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National Repository of Grey Literature 2 records found  Search took 0.01 seconds. 
Structural and hemodynamic characteristics of atherosclerotic plaques in carotid arteries with relation to endovascular manipulation during carotid artery stenting.
 Špaček, Miloslav ; Zemánek, David (advisor) ; Malík, Jan (referee) ; Pařenica, Jiří (referee)
Atherosclerotic diseases including stroke are the leading causes of morbidity, mortality as well as disability in industrialized countries. Carotid endarterectomy was long considered the stan- dard approach for the treatment of atherosclerotic carotid disease, one of major causes of stroke. Over time, carotid artery stenting (CAS) has evolved as an alternative approach and is considered equivalent to surgical treatment in selected patients. Particularly in the last years, CAS has gained attention with the increasing knowledge regarding atherosclerotic plaque and cerebrovascular flow. In our study, we focused on patients undergoing CAS and evaluated structural and hemodynamic characteristics of atherosclerotic plaques together with relation to endovascular manipulation. The major part of the study includes transcranial doppler ultrasound evaluation which is able to detect flow in major cerebral arteries as well as to detect microembolizations of atherosclerotic particles during CAS. In eligible patients, we investigated the usefulness of cerebrovascular reserve (CVR) testing to predict severe hemodynamic changes in ipsilateral middle cerebral artery induced by temporary carotid occlusion during proximally protected CAS. CVR was tested by means of a breath-holding test and ophthalmic artery flow...
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Nursing care of patients after a surgical procedure for a narrowed carotid artery
 Daňková, Kateřina ; Di Cara, Veronika (advisor) ; Hocková, Jana (referee)
Abstract Surgeries of narrowed carotid arteries rank among the most common vascular medical procedures. Narrowing the carotid artery on the basis of creation of an atherosclerotic plaque is also the most common cause of stroke. It causes an insufficient blood flow to certain parts of the brain and can cause damage and lead to irreversible changes. This disease belongs among the lifestyle ones, involving a number of both controllable and uncontrollable risk factors. Prevention and timely operational and quality postoperative care are very important; the latter helps prevent fatal consequences leading to permanent disability. The aim of my thesis is to demonstrate nursing care for patients after the surgery of a narrowed carotid artery. The empirical section is based on qualitative research in the form of two case studies which describe the postoperative state of health and its progress. I point out the specifics of the nursing care for patients after the surgery of narrowed carotid artery in detail. The result of the bachelor's thesis is an overview of postoperative care which is beneficial for both general nurses and patients themselves. The thesis also encourages to reflect on the risk factors that cause this disease. Keywords: brain stroke, endartectomy, nursing care, patient's needs, carotid...
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