pomoc\u00ed drobn\u00e9ho balonku, kter\u00fd zavede do ur\u010den\u00e9ho m\u00edsta p\u0159es tenk\u00fd dr\u00e1tek (vodi\u010d) v c\u00e9v\u011b. Krom\u011b toho lze do z\u00fa\u017een\u00ed zav\u00e9st v\u00fdztuhu v podob\u011b kovov\u00e9 trubi\u010dky (stent), kter\u00e1 z\u00fa\u017een\u00e9 m\u00edsto vyztu\u017e\u00ed.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-25463\" src=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg\" alt=\"\" width=\"620\" height=\"208\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio3.jpg 700w, \/wp-content\/uploads\/2023\/11\/angio3-300x101.jpg 300w, \/wp-content\/uploads\/2023\/11\/angio3-18x6.jpg 18w, \/wp-content\/uploads\/2023\/11\/angio3-580x195.jpg 580w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/a><\/p>\n<p>Po ukon\u010den\u00ed vy\u0161et\u0159en\u00ed se m\u00edsto vpichu p\u0159ekryje pevn\u00fdm obvazem (band\u00e1\u017e) a tlakov\u00fdm obvazem nebo se m\u00edsto vpichu do c\u00e9vy uzav\u0159e speci\u00e1ln\u00ed c\u00e9vn\u00ed z\u00e1platou, kter\u00e1 se pozd\u011bji sama vst\u0159eb\u00e1. Pacient mus\u00ed 8 hodin po z\u00e1kroku v klidu le\u017eet a nevst\u00e1vat z l\u016f\u017eka. Tlakov\u00fd obvaz se obvykle odstra\u0148uje po 8-12 hodin\u00e1ch.<\/p>\n<h5><strong>Kontraindikace vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p>Stejn\u011b jako u jin\u00fdch vy\u0161et\u0159en\u00ed kde je pacientovi pod\u00e1na kontrastn\u00ed l\u00e1tka se m\u016f\u017ee projevit alergick\u00e1 reakce. Kontrastn\u00ed l\u00e1tka tak\u00e9 p\u0159edstavuje z\u00e1t\u011b\u017e pro ledviny a m\u016f\u017ee je po\u0161kodit. Z tohoto d\u016fvodu je nutn\u00e9 po angiografii dodr\u017eet pitn\u00fd re\u017eim nebo lze vyu\u017e\u00edt nitro\u017eiln\u00ed infuze.<br \/>\nTyreotoxik\u00f3za &#8211; zv\u00fd\u0161en\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy<\/p>\n<h5><strong>V\u00fdhody vy\u0161et\u0159en\u00ed (z\u00e1kroku)<\/strong><\/h5>\n<p>&#8211; Kvalitn\u00ed zobrazen\u00ed prakticky v\u0161ech c\u00e9v v lidsk\u00e9m t\u011ble.<br \/>\n&#8211; Mo\u017enost p\u0159\u00edm\u00e9ho terapeutick\u00e9ho z\u00e1kroku u n\u011bkter\u00fdch tepen \u010di \u017eil v lidsk\u00e9m t\u011ble pouh\u00fdm vpichem (miniinvazivn\u00ed v\u00fdkon) bez nutnosti opera\u010dn\u00edho v\u00fdkonu.<\/p>\n<h5><strong>Nev\u00fdhody a mo\u017en\u00e9 komplikace vy\u0161et\u0159en\u00ed (z\u00e1kroku)<\/strong><\/h5>\n<p>P\u0159\u00edstroj, na kter\u00e9m se prov\u00e1d\u00ed angiografick\u00e9 vy\u0161et\u0159en\u00ed, pracuje s rentgenov\u00fdm ionizuj\u00edc\u00edm z\u00e1\u0159en\u00edm v d\u016fsledku \u010deho\u017e vznik\u00e1 radia\u010dn\u00ed z\u00e1t\u011b\u017e pacienta, proto je nutn\u00e9 indikovat toto vy\u0161et\u0159en\u00ed s ohledem na\u00a0 velikost t\u00e9to z\u00e1t\u011b\u017ee a diagnostickou a terapeutickou v\u00fdt\u011b\u017enost.<\/p>\n<p>V m\u00edst\u011b vpichu se m\u016f\u017ee vytvo\u0159it hematom (mod\u0159ina) proto je nutn\u00e9 dodr\u017eet klidov\u00fd re\u017eim na l\u016f\u017eku v rozmez\u00ed 6 a\u017e 24 hodin, d\u00e1le m\u016f\u017ee doj\u00edt ke krv\u00e1cen\u00ed v okol\u00ed vpichu, eventu\u00e1ln\u011b i tromb\u00f3zy c\u00e9vy. Tyto komplikace se \u0159e\u0161\u00ed konzervativn\u011b nebo chirurgicky podle jejich rozsahu a povahy.