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#1
08.03.2009, 14:35
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Ñïåöèàëüíîñòü ðåíòãåíîõèðóðãèÿ.
Ìèíçäðàâîì ïðèíÿòî ðåøåíèå î ñîçäàíèè íàøåé ñïåöèàëüíîñòè. Íàçûâàòüñÿ îíà áóäåò íåîáû÷íî (÷òî íå ïðèíöèïèàëüíî): ÐÅÍÒÃÅÍÎÝÍÄÎÂÀÑÊÓËßÐÍÛÅ ÌÅÒÎÄÛ ÄÈÀÃÍÎÑÒÈÊÈ È ËÅ×ÅÍÈß. Ïðèêàç áóäåò îïóáëèêîâàí 1-ãî àïðåëÿ.
Ðåâîëþöèÿ, î íåîáõîäèìîñòè êîòîðîé ñòîëüêî òâåðäèëè áîëüøåâèêè, ñâåðøèëàñü! Ëè÷íî ÿ, íàáëþäàþ çà ýòèì ïðîöåññîì áîëåå 25-òè ëåò. Âîïðîñ íå ìîãëè ïðîäàâèòü òàêèå ìîíñòðû, êàê Ðàáêèí è Ïåòðîñÿí. Ïðîäàâèë Àëåêÿí. Óâàæàþ! 
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#3
08.03.2009, 14:41
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Óâàæàåìûå ìîäåðàòîðû! "Äðîãíóëà ðóêà ìîëîäîãî õèðóðãà" - ñëó÷àéíî îòêðûë òåìó â êîíñóëüòàöèîííîì îòäåëå. Ïåðåíåñèòå â ïðîôåññèîíàëüíóþ ÷àñòü, ïîæàëóéñòà. Çàðàíåå áëàãîäàðåí.
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#4
08.03.2009, 14:45
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Öèòàòà:
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#9
08.03.2009, 15:30
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 ïðèíöèïå, ïîäãîòîâêà "èíâàçèîëîãîâ" ïðîõîäèt c 4-ãî äî 6-ãî ãîäîâ è "áèëåò" îíè ïîëó÷àþò ñ íàâûêàìè:
Core Techniques and Procedures Emergency Diagnostic skills Vascular i. Interpretation of plain films, ultrasound, computerised tomography and magnetic resonance scanning for the detection and assessment of vascular pathology �� ii. Interpretation of non-invasive imaging studies of acute/ emergent conditions relevant to vascular intervention, e.g. trauma, GI bleeding, pulmonary embolism, acute arterial or venous thromboembolism, etc �� iii. Diagnostic peripheral angiography �� iv. Diagnostic mesenteric angiography. �� v. Diagnostic renal angiography vi. Angiography in the trauma setting �� vii. Performance and interpretation of arterial duplex �� viii. Performance and interpretation of venous duplex �� Non-vascular i. Interpretation of plain films, ultrasound, computerised tomography and magnetic resonance scanning for the detection and assessment of pathology relevant to non-vascular intervention �� Interventional skills Vascular i. Obtaining vascular access at common sites including use of ultrasound guidance �� ii. Elective and acute recannalisation and stenting of iliac artery occlusion �� iii. Elective and acute femoro-popliteal arterial angioplasty �� iv. Elective and acute embolisation therapy with coils and particulate agents. �� v. Elective and acute mechanical and pharmacological thrombolysis and thrombectomy in the arterial and venous systems �� vi. Stent grafting for arterial rupture �� vii. Insertion of vena cava filter �� viii. Acute interventional management of massive pulmonary embolus �� ix. Management of failing/failed dialysis access x. Insertion of central venous tunnelled catheters Non-vascular i. Image-guided access into the urinary or biliary systems �� ii. Image-guided biopsy iii. Image-guided aspiration and drainage of collections/abscesses �� iv. Elective and acute percutaneous drainage procedures in the urinary system �� v. Ureteric stenting vi. Elective and acute percutaneous drainage procedures in the biliary tree �� vii. Stenting of the biliary tree – for distal obstruction viii. Radiologically inserted percutaneous gastrostomy ix. Colonic stenting – to