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Sistemele anastomotice
Autoreglarea cerebrala
INCIDENTA: toate tipurile de AVC
45
40
35
30
in rates per 1000
25
20
15
10
0
55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+
Age ranges
Males Females
AVC
15% Hemoragic
. Intraparenchimatos
. Subarahnoidian
85%
Ischemic
• Proceduri endovasculare
– Trombectomie
– Recanalizare cu stent
Tratament faza acuta
• Antiedematos: Manitol
• simptomatic
• profilaxia complicatiilor:
– edem cerebral (HIC) -> decompresie
terapeutica de necesitate
– TVP – TEP: heparine GMM
– complicatii decubit,
– aspiratie (bronhopneumonie)
După primul AVC riscul de recurenţă a
evenimentelor CV este mare
20 AVC recurent
15
(n=655)
10
0
30 zile 1 an 5 ani
Momentul monitorizării
IM = infarct miocardic.
Adapted from Dhamoon MS et al. Presented at the 57th Annual Meeting of the American Academy of Neurology;
Miami Beach, FL. April 9-16, 2005. S38.005.
Profilaxia secundara
• Medical:
– antitrombotic: aspirina, clopidogrel, dipiridamol +
aspirina
• Anticoagulant: numai AVC cardioembolice confirmate
– Antivit K: dicumarinic
– Non-antivit k: numai FIA non valvulara