- Keywords
- syndrom abdominální koarktace,
- MeSH
- Angiography methods utilization MeSH
- Antihypertensive Agents therapeutic use MeSH
- Aorta, Abdominal physiopathology pathology MeSH
- Biomarkers blood urine MeSH
- Echocardiography methods utilization MeSH
- Electrocardiography methods utilization MeSH
- Drug Therapy * MeSH
- Hypertension * diagnosis drug therapy MeSH
- Cardiology MeSH
- Catheterization methods utilization MeSH
- Aortic Coarctation * diagnosis etiology complications MeSH
- Humans MeSH
- Child, Preschool MeSH
- Pregnancy, High-Risk MeSH
- Ultrasonography, Prenatal utilization MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Antihypertensive Agents therapeutic use MeSH
- Phlebography methods utilization MeSH
- Heparin, Low-Molecular-Weight therapeutic use MeSH
- Catheterization methods utilization MeSH
- Disease Attributes MeSH
- Infant MeSH
- Humans MeSH
- Magnetic Resonance Imaging methods utilization MeSH
- Prognosis MeSH
- Risk Factors MeSH
- Pregnancy, High-Risk MeSH
- Thrombolytic Therapy * methods utilization MeSH
- Ultrasonography methods utilization MeSH
- Respiration, Artificial MeSH
- Vena Cava, Inferior abnormalities pathology MeSH
- Renal Veins * abnormalities pathology MeSH
- Outcome and Process Assessment, Health Care MeSH
- Venous Thrombosis * diagnosis therapy MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Biomarkers MeSH
- Bronchoscopy MeSH
- Vascular Malformations * diagnosis etiology genetics MeSH
- Diagnosis, Differential MeSH
- Hemoptysis * diagnosis etiology MeSH
- Heparin, Low-Molecular-Weight therapeutic use MeSH
- Thoracic Surgical Procedures * methods utilization MeSH
- Catheterization methods utilization MeSH
- Infant MeSH
- Blood Cell Count MeSH
- Humans MeSH
- Melena diagnosis etiology MeSH
- Pulmonary Medicine MeSH
- Tomography, X-Ray Computed MeSH
- Child, Preschool MeSH
- Prognosis MeSH
- Radiography, Thoracic MeSH
- Outcome and Process Assessment, Health Care MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Brachytherapy utilization MeSH
- Bronchoalveolar Lavage utilization MeSH
- Bronchoscopy utilization MeSH
- Pulmonary Surgical Procedures methods utilization MeSH
- Foreign Bodies therapy MeSH
- Catheterization utilization MeSH
- Hemorrhage therapy MeSH
- Humans MeSH
- Respiratory Tract Neoplasms surgery MeSH
- Check Tag
- Humans MeSH
Maligní pleurální výpotky představují stále častější problém. Tunelizované pleurální katetry jsou již řadu let užívané v jejich paliaci a v současné době jsou ve světě stále oblíbenější metodou. V Česku zřejmě stále převládá indikace chirurgické indukce pleurodézy nad klinickými metodami. O zavedení tunelizovaného pleurálního katetru v Česku jsme nenalezli literární odkazy. Předkládáme dokumentaci zavedení tohoto katetru a rozbor přínosů a problémů spojených s touto metodou.
Malignant pleural effusions are an increasingly frequent problem. For many years, tunneled pleural catheters have been used for palliation of the effusions. Currently, this approach is rising in popularity in many countries. In the Czech Republic, however, surgical pleurodesis seems to prevail over clinical methods. In the literature, we have found no evidence of the use of tunneled pleural catheters in the Czech Republic. Presented are a guide for catheter placement and analysis of benefits and drawbacks associated with the method.
- Keywords
- tunelizovaný pleurální katetr,
- MeSH
- Adult MeSH
- Drug Therapy methods utilization MeSH
- Catheterization methods trends utilization MeSH
- Catheters utilization MeSH
- Humans MeSH
- Pleural Effusion, Malignant * diagnosis etiology therapy MeSH
- Pancreatic Neoplasms diagnosis drug therapy MeSH
- Palliative Care * methods trends utilization MeSH
- Pleurodesis methods instrumentation utilization MeSH
- Practice Guidelines as Topic MeSH
- Outcome and Process Assessment, Health Care MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Keywords
- Přehled systémů miniinvazivní mechanické podpory oběhu,
- MeSH
- Endovascular Procedures methods instrumentation utilization MeSH
- Cardiac Care Facilities methods trends utilization MeSH
- Shock, Cardiogenic therapy MeSH
- Cardiopulmonary Resuscitation methods trends utilization MeSH
- Catheterization methods trends utilization MeSH
- Humans MeSH
- Emergencies * MeSH
- Heart-Assist Devices * classification trends utilization MeSH
- Heart Arrest nursing rehabilitation therapy MeSH
- Statistics as Topic MeSH
- Outcome and Process Assessment, Health Care classification methods trends MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
Laparoscopic cholecystectomy (LC) is the treatment of choice for gall stones but is associated with an increased risk of bile duct injury (BDI). A BDI detected during LC may be repaired if a biliary surgeon is available but the easiest and safest option for a general surgeon is to place drains in the subhepatic fossa to covert the acute BDI into a controlled external biliary fistula (EBF). Most BDIs are diagnosed in the postoperative period and result in bile leak. Treatment is with percutaneous catheter drainage and endoscopic stenting of the bile duct; early repair is not recommended. Repair, in the form of hepatico-jejunostomy (HJ), should be performed by a biliary surgeon after a delay of 4−6 weeks when the EBF has closed. BDI is a common cause of medico-legal suit and a large burden on healthcare costs. Most BDIs can be prevented by adhering to the principles of safe cholecystectomy.
