Author/Editor		Žvan, Bojana
Title		Možganska kap - dimenzija problemov v Sloveniji
Translated title		Stroke - dimension of the problems in Slovenia
Type		članek
Source		Slov Kardiol
Vol. and No.		Letnik 3, št. 1
Publication year		2007
Volume		str. 16-20
Language		slo
Abstract		Costs connected with the treatment of stroke are among the highest throughout the world. Stroke has, in recent years, been increasingly recognized as a medical emergency. Our opinion in Slovenia is that to achieve highly efficient treatment of acute ischemic stroke a chain of specialized medical unites should be established, which would offer the thrombolytic treatment in order to reduce the mortality rate and permanent physical disability. In stroke prevention, both in first and recurrent ones, and in prevention of transient ischemic attacks, carotid angioplasty with stenting is a procedure routinely performed in Clinical Centre in Ljubljana. Our results are comparable to those of world's best recognized centres. Endovascular treatment of brain aneurysms has been an alternative method to micro-surgery for the last 15 years. In Slovenia this kind oftreatment has been introduced and is being practised in Ljubljana Clinical Centre and in University Centre of Maribor. Due to the European recommendations on ischemic stroke treatment every patient with ischemic stroke should be given the chance to be treated in a stroke unit.
Summary		Stroški povezani z možgansko kapjo so med najvišjimi v svetu. Danes velja, da je možganska kap urgentno stanje v medicini. V Sloveniji menimo, da je za uspešnost zdravljenja akutne ishemične MK potrebno vzpostaviti verigo ustrezno organiziranih zdravstvenih enot, kjer lahko nudimo zdravljenje s fibrinolizo in s tem zmanjšamo umrljivost in invalidnost. Karotidna angioplastika z vstavitvijo žilne opornice je v ljubljanskem kliničnem centru že uveljavljena metoda za preprečevanja prve ali ponovne ishemične možganske kapi ali prehodne ishemične atake. Pohvalimo se lahko z rezultati primerljivimi z najboljšimni centri v svetu. Endovaskularno zdravljenje možganskih anevrizem je zadnjih 15 let uspešna alternativna metoda mikrokiruškemu zdravljenju. Tudi tovrstno zdravljenje se v Sloveniji že uveljavlja in ga izvajamo tako v ljubljanskem Kliničnem centru kot v Učni bolnišnici Maribor. Evropska priporočila za obravnavo bolnikov z možgansko kapjo priporočajo, naj imajo vsi bolniki z možgansko kapjo možnost oskrbe v enoti za možgansko kap.
Descriptors		CEREBRAL INFARCTION CEREBRAL ISCHEMIA THROMBOLYTIC THERAPY CEREBRAL ANEURYSM SUBARACHNOID HEMORRHAGE PRACTICE GUIDELINES