Lekarze z Warszawskiego Uniwersytetu Medycznego przeprowadzili pierwszy w Polsce zabieg udrożnienia żył kończyny górnej u nastoletniej pacjentki, z użyciem systemu AngioJet. Z uwagi na niewystarczające efekty leczenia farmakologicznego zakrzepicy żył kończyny górnej, zdecydowano się na przeprowadzenie wewnątrznaczyniowego zabiegu udrożnienia żył.
Zabieg przeprowadzili specjaliści z Zakładu Radiologii Pediatrycznej, pod kierownictwem dr. n. med. Michała Brzewskiego oraz specjaliści z II Zakładu Radiologii Klinicznej UCK WUM, pod kierownictwem prof. Olgierda Rowińskiego.
Na czym polega działanie systemu AngioJet?
Urządzenie z systemem AngioJet wykorzystuje się w wykonywaniu trombektomii, czyli usuwaniu zakrzepów. Jego działanie polega na aktywnym, podciśnieniowym wstrzyknięciu soli fizjologicznej z heparyną oraz odessaniu skrzepu. System ten zapewnia również możliwość nastrzyknięcia niedrożnych naczyń lekiem fibrynolitywnym, którego miejscowe podanie jest skuteczniejsze od leczenia ogólnego. Ponadto w tego rodzaju leczeniu podaje się mniejszą dawkę leku.
Lekarze potwierdzili, że po zabiegu pacjentka czuła się dobrze. W dniu wypisu nie wykazywała objawów zakrzepicy żylnej.
Specjaliści poinformowali również, iż zabiegi z użyciem systemu AngioJet, czyli małoinwazyjne i najnowocześniejsze metody z zakresu radiologii interwencyjnej będą mogły być wykonywane również u innych pacjentów. Dotychczas ta forma leczenia była dostępna jedynie w przypadku pacjentów dorosłych.
Wśród specjalistów, którzy wzięli udział w pionierskim zabiegu są dr n. med. Jarosław Żyłkowski, dr n. med. Remigiusz Krysiak i lek. Vadym Matsibora z II Zakładu Radiologii i Zakładu Radiologii Pediatrycznej Klinicznej UCK WUM kierowanego przez prof. Olgierda Rowińskiego. W zespole anestezjologicznym znaleźli się lek. Beata Cała i Urszula Dobrzyńska. Wśród zespołu pielęgniarskiego znaleźli się Zygmunt Malinowski, Renata Kalisiewicz, Magdalena Kędzierska i Adam Majewski, natomiast w skład zespołu techników elektroradiologii Marta Burczaniuk i Adam Bremer.
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In the space of the past year, the value of the cryptocurrency Bitcoin has crashed from nearly $70,000 to below $30,000, bringing down with it the entirety of the crypto market. As inflation mounts throughout the developed world and is above the range central banks are comfortable with (about 2-3% guidance yearly vs. 6%+ actual) and billions of people are suffering from their hard-earned savings being eroded, the question of whether bitcoin can be a hedge to inflation has never been more relevant. We’re going to explore whether or not bitcoin can beat inflation. Mauro Liberman, co-founder of Crypstation, a coffee chain that accepts cryptocurrency as payment in Buenos Aires, Argentina. November 24, 2022. Thomson Reuters Foundation David Esteban Feliba
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