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master's thesis
Endovaskularno liječenje intrakranijskih aneurizmi
Zagreb: University of Zagreb, School of Medicine, 2018. urn:nbn:hr:105:225955
Filipović, Maša
University of Zagreb
School of Medicine
Department of Radiology

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Filipović, M. (2018). Endovaskularno liječenje intrakranijskih aneurizmi (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:225955

Filipović, Maša. "Endovaskularno liječenje intrakranijskih aneurizmi." Master's thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:225955

Filipović, Maša. "Endovaskularno liječenje intrakranijskih aneurizmi." Master's thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:225955

Filipović, M. (2018). 'Endovaskularno liječenje intrakranijskih aneurizmi', Master's thesis, University of Zagreb, School of Medicine, accessed 29 December 2024, https://urn.nsk.hr/urn:nbn:hr:105:225955

Filipović M. Endovaskularno liječenje intrakranijskih aneurizmi [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2018 [cited 2024 December 29] Available at: https://urn.nsk.hr/urn:nbn:hr:105:225955

M. Filipović, "Endovaskularno liječenje intrakranijskih aneurizmi", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:105:225955

Metadata
TitleEndovaskularno liječenje intrakranijskih aneurizmi
Title (english)Endovascular treatment of intracranial aneurysms
AuthorMaša Filipović
MentorDavid Ozretić (mentor)
Committee memberMarko Radoš (predsjednik povjerenstva)
Committee memberMilan Radoš (član povjerenstva)
Committee memberDavid Ozretić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Radiology)
Zagreb
Defense date and country2018-07-13, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Radiology
Abstract
Intrakranijske aneurizme su abnormalna proširenja intrakranijskih krvnih žila koje nalazimo u 2-5% populacije. Dijelimo ih s obzirom na veličinu, smještaj i oblik. Najteža klinička prezentacija je ruptura aneurizme sa subarahnoidalnim krvarenjem, koje ima visoku smrtnost. Sprječavanje rupture nerupturirane i ponovnog krvarenja rupturirane aneurizme je jedino moguće isključivanjem aneurizme iz krvotoka. Donedavno je to bilo moguće samo kirurškim postavljanjem kopče na vrat aneurizme. U posljednjih dvadesetak godina razvilo se endovaskularno liječenje kao alternativa neurokirurgiji. Prototip endovaskularnog liječenja je embolizacija aneurizme zavojnicama, kojima se postiže stvaranje tromba unutar aneurizmatske vreće. Istraživanja su pokazala bolje rezultate i kliničke ishode nakon endovaskularnog nego nakon kirurškog liječenja, uz manje komplikacija. Međutim i dalje je ostalo pitanje trajnosti okluzije nakon embolizacije. Kako bi se riješio problem rekanalizacije, a i kako bi se liječile složenije i veće aneurizme, razvile su se pomoćne metode kao što su embolizacija zavojnicama uz pomoć balona, embolizacija uz ugradnju potpornice, embolizacija preusmjeravanjem protoka i druge. Svaka od tehnika ima prednosti i nedostatke, stoga ju treba odabrati individualno u skladu s karakteristikama pacijenta, aneurizme i sposobnostima operatera.
Abstract (english)
Intracranial aneurysms are abnormal dilations of intracranial vessels which affect 2-5% of the population. They can be divided into several categories according to their size, morphology and anatomic location. The most severe clinical presentation is rupture with subarachnoid haemorrhage. Prevention of rupture of unruptured and rebleeding of ruptured aneurysms can only be achieved by excluding the aneurysm from the bloodstream. Until recently, surgical clipping was the only treatment option. In the last twenty years, endovascular techniques have been developed as an alternative to surgery. Coiling of an aneurysm, the standard of endovascular treatment, leads to thrombus formation within the aneurysm sac. Studies have shown better results and clinical outcome comparing endovascular to surgical treatment, associated with less complications. However, the question of durability of occlusion after coiling remains. To address the problem of aneurysm recurrence, as well as to treat more complex and larger aneurysms, adjunct techniques have been developed. They include balloon-assisted coiling, stent-assisted coiling, flow diversion and other. Each technique provides a different advantage and should be chosen individually, according to patient and aneurysm characteristics, and operator skill.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:225955
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2019-03-13 11:49:31