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Tranzitorni ishemijski atak dijagnostikovan digitalnom subtrakcionom angiografijom

S. Nikolić ,
S. Nikolić

Univerzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet, Srbija + KBC , Priština - Gračanica

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M Mijailović
M Mijailović

Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Srbija + Klinički centar Kragujevac Serbia

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Published: 15.01.2014.

Volume 42, Issue 1 (2013)

pp. 53-57;

Abstract

Cerebralna angiografija predstavlja najprecizniju i najsveobuhvatniju metodu za ispitivanje krvnih sudova mozga. To je funkcionalna i morfološka metoda pregleda koja obezbeđuje uvid u hemodinamiku cirkulacije. Angiografski nalaz omogućava prikaz intra ili ekstra kranijalne lokalizacije stenoze, okluzije i tromboembolije. Uticaj faktora rizika i godina starosti na tačnost nalaza digitalne subtrakcione angiografije (DSA). Evaluacija senzitivnosti angiografije u dijagnostici tranzitornog ishemijskog ataka (TIA). U vremenskom intervalu od 10 meseci pregledano je 49 pacijenata. Urađena je DSA kod pacijenata kod kojih se prvi put pojavio TIA. Pozitivan DSA nalaza, prema binarnoj logističkoj regresiji, zavisi od hipertenzije (r=0,029), hiperlipidemije (r=0,022) i pušenja (r=0,035). Ispitanici sa hipertenzijom imaju oko 25 puta veću šansu da DSA nalaz bude pozitivan (OR=25,867, p=0,029). Ispitanici sa hiperlipidemijom imaju oko 22 puta veću šansu da DSA nalaz bude pozitivan (OR=22,316, p=0,035). Ispitanici koji puše imaju oko 80 puta veću šansu da DSA nalaz bude pozitivan (OR=0,012, p=0,035). Pozitivnost nalaza DSA u velikoj je zavisnosti od faktora rizika koji su karakteristični za podneblje u kome se istraživanje radi. Najveća senzitivnost DSA je u starosnoj dobi oko 40 godina. DSA sa slikom visoke rezolucije je i dalje zlatni standard u dijagnostici patoloških promena na krvnim sudovima mozga.

Keywords

digitalna subtrakciona angiografija ,

tranzitirni ishemijski atak,

faktori rizika,

senzitivnost

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