{"id":11053,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/karotis-endarterektomi\/"},"modified":"2026-07-10T15:44:53","modified_gmt":"2026-07-10T12:44:53","slug":"karotis-endarterektomi","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/","title":{"rendered":"Karotis Endarterektomi"},"content":{"rendered":"<p>Karotis endarterektomi, boyundaki \u015fah damar\u0131nda (karotis arter) biriken aterosklerotik plaklar\u0131n cerrahi olarak temizlenmesi i\u015flemidir. Bu operasyon, beyne giden kan ak\u0131\u015f\u0131n\u0131 art\u0131rarak inme riskini azaltmak amac\u0131yla uygulan\u0131r ve genellikle ileri damar darl\u0131klar\u0131nda tercih edilir.<\/p>\n<p>Belirtiler aras\u0131nda ge\u00e7ici g\u00f6rme kayb\u0131, y\u00fcz veya kolda uyu\u015fma, konu\u015fma bozuklu\u011fu gibi ge\u00e7ici iskemik atak bulgular\u0131 yer alabilir. Baz\u0131 hastalarda ise ciddi darl\u0131k, belirti vermeden rutin tetkiklerde saptanabilir.<\/p>\n<p>\u0130\u015flem s\u0131ras\u0131nda boyun b\u00f6lgesinde kesi yap\u0131l\u0131r, damar a\u00e7\u0131larak plak temizlenir ve damar tekrar kapat\u0131l\u0131r. Lokal veya genel anestezi alt\u0131nda uygulanabilir. Deneyimli cerrahi ekip, i\u015flem s\u00fcresince beyin kan ak\u0131m\u0131n\u0131 koruyacak \u00f6nlemler al\u0131r.<\/p>\n<p>Ameliyat sonras\u0131 hastalar genellikle k\u0131sa s\u00fcrede mobilize olur. D\u00fczenli kan suland\u0131r\u0131c\u0131 tedavi, tansiyon kontrol\u00fc ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri ile uzun d\u00f6nemde damar t\u0131kan\u0131kl\u0131\u011f\u0131 riski azalt\u0131l\u0131r.<\/p>\n<table>\n<tbody>\n<tr>\n<td>T\u0131bbi Ad\u0131<\/td>\n<td>Karotis Endarterektomi<\/td>\n<\/tr>\n<tr>\n<td>T\u00fcr\u00fc<\/td>\n<td>Damar cerrahisi<\/td>\n<\/tr>\n<tr>\n<td>Etkilenen Sistem<\/td>\n<td>Kardiyovask\u00fcler sistem \u2013 Serebrovask\u00fcler dola\u015f\u0131m<\/td>\n<\/tr>\n<tr>\n<td>Uygulama Endikasyonlar\u0131<\/td>\n<td>%50\u201399 aras\u0131 karotis darl\u0131\u011f\u0131 olan semptomatik hastalar; %60\u201399 aras\u0131 darl\u0131kla asemptomatik se\u00e7ilmi\u015f hastalar<\/td>\n<\/tr>\n<tr>\n<td>Ama\u00e7<\/td>\n<td>Beyin kan ak\u0131m\u0131n\u0131 d\u00fczeltmek ve inme riskini azaltmak<\/td>\n<\/tr>\n<tr>\n<td>Uygulama Y\u00f6ntemi<\/td>\n<td>Lokal veya genel anestezi alt\u0131nda, karotis arterin a\u00e7\u0131l\u0131p plaklar\u0131n \u00e7\u0131kar\u0131lmas\u0131<\/td>\n<\/tr>\n<tr>\n<td>Alternatif Y\u00f6ntemler<\/td>\n<td>Karotis arter stentleme (CAS), medikal tedavi<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>\u0130nme, sinir hasar\u0131 (\u00f6zellikle y\u00fcz ve dil sinirleri), hematom, infeksiyon, restenoz<\/td>\n<\/tr>\n<tr>\n<td>\u0130zlem<\/td>\n<td>Perioperatif ve uzun d\u00f6nem antiplatelet tedavi, kontrol Doppler USG, hipertansiyon ve lipid kontrol\u00fc<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Nedir\" >Karotis Endarterektomi Nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Gerektiren_Belirtiler_Neler_Olabilir\" >Karotis Endarterektomi Gerektiren Belirtiler