آنژیوگرافی عروق کرونر


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آنژیوگرافی عروق کرونر روش استاندارد تشخیص بیماری عروق کرونر است .قابل اعتماد ترین و دقیق ترین روش تعیین و ضعیت آناتومیک بیماری عروق برای تصمیم گیری درمورد درمان دارویی یا آنژیو پلاستی یا جراحی بای پس کرونر است .این روش تشخیصی اولین بار درسال ۱۹۵۹میلادی توسط آقای سونزمورد استفاده قرار گرفت .تاامروز این روش با پیشرفت وسیعی از نظر وسایل و امکانات و تکنیک انجام و عوارض حداقلی همراه بوده است .

در آنژیوگرافی عروق کرونر با استفاده از بی حسی موضعی از طریق رگهای محیطی و بطور معمول از شریان های کشاله ران با قرار دادن شیت و کاتتر خاصی وباا ندازه مختلف تحت کنترل فلوروسکوپی مواد حاجب رادیو اوپک را درعروق کرونرتزریق میکنند .با دستگاه های رادیو گرافی از زوایای مختلف از سرخرگ های تغذیه کننده قلب بصورت دیجیتال تصویربرداری می شود و تصاویر بصورت فیلم یا روی دیسک ثبت می شود و سپس توسط پزشک تفسیر و راجع به اقدام درمانی بعدی تصمیم گیری می شود و گاهی ضرورت دارد برای تصیم گیری دقیق تر و مطلوب تر با چند متخصص یا جراح قلب هم مشورت شود.

درواقع آنژیوگرافی عروق کرونر و کاتتریسم روش تشخیص قطعی برای تعیین شدت تنگی کرونر – محل تنگی کرونر – تعداد رگ های تنگ کرونر و محاسبه فونکشن بطن چپ – بررسی اندازه حفرات قلب – تنگی و نارسایی دریچه های قلب – بررسی ضایعات مادرزادی و…است .

آنژیوگرافی عروق کرونر برای اثبات وجود یا عدم وجود تنگی عروق کرونر و انتخاب روش درمان و تعیین پیش آگهی هر بیماری است که با علایم و نشانه های بیماری ایسکمیک کرونر مراجعه می کند . دربیمارانی که قبلا تحت آنژیوپلاستی یا جراحی بای پس کرونر قرار گرفته اند برای ارزیابی بازبودن استنت ها ی کرونر و گرافت های بیمار نیز شاید بهترین روش تشخیصی باشد هرچند که معمولا ابتدا از روش های غیر تهاجمی تشخیصی دیگر استفاده می شود و درصورتی که نتایج این تست ها پر خطر بود آنژیوگرافی کرونری انجام می شود.

آنژیوگرافی عروق کرونر روشی است که در آن با بهره گیری از لوله های نازک و تزریق مواد حاجب مخصوص و اشعه ایکس، جریان خون قلب مورد بررسی قرار می گیرد و در موارد آنژین صدری (درد های قفسه سینه)، سکته قلبی، تنگی آئورت یا نارسایی قلبی بدون دلیل انجام می گیرد.

علاوه بر آنژیوگرافی عروق کرونر برای بررسی بیماری عروقی رگهای کاروتید و مغزی یا تنگی سرخرگ های کلیه یا رگهای اندام ها و…نیز آنژیوگرافی انجام می شود .

آشنایی با هزینه آنژیوگرافی (کلیک کنید)

منبع: اوفیش

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