{"id":22616,"date":"2018-11-07T15:38:51","date_gmt":"2018-11-07T14:38:51","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12387"},"modified":"2022-05-02T15:29:09","modified_gmt":"2022-05-02T13:29:09","slug":"aomi","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/medecine-vasculaire-phlebologie\/pathologies\/aomi\/","title":{"rendered":"AOMI"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"l-arteriopathie-obliterante-des-membres-inferieurs-aomi\">L\u2019Art\u00e9riopathie Oblit\u00e9rante des Membres Inf\u00e9rieurs (AOMI)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019art\u00e9riopathie oblit\u00e9rante des membres inf\u00e9rieurs ou <strong>art\u00e9rite<\/strong> est une manifestation de l\u2019ath\u00e9roscl\u00e9rose (d\u00e9p\u00f4ts de graisse sur la paroi des art\u00e8res) qui se manifeste le plus souvent apr\u00e8s 60 ans et surtout chez le patient tabagique et\/ou diab\u00e9tique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Des <strong>r\u00e9tr\u00e9cissements<\/strong> (st\u00e9noses) des art\u00e8res qui vascularisent les membres sont responsables d\u2019une insuffisance d\u2019apport en oxyg\u00e8ne au niveau des tissus et des muscles des membres inf\u00e9rieurs, soit \u00e0 l\u2019effort responsable de douleurs \u00e0 la marche (claudication intermittente), soit permanente.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le diagnostic d\u2019AOMI se fait en recherchant les pouls au niveau des trajets des art\u00e8res et en mesurant la pression art\u00e9rielle au niveau de la cheville gr\u00e2ce au Doppler.<br>Le stade des douleurs de repos et la pr\u00e9sence de plaies n\u00e9cessitent une prise en charge m\u00e9dicale rapide.<br>L\u2019isch\u00e9mie aigu\u00eb est une urgence chirurgicale. Elle est li\u00e9e \u00e0 une occlusion de l\u2019art\u00e8re avec arr\u00eat total de la circulation sanguine dans le membre au-dessous de l\u2019occlusion. Elle se manifeste par une douleur brutale, intense, avec perte de la motricit\u00e9 et de la sensibilit\u00e9. Le membre est livide et froid.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"la-prise-en-charge-de-l-aomi-comporte\">La prise en charge de l\u2019AOMI comporte :<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>le bilan de l\u2019atteinte au niveau des membres inf\u00e9rieurs,<\/li><li>la recherche d\u2019une atteinte des art\u00e8res irriguant le cerveau (carotides) et le c\u0153ur (art\u00e8res coronaires),<\/li><li>le contr\u00f4le des facteurs de risque cardiovasculaire : arr\u00eat du tabagisme, exercice physique r\u00e9gulier, r\u00e9gime alimentaire adapt\u00e9, traitement de l\u2019hypercholest\u00e9rol\u00e9mie,<\/li><li>la prise d\u2019un m\u00e9dicament pour pr\u00e9venir le risque d\u2019occlusion de l\u2019art\u00e8re et d\u2019un protecteur vasculaire,<\/li><li>la dilatation ou pontage pour am\u00e9liorer la circulation si n\u00e9cessaire et apr\u00e8s discussion entre sp\u00e9cialistes.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019Art\u00e9riopathie Oblit\u00e9rante des Membres Inf\u00e9rieurs (AOMI) L\u2019art\u00e9riopathie oblit\u00e9rante des membres inf\u00e9rieurs ou art\u00e9rite est une manifestation de l\u2019ath\u00e9roscl\u00e9rose (d\u00e9p\u00f4ts de graisse sur la paroi des art\u00e8res) qui se manifeste le plus souvent apr\u00e8s 60 ans et surtout chez le patient tabagique et\/ou diab\u00e9tique. Des r\u00e9tr\u00e9cissements (st\u00e9noses) des art\u00e8res qui vascularisent les membres sont responsables d\u2019une [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":18545,"menu_order":0,"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":null,"stick-header-meta":null,"header-above-stick-meta":null,"header-main-stick-meta":null,"header-below-stick-meta":null,"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-22616","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/usersync\/","display_name":"usersync"},"relative_dates":{"created":"Publi\u00e9 8 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 7 novembre 2018","modified":"Mise \u00e0 jour le 2 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 7 novembre 2018 15 h 38 min","modified":"Mise \u00e0 jour le 2 mai 2022 15 h 29 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\/22616","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":3,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22616\/revisions"}],"predecessor-version":[{"id":23074,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/22616\/revisions\/23074"}],"up":[{"embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18545"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=22616"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=22616"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=22616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}