Neler Olabilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Hangi_Risk_Faktorleri_Karotis_Endarterektomi_Ameliyati_Ihtimalini_Artirir\" >Hangi Risk Fakt\u00f6rleri Karotis Endarterektomi Ameliyat\u0131 \u0130htimalini Art\u0131r\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Oncesi_Tani_Sureci_Nasil_Isler\" >Karotis Endarterektomi \u00d6ncesi Tan\u0131 S\u00fcreci Nas\u0131l \u0130\u015fler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Basarili_Bir_Karotis_Endarterektomi_Icin_Ameliyat_Hazirligi_Nasil_Yapilmalidir\" >Ba\u015far\u0131l\u0131 Bir Karotis Endarterektomi \u0130\u00e7in Ameliyat Haz\u0131rl\u0131\u011f\u0131 Nas\u0131l Yap\u0131lmal\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Ameliyati_Adim_Adim_Nasil_Yapilir\" >Karotis Endarterektomi Ameliyat\u0131 Ad\u0131m Ad\u0131m Nas\u0131l Yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Ameliyatinin_Kanitlanmis_Faydalari_Nelerdir\" >Karotis Endarterektomi Ameliyat\u0131n\u0131n Kan\u0131tlanm\u0131\u015f Faydalar\u0131 Nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Her_Ameliyat_Gibi_Karotis_Endarterektomi_de_Risk_Tasir_mi\" >Her Ameliyat Gibi Karotis Endarterektomi de Risk Ta\u015f\u0131r m\u0131?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_Endarterektomi_Sonrasi_Iyilesme_Sureci_Genellikle_Nasil_Gecer\" >Karotis Endarterektomi Sonras\u0131 \u0130yile\u015fme S\u00fcreci Genellikle Nas\u0131l Ge\u00e7er?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Sikca_sorulan_sorular\" >S\u0131k\u00e7a sorulan sorular<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_nedir_ve_hangi_hastalarda_uygulanir\" >Karotis endarterektomi nedir ve hangi hastalarda uygulan\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_ameliyati_oncesinde_hangi_testler_yapilir\" >Karotis endarterektomi ameliyat\u0131 \u00f6ncesinde hangi testler yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_ameliyati_nasil_yapilir\" >Karotis endarterektomi ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_ile_karotis_stent_tedavisi_arasinda_nasil_secim_yapilir\" >Karotis endarterektomi ile karotis stent tedavisi aras\u0131nda nas\u0131l se\u00e7im yap\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_ameliyatinin_olasi_riskleri_ve_komplikasyonlari_nelerdir\" >Karotis endarterektomi ameliyat\u0131n\u0131n olas\u0131 riskleri ve komplikasyonlar\u0131 nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_sonrasinda_iyilesme_sureci_nasil_ilerler\" >Karotis endarterektomi sonras\u0131nda iyile\u015fme s\u00fcreci nas\u0131l ilerler?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_sonrasinda_inme_riskini_azaltmak_icin_nelere_dikkat_edilmelidir\" >Karotis endarterektomi sonras\u0131nda inme riskini azaltmak i\u00e7in nelere dikkat edilmelidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_sonrasinda_hangi_belirtiler_acil_tibbi_degerlendirme_gerektirir\" >Karotis endarterektomi sonras\u0131nda hangi belirtiler acil t\u0131bbi de\u011ferlendirme gerektirir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_sonrasinda_damar_yeniden_daralabilir_mi\" >Karotis endarterektomi sonras\u0131nda damar yeniden daralabilir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/dryavuzbesogul.com\/en\/karotis-endarterektomi\/#Karotis_endarterektomi_sonrasinda_duzenli_takip_neden_onemlidir\" >Karotis endarterektomi sonras\u0131nda d\u00fczenli takip neden \u00f6nemlidir?