{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-9LSSIMEV/e849af83-7b26-4b61-bb4c-2d32f9ccda1d/HTML","dcterms:extent":"26 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-9LSSIMEV/d8f6e000-9e92-4c81-be8d-9fc28c447a43/PDF","dcterms:extent":"149 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-9LSSIMEV/27b409f9-383f-44a9-bb8a-6eb193fb3725/TEXT","dcterms:extent":"24 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-9LSSIMEV","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2004","dc:creator":"Šikovec, Andrej","dc:format":[{"@xml:lang":"sl","#text":"številka:12"},{"@xml:lang":"sl","#text":"letnik:73"},{"@xml:lang":"sl","#text":"str. 915-919"}],"dc:identifier":["ISSN:1318-0347","COBISSID:19102425","URN:URN:NBN:SI:doc-9LSSIMEV"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"sl","#text":"anestezija"},{"@xml:lang":"sl","#text":"Anestezija lokalna"},{"@xml:lang":"en","#text":"Anesthesia, Local"},{"@xml:lang":"sl","#text":"arterije"},{"@xml:lang":"en","#text":"Carotid Artery, Internal"},{"@xml:lang":"en","#text":"Carotid Stenosis"},{"@xml:lang":"en","#text":"Endarterectomy, Carotid"},{"@xml:lang":"sl","#text":"Endarterektomija karotidna"},{"@xml:lang":"sl","#text":"Karotidna arterija interna"},{"@xml:lang":"sl","#text":"Karotidna stenoza"},{"@xml:lang":"sl","#text":"karotidne arterije"},{"@xml:lang":"sl","#text":"kirurško zdravljenje"},{"@xml:lang":"en","#text":"therapy"},{"@xml:lang":"en","#text":"Treatment Outcome"},{"@xml:lang":"sl","#text":"zdravljenje"},{"@xml:lang":"sl","#text":"Zdravljenje, izid"},{"@xml:lang":"sl","#text":"zožitev"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Operativno zdravljenje zožitve (endarterektomija) notranje karotide v lokalni anesteziji| Internal carotid endarterectomy under local anaesthesia|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. Endarterectomy of the internal carotid artery, supported by medicamental treatment, is the best method used to prevent stroke with symptomatic patients with an over 70-percent narrowing of the ipsilateral carotid artery. With patients who have successfully passed the operation the occurrence of the stroke is less oftert than with non-operated patients (1% vs. 6-10% per year). Therefore, it is important that the operation is carried out as safely as possible. Currently; the average acceptahle rate of death and/ or severe stroke risk stands at between 2-4%. Greatest problems faced during carotid artery surgery are embolism of the affected artery during preparation, brain ischaemia during the blockade of the carotid artery, and embolism and intimal tearing due to injury of the internal carotid artery by the temporary internal shunt. Due to the risk of causing an embolism and intimal tearing the use of the internal shunt cau be dangerous. Therefore, selective usage of the shunt is recommended when necessary due to brain ischaemia. Methods. Under block/conduction anaesthesia (deep and superficial cervical block) we have performed surgery on 23 patients (16 males, 7 females)because of severe stenosis of the internal carotid artery (over 70%). A mixture of Xylocain 1% and Marcain 1.5% was used for the cervical block. Cerebral blood circulation was monitored by neurological testing of thepatientawake during the procedure. During the procedure, we performed standard monitoring of the vital functions including the blood pressure. Additionally, the transcranial Doppler monitoring of the blood flow through the middle cerebral artery was used with 20 of the patients. (Abstract truncated at 2000 characters)"},{"@xml:lang":"sl","#text":"Izhodišča. Endarterektomija notranje arterije karotis v kombinaciji z medikamentnim zdravljenjem je najboljša metoda za preprečevanje možganske kapipri simptomatskih bolnikih z več kot 70-odstotno zožitvijo istostranske karotide. Pri uspešno operiranih bolnikih je pogostnost možganske kapi manjša v primerjavi z neoperiranimi (1% proti 6-70% na leto). Zato je pomembno, da jeoperacija čim bolj varna. Sedaj je povprečna in sprejemljiva nevarnost za smrt in/ali hujšo možgansko kap 2-4%. Največji problemi med operacijo na karotidah so: embolizacija iz obolele arterije med preparacijo, ishemija možganov med zaporo karotide in embolizacija ter intimalno zatrganje zaradi poškodbe notranje karotide z začasnim notranjim obtokom (shunt). Uporaba notranjega obtoka je zaradi možnosti povzročitev embolizacije in intimalnega zatrganja nevarna. Zato predlagajo selektivno uporabo obtoka, ko je to potrebno zaradi ishemije možganov. Metode. V prevodni anesteziji (globoki in povrhnji cervikalni blok) smo operirali 23 bolnikov (16 moških in 7 žensk) zaradi hude stenoze (> 70%) notranje karotide. Za cervikalni blok smo uporabili mešanico 1-odstotnega Xylocaina in 0,5-odstotnega Marcaina. Stanje prekrvljenosti možganov smo ugotavjali z nevrološkim testiranjem budnega bolnika med posegom. Med posegom smo uporabili standardni nadzor vitalnih funkcij vključno s krvavim nadzorom krvnega tlaka. Pri 20 bolnikih smo hkrati tudi uporabili transkranialni doplerski nadzor pretoka skozi srednjo možganskoarterijo. Rezultati. Pri 18 bolnikih tudi po namestitvi žilne stiskalke in prekinitvi pretoka skozi notranjo karotido nismo opazili nevrološke izgube. Pri njih nismo uporabili začasnega notranjega obtoka. Pri petih bolnikih je prišlo do motenj zavesti, zato smo uporabili notranji obtok.(Povzetek skarajšan pri 2000 znakih)"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-9LSSIMEV","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-9LSSIMEV"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-9LSSIMEV/d8f6e000-9e92-4c81-be8d-9fc28c447a43/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-9LSSIMEV/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-9LSSIMEV"}}}}