<\/p>\n<h5><span style=\"font-size: 14px\"><strong>Mo\u017en\u00e9 komplikace:<\/strong><\/span><\/h5>\n<ul>\n<li>Rozru\u0161en\u00ed a uvoln\u011bn\u00ed aterosklerotick\u00e9ho pl\u00e1tu s n\u00e1sledn\u00fdm vmetkem do c\u00e9vn\u00edho \u0159e\u010di\u0161t\u011b.<\/li>\n<li>Ruptura aneurysmatu v pr\u016fb\u011bhu v\u00fdkonu s krv\u00e1cen\u00edm.<\/li>\n<\/ul>\n<h5><strong>Extravaskul\u00e1rn\u00ed v\u00fdkony<\/strong><\/h5>\n<p>Mezi extravaskul\u00e1rn\u00ed interven\u010dn\u00ed v\u00fdkony prov\u00e1d\u011bn\u00e9 na na\u0161em odd\u011blen\u00ed pat\u0159\u00ed p\u0159edev\u0161\u00edm punkce a dren\u00e1\u017ee patologick\u00fdch tekutinov\u00fdch z\u00e1n\u011btliv\u00fdch kolekc\u00ed v dutin\u011b b\u0159i\u0161n\u00ed, dutin\u011b hrudn\u00ed, v retroperitoneu \u010di p\u00e1nvi. Diagnostick\u00e9 biopsie patologick\u00fdch lo\u017eisek v r\u016fzn\u00fdch org\u00e1nech.<\/p>\n<p>D\u00e1le se na na\u0161em \u00a0pracovi\u0161ti prov\u00e1d\u00ed <strong>vertebroplastika<\/strong> a<strong> kyfoplastika<\/strong>.<\/p>\n<p><strong>Objednat \/ informovat se na vy\u0161et\u0159en\u00ed m\u016f\u017eete telefonem na \u010d\u00edsle:\u00a0567 157 645<\/strong><\/p>\n<h5><strong>P\u0159\u00edstrojov\u00e9 vybaven\u00ed:<\/strong><\/h5>\n<ul>\n<li>Siemens Artis Zee Ceiling<\/li>\n<\/ul>\n<div class=\"pgc-sgb-cb wp-block-pgcsimplygalleryblock-grid \" data-gallery-id=\"36328962\"><div class=\"sgb-preloader\" id=\"pr_36328962\">\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div>\n\t<div class=\"sgb-square\" style=\"background:#d4d4d4\"><\/div><\/div><div class=\"simply-gallery-amp pgc_sgb_slider \"><noscript><div class=\"sgb-gallery\"><div class=\"sgb-item\"><a href=\"https:\/\/test.nemji.cz\/?attachment_id=25470\" target=\"_blank\"><img decoding=\"async\" alt=\"\" width=\"236\" height=\"300\" loading=\"lazy\" src=\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg\" srcset=\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg 236w,\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg 734w\" sizes=\"auto, 250px\"\/><\/a><\/div><\/div><\/noscript><\/div><script type=\"application\/json\" class=\"sgb-data\">{\"collectionColumns\":4,\"thumbHieghtRation\":0.8,\"thumbSpacing\":10,\"thumbMobileSpacing\":10,\"externalLink\":false,\"captions\":false,\"captionHAlign\":\"bottom\",\"collectionthumbHoverTitleFontSize\":16,\"collectionthumbRoundedCorners\":20,\"collectionThumbSubMenuDownload\":false,\"collectionThumbSubMenuShare\":false,\"galleryType\":\"pgc_sgb_grid\",\"galleryId\":\"36328962\",\"images\":[{\"id\":25470,\"title\":\"angio_pristroj1\",\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg\",\"link\":\"https:\/\/test.nemji.cz\/?attachment_id=25470\",\"alt\":\"\",\"description\":\"\",\"caption\":\"\",\"mime\":\"image\/jpeg\",\"type\":\"image\",\"width\":734,\"height\":934,\"sizes\":{\"thumbnail\":{\"height\":150,\"width\":150,\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-150x150.jpg\",\"orientation\":\"landscape\"},\"medium\":{\"height\":300,\"width\":236,\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1-236x300.jpg\",\"orientation\":\"portrait\"},\"full\":{\"url\":\"\/wp-content\/uploads\/2023\/11\/angio_pristroj1.jpg\",\"height\":934,\"width\":734,\"orientation\":\"portrait\"}},\"imageMeta\":{\"aperture\":\"0\",\"credit\":\"\",\"camera\":\"\",\"caption\":\"\",\"created_timestamp\":\"0\",\"copyright\":\"\",\"focal_length\":\"0\",\"iso\":\"0\",\"shutter_speed\":\"0\",\"title\":\"\",\"orientation\":\"1\",\"keywords\":[]},\"meta\":false,\"postlink\":\"https:\/\/test.nemji.cz\/?attachment_id=25470\"}],\"itemsMetaDataCollection\":[],\"useClobalSettings\":true,\"shareFacebook\":false,\"shareTwitter\":false,\"sharePinterest\":false,\"sliderItemDownload\":false,\"shareCopyLink\":false,\"sliderItemTitleEnable\":true,\"sliderItemTitleFontSize\":16,\"sliderSlideshow\":false,\"sliderSlideshowDelay\":6,\"sliderSocialShareEnabled\":false,\"TrpContentRestriction\":{\"restriction_type\":\"exclude\",\"selected_languages\":[],\"panel_open\":true}}<\/script><script>(function(){if(window.PGC_SGB && window.PGC_SGB.searcher){window.PGC_SGB.searcher.initBlocks()}})()<\/script><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Co je Angiografie? Angiografie je vy\u0161et\u0159en\u00ed, je\u017e se prov\u00e1d\u00ed pomoc\u00ed RTG z\u00e1\u0159en\u00ed a kontrastn\u00ed l\u00e1tky, kter\u00e1 se vst\u0159ikuje do c\u00e9vy. Vy\u0161et\u0159en\u00ed\u00a0 vyu\u017e\u00edv\u00e1me zejm\u00e9na k zobrazen\u00ed tepen. Klasick\u00fdm po\u017eadavkem je vy\u0161et\u0159en\u00ed tepenn\u00e9ho syst\u00e9mu doln\u00edch kon\u010detin p\u0159i podez\u0159en\u00ed na ischemickou chorobu doln\u00edch kon\u010detin. Krom\u011b toho lze zjistit z\u00fa\u017een\u00ed ledvinn\u00fdch tepen \u010di z\u00fa\u017een\u00ed krkavic (kr\u010dn\u00ed tepny). Tato metoda&#8230;<\/p>","protected":false},"author":5,"featured_media":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","format":"standard","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"helpie_faq_category":[355],"helpie_faq_group":[356],"class_list":["post-25465","helpie_faq","type-helpie_faq","status-publish","format-standard","hentry","helpie_faq_category-ozm","helpie_faq_group-ozm-spektrum-pece"],"publishpress_future_action":{"enabled":false,"date":"2026-06-24 08:34:08","action":"change-status","newStatus":"trash","terms":[],"taxonomy":"helpie_faq_category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq\/25465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq"}],"about":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/types\/helpie_faq"}],"author":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/comments?post=25465"}],"version-history":[{"count":0,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq\/25465\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/media?parent=25465"}],"wp:term":[{"taxonomy":"helpie_faq_category","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_category?post=25465"},{"taxonomy":"helpie_faq_group","embeddable":true,"href":"https:\/\/www.nemji.cz\/en\/wp-json\/wp\/v2\/helpie_faq_group?post=25465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}