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Nedir\"><\/span>Karotis Endarterektomi Nedir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Karotis endarterektomi, boyundaki \u015fah damarlar\u0131nda (karotis arter) olu\u015fan plaklar\u0131n cerrahi olarak temizlenmesi i\u015flemidir. Bu plaklar, damar daralmas\u0131na yol a\u00e7arak beyne giden kan ak\u0131\u015f\u0131n\u0131 k\u0131s\u0131tlayabilir ve inme riskini art\u0131rabilir. \u00d6zellikle %70\u2019in \u00fczerinde daralma saptanan hastalarda uygulan\u0131r. \u0130\u015flem s\u0131ras\u0131nda damar ge\u00e7ici olarak a\u00e7\u0131l\u0131r, biriken plak \u00e7\u0131kar\u0131l\u0131r ve damar yeniden kapat\u0131l\u0131r. Ba\u015far\u0131 oran\u0131 y\u00fcksektir ve uygun hastalarda inme riskini \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Gerektiren_Belirtiler_Neler_Olabilir\"><\/span>Karotis Endarterektomi Gerektiren Belirtiler Neler Olabilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Karotis arter hastal\u0131\u011f\u0131n\u0131n en sinsi y\u00f6n\u00fc, genellikle hi\u00e7bir belirti vermeden ilerlemesidir. \u00c7o\u011fu zaman, ilk i\u015faret ne yaz\u0131k ki &#8220;ge\u00e7ici iskemik atak&#8221; (G\u0130A) ya da halk aras\u0131ndaki deyi\u015fle &#8220;mini-inme&#8221; olur. Mini-inme, yakla\u015fan b\u00fcy\u00fck ve kal\u0131c\u0131 bir inmenin en ciddi habercisidir ve asla g\u00f6z ard\u0131 edilmemelidir. Bu uyar\u0131 i\u015faretleri aniden ortaya \u00e7\u0131kar ve genellikle birka\u00e7 dakika i\u00e7inde kendili\u011finden d\u00fczelir. Bu belirtilerden herhangi birini ya\u015faman\u0131z durumunda, derhal t\u0131bbi yard\u0131m alman\u0131z hayati \u00f6nem ta\u015f\u0131r. Bu belirtiler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">V\u00fccudun bir taraf\u0131nda uyu\u015fma<\/li>\n<li aria-level=\"1\">Y\u00fczde, kolda veya bacakta ani g\u00fc\u00e7 kayb\u0131<\/li>\n<li aria-level=\"1\">Konu\u015fmada bozulma veya peltekle\u015fme<\/li>\n<li aria-level=\"1\">S\u00f6ylenenleri anlama g\u00fc\u00e7l\u00fc\u011f\u00fc<\/li>\n<li aria-level=\"1\">Tek g\u00f6zde aniden perde inmesi hissi<\/li>\n<li aria-level=\"1\">Bulan\u0131k veya \u00e7ift g\u00f6rme<\/li>\n<li aria-level=\"1\">Ani ba\u015f d\u00f6nmesi<\/li>\n<li aria-level=\"1\">Dengeyi sa\u011flayamama<\/li>\n<li aria-level=\"1\">Bilinen bir nedeni olmayan, \u015fiddetli ve ani ba\u015f a\u011fr\u0131s\u0131<\/li>\n<\/ul>\n<p>Bu belirtileri &#8220;geldi ve ge\u00e7ti&#8221; diyerek \u00f6nemsememek, yap\u0131labilecek en b\u00fcy\u00fck hatalardan biridir. Her bir G\u0130A, beyninizin yard\u0131m \u00e7a\u011fr\u0131s\u0131d\u0131r ve kal\u0131c\u0131 bir hasar\u0131 \u00f6nlemek i\u00e7in karotis