{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:15:34Z","timestamp":1723162534691},"reference-count":21,"publisher":"Akademiai Kiado Zrt.","issue":"34","license":[{"start":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T00:00:00Z","timestamp":1661040000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,8,21]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A perif\u00e9ri\u00e1s \u00e9rbetegs\u00e9gek kezel\u00e9s\u00e9ben napjainkban az\n                    endovascularis technik\u00e1k az els\u0151k\u00e9nt v\u00e1lasztand\u00f3 m\u00f3dszerek. Az infrarenalis\n                    aorta atherothromboticus betegs\u00e9geinek kezel\u00e9s\u00e9ben a nyitott m\u0171t\u00e9teknek is van\n                    l\u00e9tjogosults\u00e1guk, k\u00fcl\u00f6n\u00f6sen, amikor m\u00e1r kritikus sz\u0171k\u00fcletet, illetve perif\u00e9ri\u00e1s\n                    embolisati\u00f3t okoznak. Ezekben az esetekben a hagyom\u00e1nyos sztentek haszn\u00e1lata\n                    nagyobb sz\u00f6v\u0151dm\u00e9nnyel j\u00e1rna, ugyanakkor \u00fajabb k\u00f6zlem\u00e9nyek szerint sztentgraftok\n                    alkalmaz\u00e1s\u00e1val kit\u0171n\u0151 eredm\u00e9nyek \u00e9rhet\u0151k el. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Retrospekt\u00edven elemezt\u00fck az infrarenalis aorta atherothromboticus \u00e9rbetegs\u00e9ge\n                    miatt sztentgraftbe\u00fcltet\u00e9sen \u00e1tesett betegeinket \u00e9s kezdeti tapasztalatainkat.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> Vizsg\u00e1latunkba a Szegedi Tudom\u00e1nyegyetem\n                    \u00c9rseb\u00e9szeti Oszt\u00e1ly\u00e1n sztentgraftbe\u00fcltet\u00e9sen \u00e1tesett betegeket v\u00e1logattuk be. A\n                    beavatkoz\u00e1sokat az infrarenalis aort\u00e1ban kialakult t\u00fcnetk\u00e9pz\u0151 atherothromboticus\n                    betegs\u00e9g miatt v\u00e9gezt\u00fck, melynek endovascularis rekonstrukci\u00f3ra val\u00f3\n                    alkalmass\u00e1g\u00e1t el\u0151zetes CT-angiogr\u00e1fi\u00e1s vizsg\u00e1lat alapj\u00e1n d\u00f6nt\u00f6tt\u00fck el.\n                    Valamennyi esetben a beavatkoz\u00e1st k\u00f6vet\u0151en 6 h\u00e9ttel kontroll-CT-angiogr\u00e1fia\n                    t\u00f6rt\u00e9nt. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Oszt\u00e1lyunkon 2021. febru\u00e1r 25. \u00e9s 2021.\n                    szeptember 15. k\u00f6z\u00f6tt az infrarenalis aorta atherothromboticus \u00e9rbetegs\u00e9ge miatt\n                    6 betegn\u00e9l v\u00e9gezt\u00fcnk sztentgrafttal rekonstrukci\u00f3t, 2 esetben kr\u00f3nikus kritikus\n                    v\u00e9gtagi ischaemia, 4 esetben claudicati\u00f3s panaszok miatt. Korai\n                    posztintervenci\u00f3s sz\u00f6v\u0151dm\u00e9ny nem fordult el\u0151. A kontrollvizsg\u00e1laton minden beteg\n                    jelent\u0151s klinikai javul\u00e1sr\u00f3l sz\u00e1molt be; a kontroll-CT-angiogr\u00e1fia minden\n                    esetben \u00e1tj\u00e1rhat\u00f3 sztentgraftrendszert igazolt, j\u00f3 poz\u00edci\u00f3ban, sz\u0171k\u00fclet n\u00e9lk\u00fcl.\n                    K\u00e9s\u0151i posztintervenci\u00f3s sz\u00f6v\u0151dm\u00e9nyt 1 esetben \u00e9szlelt\u00fcnk: a jobb arteria iliaca\n                    communisba helyezett sztentgraft elz\u00e1r\u00f3dott, mely 24 \u00f3r\u00e1s perif\u00e9ri\u00e1s\n                    thrombolysist k\u00f6vet\u0151en \u00e1tj\u00e1rhat\u00f3v\u00e1 v\u00e1lt, tov\u00e1bbi beavatkoz\u00e1sra nem volt sz\u00fcks\u00e9g.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Saj\u00e1t kezdeti tapasztalataink a nemzetk\u00f6zi\n                    irodalmi adatokkal egybecseng\u0151en meger\u0151s\u00edtik, hogy a sztentgraftok j\u00f3\n                    eredm\u00e9nnyel alkalmazhat\u00f3k az infrarenalis aorta atherothromboticus sz\u0171k\u00fcleteinek\n                    kezel\u00e9s\u00e9ben. Az eszk\u00f6z\u00f6k magas \u00e1ra miatt azonban a perif\u00e9ri\u00e1s obliterat\u00edv\n                    megbeteged\u00e9sek sztentgraftokkal t\u00f6rt\u00e9n\u0151 kezel\u00e9se haz\u00e1nkban m\u00e9g nem rendelkezik\n                    megfelel\u0151 finansz\u00edroz\u00e1ssal, jelenleg ezek a kezel\u00e9sek csak egyedi\n                    finansz\u00edroz\u00e1ssal vehet\u0151k ig\u00e9nybe, ami korl\u00e1tozza rutinszer\u0171 alkalmaz\u00e1sukat. Orv\n                    Hetil. 2022; 163(34): 1353\u20131361.<\/jats:p>","DOI":"10.1556\/650.2022.32545","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T01:29:26Z","timestamp":1668821366000},"page":"1353-1361","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Kezdeti tapasztalataink az infrarenalis aorta atherothromboticus obliterat\u00edv megbeteged\u00e9seinek sztentgraftokkal t\u00f6rt\u00e9n\u0151 kezel\u00e9s\u00e9ben"],"prefix":"10.1556","volume":"163","author":[{"given":"Tibor","family":"Tak\u00e1cs","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika Szeged, Semmelweis u. 8., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Mihalovits","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika Szeged, Semmelweis u. 8., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"V\u00e1radi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika Szeged, Semmelweis u. 8., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Nagy","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Radiol\u00f3giai Klinika Szeged Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Pal\u00e1sthy","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Seb\u00e9szeti Klinika Szeged, Semmelweis u. 8., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Norgren L, Hiatt WR, Dormandy JA, et al. 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