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<creators>
<creator>
<creatorName>Părpăuţ, V.S.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
</creators>
<titles>
<title xml:lang='ro'>Tratamentul endovascular al malformaţiilor arterio - venoase cerebrale şi fistulelor carotido - cavernoase
</title>
</titles>
<publisher>Instrumentul Bibliometric National</publisher>
<publicationYear>2008</publicationYear>
<relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1810-1852</relatedIdentifier>
<dates>
<date dateType='Issued'>2008-08-01</date>
</dates>
<resourceType resourceTypeGeneral='Text'>Journal article</resourceType>
<descriptions>
<description xml:lang='ro' descriptionType='Abstract'>Lucrarea este consacrată analizei a
41 cazuri de tratament endovascular
după metoda Serbinenco a pacienţilor
cu malformaţii arterio-venoase (20
pacienţi) şi fistule carotido-cavernoase
(21 pacienţi). Pacienţii au fost examinați clinic şi suplimentar prin
aşa metode ca doppler – ultrasonografia (12 pacienţi), tomografia
computerizată (22 pacienţi), rezonanţa magnetică (8 pacienţi) şi angiografie
(41 pacienţi). Cele mai frecvente manifestări clinice a MAV şi
FCC au fost cefaleea (86% pacienţi), sindromul convulsiv la MAV (52%
pacienţi), zgomot pulsatil în cap (50% pacienţi), dereglări oculomotorii
(18% pacienţi). Rezultatele obţinute au confirmat că această patologie
vasculară este în prealabil benignă, dar rezultatul calitativ al tratamentului
endovascular este dependent de timpul precoce de stabilire a
diagnosticului (până la decompensarea ireversibilă a circulaţiei vasculare
cerebrale), localizării şi volumul defectului peretelui vascular. O
importanţă deosebită în aprecierea rezultatelor imediate şi de lungă
durată a intervenţiilor endovasculare are testul Matas cu durata de 180
minute în 24 ore, care permite de a preveni dereglările vasculare cerebrale
intraoperatorii. Cercetările au confirmat eficienţa şi perspectivele
acestei metode de tratament paralel cu alte tehnologii moderne, luând
în consideraţie accesibilitatea şi criteriul cost-eficienţă.</description>
<description xml:lang='en' descriptionType='Abstract'>Work is devoted to the analysis of 41
cases оf endovascular treatments by
method Serbinenkо of patients with
аrteriо-venous mаlformations (20 patients)
and carotido- cavernous fistulae
(21 patients). Patients have been in details surveyed clinically, and also
by means of additional methods such as ultrasonic dopplerography (12
patients), a computer tomography (22 patients), a magnetic resonance
(8 patients) and conventional аngiography (41 patients). The most
frequent clinical displays of АVМ and СCF were a headache (86 % of
patients), a convulsive syndrome (52 % of patients), pulsing noise in a
head (50 % of patients), and also eye movement frustration (18 % of
patients). The received results have proved, that the given vascular pathology
is as a matter of fact benign, however the qualitative outcome
of operative endovascular treatments depends on several factors: time
of statement of the diagnosis (up to irreversible decompensation of the
cerebral blood flow), localizations and the areas of defect of a vascular
wall. The special attention deserves, according to the early and late
results of treatment, preoperative preparation of the patients by Matas
method, which at duration of 180 minutes within 24 hours allows to
exclude completely intraoperational ischemic infringements of the
blood flow. The research proves the perspectivity of the given method
of treatment alongside with other modern technologies, proceeding
from its availability and criterion cost - efficiency.</description>
</descriptions>
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<format>application/pdf</format>
</formats>
</resource>