endarterektomi gibi m\u00fcdahalelerin acilen de\u011ferlendirilmesini gerektiren bir t\u0131bbi acil durumdur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Hangi_Risk_Faktorleri_Karotis_Endarterektomi_Ameliyati_Ihtimalini_Artirir\"><\/span>Hangi Risk Fakt\u00f6rleri Karotis Endarterektomi Ameliyat\u0131 \u0130htimalini Art\u0131r\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Damar sertli\u011fi ve dolay\u0131s\u0131yla karotis arter hastal\u0131\u011f\u0131, bir gecede ortaya \u00e7\u0131kmaz. Y\u0131llar i\u00e7inde biriken baz\u0131 risk fakt\u00f6rlerinin bir sonucudur. Bu fakt\u00f6rlerin bir k\u0131sm\u0131n\u0131 kontrol edebiliriz, bir k\u0131sm\u0131 ise kontrol\u00fcm\u00fcz d\u0131\u015f\u0131ndad\u0131r. Bu riskleri bilmek, hem hastal\u0131ktan korunmak hem de karotis endarterektomi gibi bir m\u00fcdahaleye giden s\u00fcreci yava\u015flatmak i\u00e7in at\u0131lacak ad\u0131mlar\u0131 belirlememizi sa\u011flar.<\/p>\n<p>Kontrol edebilece\u011fimiz, yani ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri ve t\u0131bbi tedavi ile y\u00f6netebilece\u011fimiz risk fakt\u00f6rleri bulunur:<\/p>\n<ul>\n<li aria-level=\"1\">Y\u00fcksek tansiyon (Hipertansiyon)<\/li>\n<li aria-level=\"1\">Y\u00fcksek kolesterol (Hiperlipidemi)<\/li>\n<li aria-level=\"1\">Sigara ve t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131<\/li>\n<li aria-level=\"1\">Diyabet (\u015eeker hastal\u0131\u011f\u0131)<\/li>\n<li aria-level=\"1\">Fazla kilo ve obezite<\/li>\n<li aria-level=\"1\">Hareketsiz ya\u015fam tarz\u0131<\/li>\n<li aria-level=\"1\">Sa\u011fl\u0131ks\u0131z beslenme al\u0131\u015fkanl\u0131klar\u0131<\/li>\n<li aria-level=\"1\">Tedavi edilmemi\u015f uyku apnesi<\/li>\n<\/ul>\n<p>Bu fakt\u00f6rler damar duvarlar\u0131na s\u00fcrekli zarar vererek plak olu\u015fumunu h\u0131zland\u0131r\u0131r. Sigaray\u0131 b\u0131rakmak, tuzu azaltmak, sa\u011fl\u0131kl\u0131 beslenmek ve d\u00fczenli egzersiz yapmak, bu riskleri y\u00f6netmenin temelini olu\u015fturur.<\/p>\n<p>Bir de maalesef de\u011fi\u015ftiremeyece\u011fimiz, do\u011fu\u015ftan gelen veya zamanla ortaya \u00e7\u0131kan risk fakt\u00f6rleri vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">\u0130leri ya\u015f<\/li>\n<li aria-level=\"1\">Erkek cinsiyeti (menopoz sonras\u0131 kad\u0131nlarda risk e\u015fitlenir)<\/li>\n<li aria-level=\"1\">Ailede erken ya\u015fta damar hastal\u0131\u011f\u0131 veya inme \u00f6yk\u00fcs\u00fc<\/li>\n<\/ul>\n<p>Bu de\u011fi\u015ftirilemeyen fakt\u00f6rlere sahip olmak, di\u011fer kontrol edilebilir risklere kar\u015f\u0131 \u00e7ok daha dikkatli olmay\u0131 gerektirir. Unutmay\u0131n karotis endarterektomi ameliyat\u0131 t\u0131kal\u0131 damar\u0131 temizlese de bu risk fakt\u00f6rleri y\u00f6netilmezse v\u00fccudun di\u011fer damarlar\u0131nda sorunlar \u00e7\u0131kmaya devam edecektir. Bu nedenle tedavi bir b\u00fct\u00fcnd\u00fcr.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Oncesi_Tani_Sureci_Nasil_Isler\"><\/span>Karotis Endarterektomi \u00d6ncesi Tan\u0131 S\u00fcreci Nas\u0131l \u0130\u015fler?