Laparoskopická cholecystektomie (LC) je léčbou volby u žlučových kamenů, avšak je spojená se zvýšeným rizikem poranění žlučových cest (bile duct injury − BDI). Pokud je BDI detekováno během LC, může se řešit ihned, pokud je dostupný hepatobiliární chirurg, ale nejjednodušší a nejbezpečnější postup pro všeobecného chirurga je umístění drénů do podjaterní krajiny a převedení akutní BDI na řízenou zevní biliární píštěl (external biliary fistula − EBF). Většina BDI jsou diagnostikované až v pooperačním období, kdy vzniká biliární leak. Léčbou je drenáž perkutánním katetrem a endoskopické zavedení stentu do žlučovodu; časná reparace se nedoporučuje. Reparace ve formě hepatikojejunostomie (HJ) by měla být provedena hepatobiliárním chirurgem s odstupem 4−6 týdnů poté, co se uzavře EBF. BDI jsou častou příčinou zdravotnicko-právních žalob a významně zatěžují náklady ve zdravotnictví. Většině BDI se dá předejít dodržováním principů bezpečné cholecystektomie.
- MeSH
- Biliary Fistula MeSH
- Biliary Tract Surgical Procedures adverse effects utilization MeSH
- Cholecystectomy, Laparoscopic * adverse effects utilization MeSH
- Catheterization methods utilization MeSH
- Humans MeSH
- Bile Duct Diseases surgery MeSH
- Intraoperative Care methods MeSH
- Postoperative Complications etiology therapy MeSH
- Reoperation utilization MeSH
- Ostomy utilization MeSH
- Bile Ducts injuries MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Kavální filtr je „košíček“ zavedený nejčastěji do dolní duté žíly katetrizační Seldingerovou technikou. Jeho smyslem je zachycení uvolněných trombů (embolů) a zachránění pacienta před život ohrožující plicní embolizací.
Vena cava filter is a small „basket“ introduced mostly into the inferior vena cava through catheterization Seldinger catheter technique. Its purpose is to capture loose thrombi (emboli) most efficiently and thus protect the patient from life-threatening pulmonary embolism.
- Keywords
- Filtry permanentní a odstranitelné, Filtry dočasné,
- MeSH
- Radiology, Interventional methods trends MeSH
- Catheterization methods utilization MeSH
- Vena Cava Filters * utilization MeSH
- Humans MeSH
- Pulmonary Embolism * etiology complications prevention & control MeSH
- Embolic Protection Devices utilization MeSH
- Statistics as Topic MeSH
- Thromboembolism * diagnosis prevention & control therapy MeSH
- Thrombosis prevention & control MeSH
- Vena Cava, Inferior physiopathology pathology MeSH
- Femoral Vein MeSH
- Venous Insufficiency diagnosis complications prevention & control MeSH
- Check Tag
- Humans MeSH
- Keywords
- Katetrizační renální denervace (RDN), rezistentní hypertenze,
- MeSH
- Monitoring, Ambulatory methods utilization MeSH
- Hypertension diagnosis therapy MeSH
- Catheterization methods trends utilization MeSH
- Humans MeSH
- Blood Pressure Determination methods utilization MeSH
- Neurosurgical Procedures methods trends utilization MeSH
- Prospective Studies MeSH
- Practice Guidelines as Topic MeSH
- Societies, Medical * standards trends MeSH
- Outcome and Process Assessment, Health Care MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Czech Republic MeSH
- MeSH
- Heart Valve Prosthesis Implantation * methods utilization MeSH
- Cardiac Surgical Procedures methods utilization MeSH
- Catheterization utilization MeSH
- Humans MeSH
- Heart Valve Diseases * surgery MeSH
- Heart Valve Prosthesis * history classification utilization MeSH
- Patient Selection MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH