{"id":20360,"date":"2021-05-20T10:15:25","date_gmt":"2021-05-20T08:15:25","guid":{"rendered":"https:\/\/devhml.givememore.net\/?post_type=service&#038;p=20360"},"modified":"2022-02-10T15:12:25","modified_gmt":"2022-02-10T14:12:25","slug":"prise-en-charge-therapeutique-des-stenoses-carotidiennes","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/centre-de-la-carotide\/prise-en-charge-therapeutique-des-stenoses-carotidiennes\/","title":{"rendered":"Prise en charge th\u00e9rapeutique des st\u00e9noses carotidiennes"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Une intervention chirurgicale pour traiter une st\u00e9nose serr\u00e9e symptomatique est le plus souvent programm\u00e9e la semaine suivant un AVC.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les st\u00e9noses asymptomatiques ne n\u00e9cessitent pas une prise en charge en urgence, le d\u00e9lai de programmation d\u00e9pend de la s\u00e9v\u00e9rit\u00e9 de la st\u00e9nose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le bilan pr\u00e9-op\u00e9ratoire comprend entre autre un \u00e9cho doppler des troncs supra-aortiques et une imagerie (scanner ou une I.R.M.).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>La premi\u00e8re endarteriectomie carotidienne (chirurgie ouverte de la st\u00e9nose carotidienne) a \u00e9t\u00e9 r\u00e9alis\u00e9 en 1953 et ce traitement reste encore en 2021 le traitement de r\u00e9f\u00e9rence recommand\u00e9 par la plupart des soci\u00e9t\u00e9s savantes. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il y a cependant<strong> plusieurs options th\u00e9rapeutiques pour traiter ces st\u00e9noses<\/strong>, dont :<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>La chirurgie ouverte sous anesth\u00e9sie locale et \/ ou sous hypnose<\/li><li>Le stenting de la st\u00e9nose carotidienne avec un dispositif de protection c\u00e9r\u00e9brale<\/li><li>La chirurgie ouverte sous anesth\u00e9sie g\u00e9n\u00e9rale avec mise en place d\u2019une d\u00e9rivation carotidienne<\/li><li>Le stenting par abord ouvert avec syst\u00e8me d\u2019inversion de flux c\u00e9r\u00e9bral<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Une intervention chirurgicale pour traiter une st\u00e9nose serr\u00e9e symptomatique est le plus souvent programm\u00e9e la semaine suivant un AVC. Les st\u00e9noses asymptomatiques ne n\u00e9cessitent pas une prise en charge en urgence, le d\u00e9lai de programmation d\u00e9pend de la s\u00e9v\u00e9rit\u00e9 de la st\u00e9nose. Le bilan pr\u00e9-op\u00e9ratoire comprend entre autre un \u00e9cho doppler des troncs supra-aortiques et [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":20355,"menu_order":2,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-20360","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/charlotte-gmm\/","display_name":"Charlotte"},"relative_dates":{"created":"Publi\u00e9 5 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 20 mai 2021","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 20 mai 2021 10 h 15 min","modified":"Mise \u00e0 jour le 10 f\u00e9vrier 2022 15 h 12 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/20360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":0,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/20360\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/20355"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=20360"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=20360"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=20360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}