{"id":46154,"date":"2019-01-20T16:37:19","date_gmt":"2019-01-20T20:37:19","guid":{"rendered":"https:\/\/recursing-golick.147-182-135-0.plesk.page\/?p=46154"},"modified":"2019-01-21T14:20:31","modified_gmt":"2019-01-21T18:20:31","slug":"une-alternative-a-la-chirurgie-a-coeur-ouvert-est-maintenant-disponible-a-llumc","status":"publish","type":"post","link":"https:\/\/interamerica.org\/fr\/2019\/01\/une-alternative-a-la-chirurgie-a-coeur-ouvert-est-maintenant-disponible-a-llumc\/","title":{"rendered":"Une alternative \u00e0 la chirurgie \u00e0 c\u0153ur ouvert est maintenant disponible \u00e0 LLUMC"},"content":{"rendered":"

18 Janvier 2019 \u2013 Loma Linda, Californie, Etats Unis \u2013 Heather Jackson \u2013 Informations du P\u00f4le Sant\u00e9 de l\u2019Universit\u00e9 de Loma Linda<\/span><\/p>\n

L<\/span>es chirurgiens du Centre M\u00e9dical Universitaire de Loma Linda – Murrieta ont effectu\u00e9 la premi\u00e8re proc\u00e9dure de remplacement de la valve aortique par voie percutan\u00e9e ou TAVI<\/a> \u2014 dans cet h\u00f4pital le 14 janvier 2019. Actuellement, il s’agit du seul h\u00f4pital de la r\u00e9gion de Murrieta, en Californie, \u00e0 proposer cette proc\u00e9dure cardiaque non invasive aux patients de la communaut\u00e9.<\/p>\n

Le TAVI est une proc\u00e9dure alternative non chirurgicale qui traite la st\u00e9nose aortique, une maladie de la valve cardiaque <\/a> entra\u00eenant une r\u00e9duction du flux sanguin dans la valve aortique. Les patients atteints de st\u00e9nose de la valve aortique souffrent souvent de vertiges, d’essoufflement et de fatigue. Auparavant, le traitement standard \u00e9tait la chirurgie \u00e0 c\u0153ur ouvert, qui pr\u00e9sentait souvent des complications \u00e0 haut risque avec des s\u00e9jours plus longs \u00e0 l\u2019h\u00f4pital. \u00c9tant donn\u00e9 que ce ne sont pas tous les patients atteints de ce type de maladie cardiaque qui sont en \u00e9tat de subir une op\u00e9ration \u00e0 c\u0153ur ouvert, le TAVI constitue une autre option. Le TAVI est une proc\u00e9dure non invasive pratiqu\u00e9e sous s\u00e9dation consciente plut\u00f4t que sous anesth\u00e9sie g\u00e9n\u00e9rale, elle dure moins d\u2019une heure et permet aux patients de rentrer chez eux le lendemain.<\/p>\n

Pour effectuer cette proc\u00e9dure peu invasive, un cardiologue interventionnel et un chirurgien cardiothoracique perforent une art\u00e8re de la jambe. \u00c0 travers cette petite perforation, l\u2019\u00e9quipe implante une nouvelle valve sur un ballon assez fin pour \u00eatre introduit dans l\u2019art\u00e8re. Le cardiologue fait ensuite avancer cette valve \u00e0 travers une gaine pour remplacer la valve malade.<\/p>\n

Le cardiologue interventionnel Niraj Parekh estime qu\u2019il \u00e9tait grand temps d\u2019offrir la proc\u00e9dure dans cette r\u00e9gion. D\u2019apr\u00e8s lui, le fait que cette option moins invasive soit disponible tout pr\u00e8s a un impact positif sur les patients et les familles de la communaut\u00e9. Auparavant, 8 \u00e0 10 patients par mois devaient \u00eatre transf\u00e9r\u00e9s dans des h\u00f4pitaux \u00e9loign\u00e9s, mais maintenant, 25 patients sont sur la liste d\u2019attente de l\u2019h\u00f4pital pour le TAVI.<\/p>\n

\u00ab Cette r\u00e9gion est mal desservie en mati\u00e8re de cardiologie et les maladies cardiaques structurelles, \u00bb a dit Niraj Parekh. \u00ab Je suis ravi que nous puissions maintenant proposer \u00e0 la communaut\u00e9 diverses options de soins avanc\u00e9s localement. \u00bb<\/p>\n

En 2016, la FDA a approuv\u00e9 la proc\u00e9dure TAVI pour les patients \u00e0 risque interm\u00e9diaire, car auparavant, seuls les patients \u00e0 risque \u00e9lev\u00e9 \u00e9taient \u00e9ligibles. Le chirurgien cardiothoracique Michael Koumjian a d\u00e9clar\u00e9 qu\u2019apporter cette proc\u00e9dure \u00e0 Murietta avec un acc\u00e8s aux villes voisines servirait une population de plus en plus \u00e9ligible.<\/p>\n

\u00ab La technologie TAVI se d\u00e9veloppe et l\u2019\u00e9ligibilit\u00e9 s\u2019\u00e9largit, \u00bb a d\u00e9clar\u00e9 Michael Koumjian. \u00ab Pour r\u00e9pondre \u00e0 cette croissance, nous sommes heureux de proposer cette technologie de pointe \u00e0 notre communaut\u00e9. \u00bb<\/p>\n

Pour en savoir plus sur le TAVI, LLUMC – Murrieta invite la communaut\u00e9 \u00e0 la troisi\u00e8me Heart Health Conference<\/a>. Cette conf\u00e9rence mettra en lumi\u00e8re des informations cl\u00e9s concernant le TAVI et d\u2019autres conseils sur la sant\u00e9 cardiaque. La conf\u00e9rence aura lieu le jeudi 14 f\u00e9vrier 2019 \u00e0 9 heures au Centre de Conf\u00e9rence de Temecula \u00e0 Temecula, en Californie. Ce sera une excellente occasion de parler \u00e9galement avec des sp\u00e9cialistes, ont d\u00e9clar\u00e9 les organisateurs.<\/p>\n

L\u2019\u00c9glise adventiste du septi\u00e8me jour g\u00e8re les Centres M\u00e9dicaux de l\u2019Universit\u00e9 de Loma Linda, y compris celui de la ville de Murrieta, en Californie.<\/p>\n

La <\/em>version originale<\/em><\/a> de cette histoire a \u00e9t\u00e9 publi\u00e9e sur le <\/em>site d’informations<\/em><\/a>du p\u00f4le sant\u00e9 de l\u2019Universit\u00e9 de Loma Linda.<\/em><\/p>\n

Traduction: Patrick Luciathe<\/p>\n","protected":false},"excerpt":{"rendered":"

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