relieve acute obstruction from distal colonic tumours �� x. Oesophageal stenting – for mid and low obstruction Non-vascular i. Gastro-duodenal stenting ii. Oesophageal stenting – for high obstruction and fistulae iii. Stenting of the biliary tree – for central obstruction viii. Radiologically inserted percutaneous gastrostomy ix. Colonic stenting – to relieve acute obstruction from distal colonic tumours �� x. Oesophageal stenting – for mid and low obstruction Advanced Techniques and Procedures** Vascular i. Elective and acute transjugular intrahepatic portosystemic shunt† ii. Tibial artery angioplasty in critical limb ischaemia iii. Visceral artery stenting iv. Aortic stent grafting v. Foreign body retrieval *Emergency safe – group of key procedures considered necessary for the provision of an acute and out-of-hours emergency service. Every interventional radiologist will be expected to be able to perform the core procedures at completion of training. **Advanced techniques and procedures – the trainee should have exposure to and have performed these techniques/procedures, but not necessarily be proficient in them as an independent operator. †It is recognised that not every centre will be appropriately staffed to provide cover for every acute/emergent procedure but it is assumed that responsible interventional radiologists will alert their Trusts to areas where the service is deficient so that formal alternative arrangements for cover can be organised [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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#10
08.03.2009, 16:01
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Ñåðãåé Àëåêñàíäðîâè÷, íà áàçå êàêîé ïåðâè÷êè? Ðåíòãåíîëîãèè èëè õèðóðãèè?
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#11
08.03.2009, 16:03
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Åâãåíèé, ÿ, êàæåòñÿ, îñëåïëà... Íå ìîãó íàéòè êîðîíàðíûõ âìåøàòåëüñòâ
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#12
08.03.2009, 16:08
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Ñî çðåíèåì ó Âàñ âñ¸ î.ê. Èõ íåò. Ïðè÷èíà ïðîñòà: êîðîíàðíûå âìåøàòåëüñòâà - ïðåðîãàòèâà êàðäèîëîãîâ è íåêîòîðûõ êàðäèîõèðóðãîâ. V UK êîðîíîãðàôèþ ïðîâîäèò ãîðñòêà ðàäèîëîãîâ, ðàáîòàþwèõ â êàðäèîöåíòðàõ. Íî åñëè ó ðàäèîëîãà æåëàíèå èìååòñÿ, òî - ïîæàëóéñòà.
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#13
08.03.2009, 16:12
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Àãà, ÿ â ïðèíöèïå òàê è äóìàëà...
Ïðîáëåìà â òîì, ÷òî â Ðîññèè ïî÷åìó-òî íèêîìó íå ïðèõîäèò â ãîëîâó, ÷òî êîðîíàðîãðàôèÿ è êîðîíàðíàÿ àíãèîïëàñòèêà - ïðåðîãàòèâà êàðäèîëîãîâ. Çà ýòî, ÿ äóìàþ, íèêîìó è íèêîãäà áîðîòüñÿ íå ïðèõîäèëî â ãîëîâó. Íå òàê ëè, Ñåðãåé Àëåêñàíäðîâè÷?
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#14
08.03.2009, 16:19
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Îäèì ìîìåíò, î êîòîðîì ñåé÷àñ øåïîòîì ãîâîðÿò â êóëóàðàõ... Êîëè÷åñòâî èíâàçèâíûõ êîðîíàðíûõ âìåøàòåëüñòâ íà÷èíàåò ñíèæàòüñÿ, ëþäè äóìàþò, ÷òî "èíâåñòèðîâàòü" âðåìÿ â ïîäãîòîâêó íå åñòü öåëåñîîáðàçíî...
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#15
08.03.2009, 16:22
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Åâãåíèé! À ýìáîëèçàöèÿ àíåâðèçì ãîëîâíîãî ìîçãà, àðòåðèî-âåíîçíûõ ìàëüôîðìàöèé, ÊÊÑ è ò.ä.? Ó Âàñ òîæå ïðåðîãàòèâà íåéðîõèðóðãîâ?
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Ëèíåéíûé âèä
