{"id":419,"date":"2025-11-25T09:30:14","date_gmt":"2025-11-25T08:30:14","guid":{"rendered":"https:\/\/semmelweis.hu\/neurointervencio\/?p=419"},"modified":"2025-11-27T15:36:51","modified_gmt":"2025-11-27T14:36:51","slug":"uj-merfoldko-a-carotis-szukulet-kezeleseben","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/neurointervencio\/2025\/11\/25\/uj-merfoldko-a-carotis-szukulet-kezeleseben\/","title":{"rendered":"\u00daj m\u00e9rf\u00f6ldk\u0151 a carotis sz\u0171k\u00fclet kezel\u00e9s\u00e9ben!"},"content":{"rendered":"<div data-olk-copy-source=\"MessageBody\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/semmelweis.hu\/neurointervencio\/files\/2025\/11\/CREST2_infografika_v1.png\" alt=\"CREST2_infografika\" width=\"592\" height=\"1060\" \/>A neurol\u00f3giai, neurointervenci\u00f3s \u00e9s \u00e9rseb\u00e9szeti szakma hossz\u00fa id\u0151 \u00f3ta v\u00e1rta a CREST-2 (Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial-2) vizsg\u00e1lat eredm\u00e9nyeit.<\/div>\n<div>\ud83d\udd0e\u00a0<b>F\u0151 eredm\u00e9ny: <\/b>T\u00fcnetmentes,\u00a0<i>nagyfok\u00fa (\u226570%) carotis sz\u0171k\u00fclet<\/i>\u00a0eset\u00e9n a modern gy\u00f3gyszeres kezel\u00e9s melletti revaszkulariz\u00e1ci\u00f3 \u2013 stent vagy endarterectomia \u2013 jelent\u0151sen \u00e9s tart\u00f3san cs\u00f6kkenti a stroke kock\u00e1zat\u00e1t.<\/div>\n<div>\ud83d\udc8a Az ut\u00f3bbi \u00e9vek\u00a0<b>gy\u00f3gyszeres kezel\u00e9s<\/b>\u00e9nek fejl\u0151d\u00e9s\u00e9t jelzi, hogy az intenz\u00edv, korszer\u0171 konzervat\u00edv ter\u00e1pia mellett a vizsg\u00e1lt betegcsoportban az \u00e9ves stroke kock\u00e1zat csak 1,5% k\u00f6r\u00fcl volt.<\/div>\n<div>\ud83e\ude7a\u00a0<b>Stentel\u00e9s<\/b>sel a 4 \u00e9ves stroke kock\u00e1zat\u00a0<i>k\u00f6zel fel\u00e9re cs\u00f6kkent<\/i> a puszt\u00e1n gy\u00f3gyszeres ter\u00e1pi\u00e1val kezelt betegekhez k\u00e9pest; az <b>endarterectomia<\/b>\u00a0szer\u00e9nyebb,\u00a0<i>30%-os<\/i>, de statisztikailag nem szignifik\u00e1ns rizik\u00f3cs\u00f6kken\u00e9st adott.<\/div>\n<div>\ud83c\udfe5 A beavatkoz\u00e1sokat magas esetsz\u00e1m\u00fa,\u00a0<b>szakmailag akkredit\u00e1lt centrumokban<\/b>, szigor\u00faan min\u0151s\u00edtett operat\u0151r\u00f6k v\u00e9gezt\u00e9k, ami rendk\u00edv\u00fcl alacsony perioperat\u00edv sz\u00f6v\u0151dm\u00e9nyr\u00e1t\u00e1kat eredm\u00e9nyezett.<\/div>\n<div>\ud83d\udcca A r\u00e9szleteket \u00e9s az eredm\u00e9nyek \u00f6sszehasonl\u00edt\u00e1s\u00e1t l\u00e1sd az infografik\u00e1n, valamint a New England Journal of Medicine-ben megjelent tanulm\u00e1nyban!<\/div>\n<div>\u00a0<\/div>\n<div><i>Forr\u00e1s:\u00a0<\/i>Brott TG, Howard G, Lal BK, et al. Medical Management and Revascularization for Asymptomatic Carotid Stenosis. N Engl J Med. 2025; DOI:10.1056\/NEJMoa2508800.<\/div>\n<div><i>Infografika:<\/i>\u00a0dr. B\u00f6jti P\u00e9ter P\u00e1l, NotebookLM, 2025.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A neurol\u00f3giai, neurointervenci\u00f3s \u00e9s \u00e9rseb\u00e9szeti szakma hossz\u00fa id\u0151 \u00f3ta v\u00e1rta a CREST-2 (Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial-2) vizsg\u00e1lat eredm\u00e9nyeit. \ud83d\udd0e\u00a0F\u0151 eredm\u00e9ny: T\u00fcnetmentes,\u00a0nagyfok\u00fa (\u226570%) carotis sz\u0171k\u00fclet\u00a0eset\u00e9n a modern gy\u00f3gyszeres kezel\u00e9s melletti revaszkulariz\u00e1ci\u00f3 \u2013 stent vagy endarterectomia \u2013 jelent\u0151sen \u00e9s tart\u00f3san cs\u00f6kkenti a stroke kock\u00e1zat\u00e1t. \ud83d\udc8a Az ut\u00f3bbi \u00e9vek\u00a0gy\u00f3gyszeres kezel\u00e9s\u00e9nek fejl\u0151d\u00e9s\u00e9t jelzi, &hellip;<\/p>\n","protected":false},"author":102419,"featured_media":420,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-419","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hirek"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"1970-01-01 01:00:00","action":"","terms":[],"taxonomy":"","browser_timezone_offset":0},"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/posts\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/users\/102419"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":5,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/posts\/419\/revisions"}],"predecessor-version":[{"id":428,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/posts\/419\/revisions\/428"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/media\/420"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/media?parent=419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/categories?post=419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/neurointervencio\/wp-json\/wp\/v2\/tags?post=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}