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Periferni zapleti ob perkutanih posegih na srcu = Peripheral complications after PCIKanič, Vojko ; Naji, Franjo ; Lobnik, AntonPerkutani posegi (PP) na srcu so vse pogostejši način zdravljenja koronarne bolezni. V arterijski sistem ponavadi vstopimo preko femoralne arterije, redkeje preko radialne ali brahialne, še redkeje ... preko aksilarne. Približno petina preiskovancev po PP utrpi manjši lokalni žilni zaplet po izvleku vodila. Največkrat so zapleti manjše krvavitve, hematomi, psevdoanevrizme ali arteriovenske fistule. Okužbe, retroperitonealni hematomi, artrijska tromboza, disekcija in akutna ishemija uda so redki. Na pojavnost lokalnih zapletov vplivajo lastnosti bolnikov, vrsta in čas trajanja PP ter antikoagulacijska in antitrombocitna zdravila, ki jih med posegom uporabljamo. Vedno je pomembna tudi izkušenost izvajalca PP in odstranjevalca žilnega vodila. Večino zapletov lahko rešimo z ročnim pritiskom na vbodno mesto, občasno uporabimo ultrazvočno voden pritisk, lahko pa tudi ultrazvočno vodeno lokalno dajanje zdravil. Večji zapleti zahtevajo dodatno transfuzijo, eventualno ponovni PP ali kirurško razrešitev.Source: Urgentna medicina : izbrana poglavja 2008 : zbornik = Emergency medicine : selected topics [2008] : proceedings (Str. 193-198)Type of material - conference contribution ; adult, seriousPublish date - 2008Language - slovenianCOBISS.SI-ID - 2985023
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Kanič, Vojko | 18988 |
Naji, Franjo | 34270 |
Lobnik, Anton | ![]() |
Source: Personal bibliographies
and: SICRIS
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