Beyin ve Sinir Cerrahisi Uzman\u0131 Op. Dr. Ey\u00fcp Baykara, anevrizma tedavisinde yeni bir \u00e7\u0131\u011f\u0131r a\u00e7acak \u00f6zel ince a\u011f stentleri ve ak\u0131m \u00e7evirici ad\u0131 verilen cihazlar geli\u015ftirildi\u011fini belirterek, “Bu yenilikler, kas\u0131ktan beyin ameliyat\u0131 yakla\u015f\u0131m\u0131 kullan\u0131larak anevrizmalar\u0131n yakla\u015f\u0131k y\u00fczde 90\u2019\u0131n\u0131n tedavi edilmesine neden oldu” dedi.<\/p>\n
Beyin anevrizmas\u0131, beyni besleyen ana atardamarda balon benzeri bir geni\u015flemedir. Nas\u0131l bir balon \u015fi\u015fti\u011finde incelirse, damar \u00fczerindeki bu balon benzeri \u00e7\u0131k\u0131nt\u0131 da normal damara g\u00f6re zay\u0131ft\u0131r ve patlay\u0131p beyin kanamas\u0131yla sonu\u00e7lan\u0131r. Bu t\u00fcr bir kanama fel\u00e7, koma ve\/veya \u00f6l\u00fcme neden olabilir. Endovask\u00fcler coil yani kas\u0131ktan beyin ameliyat\u0131, anevrizmalar\u0131n tedavisi i\u00e7in \u00e7ekici bir se\u00e7enek oldu\u011funu belirten Medicana Bah\u00e7elievler Hastanesi Beyin ve Sinir Cerrahisi Uzman\u0131 Op. Dr. Ey\u00fcp Baykara, kas\u0131ktan beyin ameliyat\u0131 hakk\u0131nda a\u00e7\u0131klama yapt\u0131.<\/p>\n
“Anevrizmaya neden olan kan ak\u0131\u015f\u0131n\u0131 ortadan kald\u0131r\u0131r”<\/p>\n
Dr. Baykara, “Son y\u0131llardaki teknolojik geli\u015fmeler sayesinde, standart anevrizma tedavisini daha g\u00fcvenli hale getiren ve ayr\u0131ca daha \u00f6nce tedavi edilemeyen anevrizmalar\u0131 da \u015fu an tedavi edebilmemize olanak sa\u011flayan endovask\u00fcler coil, yani kas\u0131ktan girilerek yap\u0131lan beyin anevrizma ameliyat\u0131 1995\u2019lerin sonuna do\u011fru kullan\u0131ma girmi\u015ftir. Anevrizmalar\u0131n b\u00fcy\u00fckl\u00fckleri yakla\u015f\u0131k 3 mm ile 10 mm aras\u0131nda de\u011fi\u015fir. 10 mm\u2019den b\u00fcy\u00fck anevrizmalara dev anevrizmalar denir, \u00f6zellikle y\u00fcksek risk olu\u015fturur ve tedavisi zordur. Beyin anevrizmalar\u0131n neden olu\u015ftu\u011fu, neden b\u00fcy\u00fcd\u00fc\u011f\u00fc ve patlad\u0131\u011f\u0131 kesin olarak bilinmemektedir. Beyin anevrizmalar\u0131n\u0131n cerrahi olarak kapat\u0131lmas\u0131, onlarca y\u0131ld\u0131r standart olmu\u015ftur ve yine de se\u00e7ilen anevrizmalarda iyi bir yakla\u015f\u0131m olsa da, daha minimal invaziv endovask\u00fcler coil (kas\u0131ktan ameliyat) yakla\u015f\u0131m\u0131 ile yer de\u011fi\u015ftirmi\u015ftir. Endovask\u00fcler coil yani kas\u0131ktan beyin anevrizma ameliyat\u0131n\u0131n amac\u0131, anevrizmaya kan ak\u0131\u015f\u0131n\u0131 ortadan kald\u0131rmakt\u0131r. Kapal\u0131 y\u00f6ntemle anevrizma i\u00e7ine g\u00f6nderilen coil dedi\u011fimiz maddeler, platinden yap\u0131lan yumu\u015fak tel spirallerdir” dedi.<\/p>\n
Hastaya konfor sa\u011flar<\/p>\n
