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Vol. 80 Br. 06 (2023)
Vol. 80 Br. 06 (2023)

Savremeno lečenje bolesnika sa aneurizmom poplitealne arterije u vaskularnim centrima u Srbiji

DOI: 10.2298/VSP220228073Z
Aleksandar Zarić
Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Aleksandar Tomić
Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Ivan Marjanović
Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Vladimir Manojlović
University Clinical Center of Vojvodina, Clinic for Vascular Surgery, Novi Sad, Serbia
Nebojša Budakov
University Clinical Center of Vojvodina, Clinic for Vascular Surgery, Novi Sad, Serbia
Anica Ilić
University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Aleksandra Vujčić
University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Mihajlo Nešković
“Dedinje” Cardiovascular Institute, Clinic for Vascular Surgery, Belgrade, Serbia
Igor Atanasijević
“Dedinje” Cardiovascular Institute, Clinic for Vascular Surgery, Belgrade, Serbia
Nemanja Stepanović
University Clinical Center Niš, Clinic for Vascular Surgery, Niš, Serbia
Jelena Stanković
General Hospital Užice, Užice, Serbia
Milan Jovanović
General Hospital Užice, Užice, Serbia
Nenad Ilijevski
“Dedinje” Cardiovascular Institute, Clinic for Vascular Surgery, Belgrade, Serbia
Igor Končar
University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
Lazar Davidović
University Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
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2023-06-30

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1.
Zarić A, Tomić A, Marjanović I, Manojlović V, Budakov N, Ilić A, i drugi. Savremeno lečenje bolesnika sa aneurizmom poplitealne arterije u vaskularnim centrima u Srbiji. Vojnosanit Pregl [Internet]. 30. Juni 2023. [citirano 12. Juli 2026.];80(06). Dostupno na: https://asistent.ceon.rs/index.php/vsp/article/view/36674
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Sažetak

Uvod/Cilj. Aneurizma poplitealne arterije (APA) je najčešća aneurizma perifernih arterija i druga po učestalosti posle aneurizme abdominalne aorte (AAA). Međutim, njena učestalost je mala, a lečenje nestandardizovano. Formiranje multicentričnog nacionalnog registra moglo bi unaprediti dijagnostiku i lečenje APA. SerbVasc je novoformirani registar podataka o operisanim bolesnicima u vaskularnim centrima Srbije. Cilj rada bio je da se prikažu podaci iz hirurške prakse o dijagnostici i lečenju bolesnika sa APA u bolnicama u Srbiji. Metode. Vaskularni centri u Srbiji koji su prihvatili učešće u istraživanju prikupili su, retrospektivno, podatke o bolesnicima operisanim zbog APA u periodu od 2012. do 2018. godine. Prikupljeni su podaci o simptomatologiji, preoperativnoj dijagnostici, otvorenim i endovaskularnim tehnikama lečenja, kao i o rezultatu postoperativnog lečenja. Prikupljeni podaci su, radi analize između zemalja učesnica, prosleđeni VASCUNET internacionalnom projektu za APA. Isti podaci korišćeni su u analizi savremenog hirurškog lečenja APA u šest bolnica u Srbiji: Univerzitetski klinički centar Srbije, Institut za kardiovaskularne bolesti „Dedinje“, Vojnomedicinska akademija, Univerzitetski klinički centar Novi Sad, Univerzitetski klinički centar Niš i Opšta bolnica Užice. Rezultati. U periodu od 2012. do 2018, u šest bolnica u Srbiji prikupljeni su podaci o 342 procedure lečenja APA, kod 329 (96,2%) muškaraca i kod samo 13 (3,8%) žena. Učestalost hirurškog lečenja APA iznosila je 6,8 intervencija na million stanovnika godišnje. Prosečna starost bolesnika iznosila je 64,34 godine (od 29 do 87 godina). Izvršeno je ukupno 223 (65,8%) elektivnih intervencija. Amputacija i bolničko preživljavanje su smatrani glavnim ishodima lečenja. Tromboza, kao uzrok operacije, je zabeležena kod 110 (32,5%) bolesnika, a ruptura kod pet. Prosečan dijametar aneurizme iznosio je 35,3 mm, a nešto veći dijametar zabeležen je kod rupturiranih aneurizmi – prosečno 43,8 mm. Sintetski i venski graftovi su jednako korišćeni, kako u elektivnim, tako i u hitnim operacijama. Endovaskularne procedure korišćene su kod 6 (1,8%) bolesnika. Zaključak. Sprovedeno istraživanje potvrđuje vrednost postojanja registra podataka i njihove analize. Pokazalo se da je učestalost APA u Srbiji niska i da dobro organizovani skrining, čak i u okviru pojedinačnih bolnica, može značajno unaprediti prepoznavanje bolesnika sa APA i povećati broj elektivno operisanih bolesnika. Edukacija vaskularnih hirurga o upotrebi posteriornog pristupa može unaprediti zdravstveni sistem.

Ključne reči

endovaskularne procedure
a. poplitea, aneurizma
srbija
hirurgija, vaskularna, procedure
DOI: 10.2298/VSP220228073Z

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