INTERVENTII de REVASCULARIZARE EXTREMA “LIMB-SAVING PROCEDURES”

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Presentation transcript:

INTERVENTII de REVASCULARIZARE EXTREMA “LIMB-SAVING PROCEDURES” BYPASS-uri DISTALE inclusiv pe PICIOR cu VENA SAFENA IN SITU

EVITAREA AMPUTATIEI ISCHEMIE CRITICA MEMBRU INFERIOR DURERI DE REPAUS si GANGRENA BYPASS cu SAFENA “in situ” pe ARTERA TIBIALA POSTERIOARA la NIVELUL PICIORULUI EVITAREA AMPUTATIEI Vena safena Artera tibiala posterioara

BYPASS pe ARTERA DORSALA a PICIORULUI cu safena “in situ” Grefon venos safen Aspect dupa amputarea halucelui Aspect preoperator Artera dorsala a piciorului

REVASCULARIZARI CEREBRALE ARTERE CAROTIDE ARTERE VERTEBRALE ARTERE SUBCLAVII

ENDARTERECTOMIA CAROTIDIANA EXCIZIA PLACII de ATEROM PLASTIE de largire, cu PETIC

ENDARTERECTOMIA CAROTIDIANA BILATERALA SIMULTANA in ANESTEZIE LOCO-REGIONALA (cu pacientul treaz) LA NIVEL MONDIAL: NUMAR TOTAL DE AUTORI 11 NUMAR DE CAZURI PUBLICATE 235 STATISTICA PERSONALA (Horia MURESIAN) 70 cazuri ALTE CENTRE DIN ROMANIA 0

INCIZIE UNICA CERVICALA ENDARTERECTOMIA CAROTIDIANA BILATERALA SIMULTANA INCIZIE UNICA CERVICALA ASPECT INTRAOPERATOR BIFURCATIA DREAPTA BIFURCATIA STINGA

CHIRURGIA ARTEREI VERTEBRALE RE-IMPLANTARE DE ARTERA VERTEBRALA BYPASS CAROTIDO-VERTEBRAL BYPASS pe ARTERA VERTEBRALA SUBOCCIPITALA STATISTICA PERSONALA (Horia MURESIAN) 14 CAZURI ALTE CENTRE DIN ROMANIA 0

ARTERA VERTEBRALA SUBOCCIPITALA PLASTIE DE BIFURCATIE CAROTIDIANA XII CCA ICA Jugular XI BYPASS ARTERA CAROTIDA – ARTERA VERTEBRALA SUBOCCIPITALA CU VENA SAFENA

REVASCULARIZARI CEREBRALE COMPLEXE BYPASS AORTA ASCENDENTA – BICAROTIDIAN BYPASS AORTA ASCENDENTA – CAROTIDIAN si SUBCLAVICULAR BYPASS AORTA ASCENDENTA – CAROTIDIAN si SUBCLAVICULAR BILATERAL STATISTICA PERSONALA (Horia MURESIAN) 7 CAZURI ALTE CENTRE DIN ROMANIA 0

BYPASS AORTA ASCENDENTA – BICAROTIDIAN INTERN CLAMPARE LATERALA A AORTEI PE CORD BATIND

OPERATII COMPLEXE si REVASCULARIZARI EXTREME BYPASS AORTA ASCENDENTA-CAROTIDO-SUBCLAVICULAR DREPT si CORONARIAN - pe cord batind

BYPASS AORTA ASCENDENTA-CAROTIDO-SUBCLAVICULAR DREPT si CORONARIAN - pe cord batind Artera carotida dr. Grefon venos Bypass aorto-coronarian pe cord batind Aorta ascendenta Artera subclavie dr.

BYPASS AORTA ASCENDENTA-CAROTIDO-SUBCLAVICULAR DREPT si CORONARIAN - pe cord batind Bypass aorto-coronarian Bypass aorto-carotido-subclavicular

OPERATII COMPLEXE si REVASCULARIZARI EXTREME BYPASS AORTA ASCENDENTA-CAROTIDO-SUBCLAVICULAR DREPT si FEMURAL PROFUND STING (proteza trifurcata) ENDARTERECTOMIE CAROTIDIANA BILATERALA SIMULTANA si RE-IMPLANTAREA ARTEREI VERTEBRALE STG. in CAROTIDA COMUNA STG.

arterei vertebrala stingi in carotida comuna stinga Endarterecomie carotidiana dreapta si bypass Endarterecomie carotidiana stinga si angioplastie cu petic Re-implantarea arterei vertebrala stingi in carotida comuna stinga Bypass aorta ascendenta- subclavio-carotidian drept Bypass aorta ascendenta-femurala profunda stinga

ANGIOGRAFIA POSTOPERATORIE ACI ACI PATCH pe CAROTIDA STG. PROTEZA A. VERTEBRALA REIMPLANTATA A. SUBCLAVIE DR.

pe A. FEMURALA PROFUNDA STG. ANGIOGRAFIA POSTOPERATORIE PROTEZA TUNELIZATA EXTRAPERITONEAL PROTEZA TUNELIZATA EXTRAPERITONEAL ANASTOMOZA DISTALA pe A. FEMURALA PROFUNDA STG.