Здравствуйте! У моего мужа окклюзия подключичной артерии, направили...
22.11.2018
Оксана, Барнаул, возраст: 53 г года
Здравствуйте! У моего мужа окклюзия подключичной артерии, направили на операцию,но не делают по причине отсутствия необходимых для операции медицинских приборов, которые нужно вводить а артерию. Хирург говорит , что есть риск осложнений после операции и тактично советует не торопиться делать. У мужа не прощупывается пульс на левой руке и на в холодную погоду левая рука мерзнет больше правой.Как вы считаете при таком диагнозе необходима операция?
Доброго времени суток. Что касается осложнений, то они бывают после любых, даже самых маленьких, операций. Показания для оперативного лечения по поводу окклюзии подключичной артерии продиктованы двумя обстоятельствами: 1. ишемия руки - забкость ее, похолодание, уставание при физических нагрузках, 2. развитие синдрома позвоночно-подключичного обкрадывание с ухудшением кровообращения в задних отделах головного мозга. В то же время операция по поводу окклюзии подключичной артерии не является абсолютно показанной и жизненно необходимой, как, например, при аппендиците. Поэтому необходимо взвешивать показания и риски для каждого конкретного пациента. Я надеюсь, что ответил на Ваш вопрос.
Козлов Алексей Витальевич
Врач сердечно-сосудистый хирург
Консультации по разделам:
Array
(
[0] => Array
(
[TEXT] => Эстетическая медицина
[LINK] => /consultations/esteticheskaya-meditsina/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/esteticheskaya-meditsina/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 0
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] => 1
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1250
)
[CHAIN] => Array
(
[0] => Эстетическая медицина
)
[DEPTH_LEVEL] => 1
[IS_PARENT] => 1
)
[1] => Array
(
[TEXT] => Пластическая хирургия
[LINK] => /consultations/plasticheskaya-khirurgiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/plasticheskaya-khirurgiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 1
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
[SECTION_ID] => 1251
)
[CHAIN] => Array
(
[0] => Пластическая хирургия
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[2] => Array
(
[TEXT] => Косметология
[LINK] => /consultations/kosmetologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/kosmetologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 2
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
[SECTION_ID] => 1252
)
[CHAIN] => Array
(
[0] => Косметология
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[3] => Array
(
[TEXT] => Дерматология
[LINK] => /consultations/dermatologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/dermatologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 3
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
[SECTION_ID] => 1253
)
[CHAIN] => Array
(
[0] => Дерматология
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[4] => Array
(
[TEXT] => Трихология
[LINK] => /consultations/trikhologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/trikhologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 4
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
[SECTION_ID] => 1254
)
[CHAIN] => Array
(
[0] => Трихология
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[5] => Array
(
[TEXT] => Акушерство и гинекология
[LINK] => /consultations/akusherstvo-i-ginekologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/akusherstvo-i-ginekologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 5
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1411
)
[CHAIN] => Array
(
[0] => Акушерство и гинекология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[6] => Array
(
[TEXT] => Гастроэнтерология
[LINK] => /consultations/gastroenterologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/gastroenterologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 6
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1527
)
[CHAIN] => Array
(
[0] => Гастроэнтерология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[7] => Array
(
[TEXT] => Интимная пластика
[LINK] => /consultations/intimnaya-plastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/intimnaya-plastika/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 7
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1413
)
[CHAIN] => Array
(
[0] => Интимная пластика
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[8] => Array
(
[TEXT] => Климакс-центр
[LINK] => /consultations/klimaks-tsentr/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/klimaks-tsentr/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 8
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1412
)
[CHAIN] => Array
(
[0] => Климакс-центр
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[9] => Array
(
[TEXT] => Неврология
[LINK] => /consultations/nevrologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/nevrologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 9
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1416
)
[CHAIN] => Array
(
[0] => Неврология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[10] => Array
(
[TEXT] => Общая хирургия
[LINK] => /consultations/obshchaya-khirurgiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/obshchaya-khirurgiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 10
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1417
)
[CHAIN] => Array
(
[0] => Общая хирургия
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[11] => Array
(
[TEXT] => Ортопедия и травматология
[LINK] => /consultations/ortopediya-i-travmatologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/ortopediya-i-travmatologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 11
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1410
)
[CHAIN] => Array
(
[0] => Ортопедия и травматология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[12] => Array
(
[TEXT] => Отоларингология
[LINK] => /consultations/otolaringologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/otolaringologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 12
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1415
)
[CHAIN] => Array
(
[0] => Отоларингология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[13] => Array
(
[TEXT] => Сосудистая хирургия
[LINK] => /consultations/sosudistaya-khirurgiya/
[SELECTED] => 1
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/sosudistaya-khirurgiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 13
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1419
)
[CHAIN] => Array
(
[0] => Сосудистая хирургия
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[14] => Array
(
[TEXT] => Терапия
[LINK] => /consultations/terapiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/terapiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 14
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1421
)
[CHAIN] => Array
(
[0] => Терапия
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[15] => Array
(
[TEXT] => Урология
[LINK] => /consultations/urologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/urologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 15
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1414
)
[CHAIN] => Array
(
[0] => Урология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
[16] => Array
(
[TEXT] => Эндокринология и диетология
[LINK] => /consultations/endokrinologiya-i-dietologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /consultations/endokrinologiya-i-dietologiya/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 16
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 1
[SECTION_ID] => 1409
)
[CHAIN] => Array
(
[0] => Эндокринология и диетология
)
[DEPTH_LEVEL] => 1
[IS_PARENT] =>
)
)