Coiller, kas\u0131ktaki damardan girilen ve dikkatlice beyine ilerletilen bir mikrokateter vas\u0131tas\u0131yla anevrizma i\u00e7ine iletilir diye ifade eden Dr. Ey\u00fcp Baykara, “Mikrokateter se\u00e7ici bir \u015fekilde anevrizman\u0131n i\u00e7ine ilerletilir ve mikro coiller s\u0131ral\u0131 bir \u015fekilde anevrizma i\u00e7inde g\u00f6nderilir. Bobinler anevrizmaya b\u0131rak\u0131ld\u0131\u011f\u0131nda, anevrizma i\u00e7indeki kan ak\u0131\u015f \u015fekli de\u011fi\u015fir ve yava\u015f kalan kan ak\u0131m\u0131 anevrizman\u0131n p\u0131ht\u0131la\u015fmas\u0131na yol a\u00e7ar. P\u0131ht\u0131la\u015fm\u0131\u015f bir anevrizman\u0131n i\u00e7ine kan giri\u015fi engellenmi\u015f olur ve anevrizman\u0131n tekrar patlay\u0131p beyin kanamas\u0131 yapma ihtimali ortadan kalkar. Hastaya konfor sa\u011flar. Ameliyat daha k\u0131sa s\u00fcrede ger\u00e7ekle\u015fir. Daha yak\u0131n zamanlarda, anevrizma tedavisinde yeni bir \u00e7\u0131\u011f\u0131r a\u00e7acak \u00f6zel ince a\u011f stentleri ve ak\u0131m \u00e7evirici ad\u0131 verilen cihazlar geli\u015ftirilmi\u015ftir. Bu yenilikler, kas\u0131ktan beyin ameliyat\u0131 yakla\u015f\u0131m\u0131 kullan\u0131larak anevrizmalar\u0131n yakla\u015f\u0131k y\u00fczde 90\u2019\u0131n\u0131n tedavi edilmesine neden olmu\u015ftur. Genel olarak hastalar di\u011fer tedavi se\u00e7eneklerine g\u00f6re daha rahat ve konforlu olurlar. Hastanede yat\u0131\u015f s\u00fcresi k\u0131sad\u0131r. \u00c7\u00fcnk\u00fc kafatas\u0131n\u0131n a\u00e7\u0131lmas\u0131n\u0131 gerektirmez ve genellikle verilen anesteziyi azaltan daha k\u0131sa bir zaman diliminde ger\u00e7ekle\u015ftirilir” \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
BEY\u0130N VE S\u0130N\u0130R CERRAH\u0130S\u0130 UZMANI OP. DR. EY\u00dcP BAYKARA, ANEVR\u0130ZMA TEDAV\u0130S\u0130NDE YEN\u0130 B\u0130R \u00c7I\u011eIR A\u00c7ACAK \u00d6ZEL \u0130NCE A\u011e STENTLER\u0130 VE AKIM \u00c7EV\u0130R\u0130C\u0130 ADI VER\u0130LEN C\u0130HAZLAR GEL\u0130\u015eT\u0130R\u0130LD\u0130\u011e\u0130N\u0130 BEL\u0130RTEREK, “BU YEN\u0130L\u0130KLER, KASIKTAN BEY\u0130N AMEL\u0130YATI YAKLA\u015eIMI KULLANILARAK ANEVR\u0130ZMALARIN YAKLA\u015eIK Y\u00dcZDE 90’ININ TEDAV\u0130 ED\u0130LMES\u0130NE NEDEN OLDU” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":210944,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[53311,2773,16177,4054,53310,14735,53309,192,144],"class_list":["post-210943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-kasiktan","tag-ameliyati","tag-anevrizma","tag-beyin","tag-coil","tag-edilebiliyor","tag-endovaskuler","tag-ile","tag-tedavi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/anevrizma-endovaskuler-coil-kasiktan-beyin-ameliyati-ile-tedavi-edilebiliyor_aaa88b4.jpg?fit=788%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-SSj","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/210943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=210943"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/210943\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/210944"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=210943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=210943"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=210943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}