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master's thesis
Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte
Zagreb: University of Zagreb, School of Medicine, 2015. urn:nbn:hr:105:029253
Svetec, Jelena
University of Zagreb
School of Medicine
Department of Radiology

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

Cite this document

Svetec, J. (2015). Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:029253

Svetec, Jelena. "Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte." Master's thesis, University of Zagreb, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:105:029253

Svetec, Jelena. "Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte." Master's thesis, University of Zagreb, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:105:029253

Svetec, J. (2015). 'Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte', Master's thesis, University of Zagreb, School of Medicine, accessed 25 December 2024, https://urn.nsk.hr/urn:nbn:hr:105:029253

Svetec J. Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2015 [cited 2024 December 25] Available at: https://urn.nsk.hr/urn:nbn:hr:105:029253

J. Svetec, "Endovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2015. Available at: https://urn.nsk.hr/urn:nbn:hr:105:029253

Metadata
TitleEndovaskularno liječenje aneurizmi i pseudoaneurizmi visceralnih ogranaka abdominalne aorte
Title (english)Endovascular treatment of aneurysms and pseudoaneurysms of the visceral branches of the abdominal aorta
AuthorJelena Svetec
MentorVinko Vidjak (mentor)
Committee memberIvo Lovričević (predsjednik povjerenstva)
Committee memberMilan Radoš (član povjerenstva)
Committee memberVinko Vidjak (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Radiology)
Zagreb
Defense date and country2015-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Radiology
Abstract
Poboljšanje slikovnih dijagnostičkih metoda u posljednjih nekoliko desetljeća dovelo je do povećanja frekvencije otkrivanja asimptomatskih aneurizmi visceralnih arterija. Jednako tako, sve učestalija primjena perkutanih interventnih postupaka dovela je do veće incidencije pseudoaneurizmi. Ipak, aneurizme visceralnih arterija su relativno rijetka stanja, no, zbog oslabljene stijenke proširenog dijela krvne žile, sklone su rupturi koju prati krvarenje u 22% slučajeva s mortalitetom od 8.5%. Tradicionalno vaskularna kirurgija u liječenju primjenjuje otvoreni pristup s resekcijom aneurizme sa ili bez uspostave kontinuiteta arterije ili resekcijom distalnog organa, poput slezene. No te metode nije uvijek moguće primijeniti. U slučajevima pratećeg peritonitisa ili pankreatitisa, u pacijenata s prijašnjim abdominalnim operacijama ili multiplim komorbiditetima, otvoreni pristup je otežan i praćen većim morbiditetom i mortalitetom. Sve učestalija upotreba minimalno invazivnih endovaskularnih tehnika je dobra alternativa u tim indikacijama. Endovaskularna embolizacija zavojnicama i tekućim materijalima, postavljanje stent graftova i multilayered stentova se primjenjuje sve češće kako se interventna radiologija razvija. Glavne prednosti takvih transkateterskih metoda su minimalna invazivnost, manja postoperativna bol, niža stopa komplikacija, kraća hospitalizacija i brži povratak pacijenta svakodnevnim aktivnostima.
Abstract (english)
In the last few decades, advanced imaging techniques have led to increased detection of asymptomatic visceral artery aneurysms. Also, increased percutaneous endovascular interventions have raised the incidence of iatrogenic pseudoaneurysm formation. Still, aneurysms of visceral arteries are a rare condition, but, due to the weakness of dilated blood vessel wall, they are prone to rupture, resulting in life-threatening hemorrhage in 22% of cases with mortality of 8.5%. Traditional vascular surgery management involves an open exposure to excise the aneurysm with or without re-establishment of vascular continuity or end organ resection (e.g. spleen). However, these methods are not applicable in every case. In cases of concomitant peritonitis or pancreatitis, in patients with previous abdominal surgery or multiple comorbidities, the open repair becomes difficult and carries a higher morbidity and mortality. The rising use of minimally invasive endovascular techniques over the past decade offers a good alternative in these indications. Endovascular coiling, liquid embolization, placement of covered and multilayered stents are becoming more and more common as the intervention radiology develops. The main advantages of this catheter-based methods are minimal invasiveness, less post-operative pain, less complications, shorter hospitalization and sooner incorporation in the everyday activities.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:029253
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 on2016-04-13 11:22:54