#1
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Êòî âûïîëíÿåò ñåëåêòèâíóþ àíãèîãðàôèþ a.ophtalmica?
Îôòàëüìîëîãè ïðîñÿò ñäåëàòü ÑÅËÅÊÒÈÂÍÓÞ àíãèîãðàôèþ a.ophtalmica. Ó íàñ èíñòðóìåíòà äëÿ ýòîãî íåò. Ïàöèåíò êîððåêòíûé. Êòî ìîæåò ñäåëàòü?
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#3
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ÊÒ-øíèêè âèäÿò ìóôòîîáðàçíîå óòîëùåíèå âåí ãëàçà, îôòàëüìîëîãè êîíñóëüòèðîâàëè â 3 ðàçíûõ ó÷ðåæäåíèÿõ, õîòÿò îòäèôôåðåíöèðîâàòü âàñêóëèò è àíãèîïàòèþ. Õîòÿ ÿ íå ïîíèìàþ êàê â ýòîì ïîìîæåò ñåëåêòèâíàÿ àíãèîãðàôèÿ. Ìèêðîêàòåòåðîâ äëÿ ñåëåêòèâíîé àíãèîãðàôèè ó ìåíÿ íåò. Ïàöèåíò ãîòîâ îïëàòèòü.
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#4
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Ìîæåò áûòü, âñå-òàêè, ôëþîðåñöåíòíàÿ àíãèîãðàôèÿ èìåëàñü â âèäó? Èëè èíäîöèàíèíîâàÿ?
Ìîæåòå ïîäðîáíåå ïðî ïàöèåíòà èëè åñëè åñòü ñêàíû - âûëîæèòü îñìîòðû? |
#5
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Ïðåäïîëîæèì, Âû ñäåëàëè ñåëåêòèâíûå ñíèìêè ìèêðîêàòåòåðîì, ïàöèåíò âñå ïåðåíåñ è íå îñëåï íà ýòîò ãëàç. Êàê èíòåðïðåòèðîâàòü àíãèîãðàììû äàæå íà ìàêñèìàëüíîì óâåëè÷åíèè? ×òî ìîæíî áóäåò ñêàçàòü êðîìå òîãî, ÷òî àðòåðèÿ ïðîõîäèìà?
Âñå ýòî - î òîì, ÷òî íàäî êðèòè÷íåå îòíîñèòüñÿ ê ïðîñüáàì "íåïðîôèëüíûõ" âðà÷åé! Îíè ÷àñòî íå çíàþò ÷åãî îò íàñ õîòÿò è íàäî èõ âîâðåìÿ îñòàíàâëèâàòü! |
#6
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Ñóïåðñåëåêòèâíàÿ àíãèîãðàôèÿ ýòîé àðòåðèè ïîðîé ïðèìåíÿåòñÿ, íî ÿâíî íå ñ ýòîé öåëüþ:
Recent advances in microcatheter technology have made catheterization of the ophthalmic artery and its branches possible. Neurointerventional techniques have been used for both embolization of hypervascular lesion fed by the ophthalmic artery (1, 2) and fibrinolytic therapy of central retinal artery thrombosis (3, 4). The efficacy of preoperative embolization of the posterior ethmoidal artery via the ophthalmic artery has been reported for hypervascular meningioma in the olfactory groove (1, 2). [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] èëè Superselective ophthalmic angiography for diagnostic and therapeutic use [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#7
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Ôëóîðåñöåíòíàÿ àíãèîãðàôèÿ â äèô.äèàãíîçå ïðè âàñêóëèòàõ ñåò÷àòêè ñ êàðòèíêàìè:
Differential Diagnosis of Retinal Vasculitis [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#8
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#9
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Âñåì îãðîìíîå ñïàñèáî, äåéñòâèòåëüíî, íàäî áîëåå êðèòè÷íî îòíîñèòñÿ ê ïîæåëàíèÿì êîëëåã.
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#10
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#11
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Ìàëî ïðîâåñòè ÔÀÃ, å¸ æå åù¸ èíòåðïðåòèðîâàòü ïðàâèëüíî íóæíî.
Âàøåìó ïàöèåíòó îôòàëüìîëîãîâ áû äðóãèõ. Òåõ, êîòîðûå çíàþò, ÷åì îòëè÷àåòñÿ ÔÀà îò ïðîñòî àíãèîãðàôèè. Ìîæåò, â ÈâÃÌÀ? Íà êàôåäðó? |
#12
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Ìû íå ñîòðóäíè÷àåì ñ Èâàíîâî, êðîìå àêóøåðñòâà. Ðÿäîì ìíîãî ó÷ðåæäåíèé (ßðîñëàâëü, Ìîñêâà è ò.ä.)
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#13
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Íå êòî
Íå êòî
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