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bir karotis endarterektomi ameliyat\u0131na karar verilmeden \u00f6nce, darl\u0131\u011f\u0131n yeri, derecesi ve yap\u0131s\u0131 hakk\u0131nda net bir &#8220;yol haritas\u0131&#8221; \u00e7izilmesi gerekir. Tan\u0131 s\u00fcreci, hastay\u0131 hi\u00e7 yormayan, a\u011fr\u0131s\u0131z ve basit ad\u0131mlardan olu\u015fur.<\/p>\n<p>Her \u015fey bir doktor muayenesiyle ba\u015flar. Doktorunuz, stetoskop ile boynunuzu dinledi\u011finde, daralm\u0131\u015f bir damardan ge\u00e7en kan\u0131n \u00e7\u0131kard\u0131\u011f\u0131 anormal, f\u0131s\u0131lt\u0131ya benzer bir ses olan &#8220;\u00fcf\u00fcr\u00fcm&#8221; duyabilir. Bu bir \u015f\u00fcphe uyand\u0131r\u0131r ve daha ileri tetkikler i\u00e7in bir i\u015farettir.<\/p>\n<p>Tan\u0131daki en \u00f6nemli ve &#8220;alt\u0131n standart&#8221; kabul edilen y\u00f6ntem Karotis Renkli Doppler Ultrasonografi&#8217;dir. Bu test s\u0131ras\u0131nda boynunuza s\u00fcr\u00fclen so\u011fuk bir jel \u00fczerine gezdirilen k\u00fc\u00e7\u00fck bir cihazla, ses dalgalar\u0131 kullan\u0131larak damarlar\u0131n\u0131z\u0131n net bir g\u00f6r\u00fcnt\u00fcs\u00fc elde edilir. Kan ak\u0131\u015f\u0131n\u0131n h\u0131z\u0131 \u00f6l\u00e7\u00fcl\u00fcr; dar bir noktadan ge\u00e7en kan h\u0131zlanaca\u011f\u0131 i\u00e7in, bu h\u0131z \u00f6l\u00e7\u00fcm\u00fc darl\u0131\u011f\u0131n y\u00fczde ka\u00e7 oldu\u011funu b\u00fcy\u00fck bir do\u011frulukla ortaya koyar. Bu test genellikle tan\u0131 i\u00e7in yeterlidir.<\/p>\n<p>Baz\u0131 durumlarda, cerrahinin daha detayl\u0131 planlanmas\u0131 i\u00e7in ek testlere ihtiya\u00e7 duyulabilir.<\/p>\n<ul>\n<li>Bilgisayarl\u0131 Tomografi Anjiyografi (BTA): Kolunuzdan verilen bir boyal\u0131 madde (kontrast madde) ile damarlar\u0131n\u0131z\u0131n \u00fc\u00e7 boyutlu filmi \u00e7ekilir. Bu pla\u011f\u0131n kire\u00e7lenme derecesini ve damar\u0131n anatomisini \u00e7ok net g\u00f6sterir.<\/li>\n<li>Manyetik Rezonans Anjiyografi (MRA): Manyetik alan kullan\u0131larak yap\u0131lan bu test, \u00f6zellikle pla\u011f\u0131n &#8220;k\u0131r\u0131lgan&#8221; olup olmad\u0131\u011f\u0131n\u0131, yani i\u00e7inde kanama veya yumu\u015fak, kopmaya meyilli alanlar olup olmad\u0131\u011f\u0131n\u0131 anlamada \u00e7ok de\u011ferlidir.<\/li>\n<\/ul>\n<p>Bu testler sayesinde cerrah\u0131n\u0131z, sadece darl\u0131\u011f\u0131n y\u00fczdesine de\u011fil ayn\u0131 zamanda pla\u011f\u0131n ne kadar &#8220;tehlikeli&#8221; oldu\u011funa da bakarak, sizin i\u00e7in en do\u011fru tedavi karar\u0131n\u0131 verir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Basarili_Bir_Karotis_Endarterektomi_Icin_Ameliyat_Hazirligi_Nasil_Yapilmalidir\"><\/span>Ba\u015far\u0131l\u0131 Bir Karotis Endarterektomi \u0130\u00e7in Ameliyat Haz\u0131rl\u0131\u011f\u0131 Nas\u0131l Yap\u0131lmal\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Karotis endarterektomi ameliyat\u0131n\u0131n ba\u015far\u0131s\u0131, sadece cerrah\u0131n yetene\u011fine de\u011fil ayn\u0131 zamanda ameliyat \u00f6ncesinde yap\u0131lan dikkatli haz\u0131rl\u0131klara da ba\u011fl\u0131d\u0131r. Bu s\u00fcre\u00e7 sizin ve cerrahi ekibin bir ortakl\u0131\u011f\u0131d\u0131r ve g\u00fcvenli\u011finizi en \u00fcst d\u00fczeye \u00e7\u0131karmay\u0131 hedefler. Haz\u0131rl\u0131k a\u015famas\u0131nda sizden beklenen baz\u0131 \u00f6nemli ad\u0131mlar vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">T\u00fcm sa\u011fl\u0131k durumunuzun de\u011ferlendirilmesi<\/li>\n<li aria-level=\"1\">Rutin kan testleri<\/li>\n<li aria-level=\"1\">Kalp sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 g\u00f6steren bir EKG (Elektrokardiyogram) \u00e7ekimi<\/li>\n<li aria-level=\"1\">Akci\u011fer filmi veya solunum testleri<\/li>\n<li aria-level=\"1\">Kulland\u0131\u011f\u0131n\u0131z t\u00fcm ila\u00e7lar\u0131n, bitkisel takviyelerin ve vitaminlerin listesini doktorunuza eksiksiz bildirmek<\/li>\n<li aria-level=\"1\">Kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131n ne zaman ve nas\u0131l kesilece\u011fi konusunda doktorunuzun talimatlar\u0131na tam uymak<\/li>\n<li aria-level=\"1\">Ameliyattan en az birka\u00e7 hafta \u00f6nce sigaray\u0131 tamamen b\u0131rakmak<\/li>\n<li aria-level=\"1\">Ameliyat sabah\u0131 size s\u00f6ylenen saatten sonra hi\u00e7bir \u015fey yiyip i\u00e7memek<\/li>\n<\/ul>\n<p>Bu haz\u0131rl\u0131k ad\u0131mlar\u0131n\u0131 \u00f6zenle takip etmeniz, anestezi risklerini azalt\u0131r, yara iyile\u015fmesini h\u0131zland\u0131r\u0131r ve ameliyat\u0131n en g\u00fcvenli ko\u015fullarda ger\u00e7ekle\u015fmesine yard\u0131mc\u0131 olur.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Ameliyati_Adim_Adim_Nasil_Yapilir\"><\/span>Karotis Endarterektomi Ameliyat\u0131 Ad\u0131m Ad\u0131m Nas\u0131l Yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bir karotis endarterektomi ameliyat\u0131 deneyimli bir cerrah\u0131n elinde, her ad\u0131m\u0131 \u00f6zenle planlanm\u0131\u015f, yakla\u015f\u0131k bir ila iki saat s\u00fcren hassas bir i\u015flemdir. Ameliyat masas\u0131nda neler oldu\u011funu bilmek, endi\u015felerinizi azaltabilir.<\/p>\n<p>S\u00fcre\u00e7 anestezi uzman\u0131n\u0131n sizi uyutmas\u0131 (genel anestezi) veya sadece boyun b\u00f6lgenizi uyu\u015fturmas\u0131 (b\u00f6lgesel anestezi) ile ba\u015flar. Cerrah, boynunuzun yan taraf\u0131nda, cildin do\u011fal k\u0131vr\u0131mlar\u0131na paralel, yakla\u015f\u0131k 8-10 cm&#8217;lik bir kesi yapar. Bu kesi, estetik olarak en iyi \u015fekilde iyile\u015fecek \u015fekilde planlan\u0131r.<\/p>\n<p>Cerrah, dikkatli bir \u015fekilde doku katmanlar\u0131n\u0131 ge\u00e7erek \u015fah damar\u0131na ula\u015f\u0131r. Bu b\u00f6lgede y\u00fcze, dile ve ses tellerine giden \u00f6nemli sinirler bulunur. Bu sinirler \u00f6zenle tan\u0131n\u0131r ve ameliyat boyunca zarar g\u00f6rmemeleri i\u00e7in korunur.<\/p>\n<p>Damar temizli\u011fi s\u0131ras\u0131nda kanamay\u0131 ve p\u0131ht\u0131 atmas\u0131n\u0131 \u00f6nlemek i\u00e7in, damara ge\u00e7ici olarak \u00f6zel cerrahi aletler olan &#8220;klempler&#8221; konulur. Bu s\u0131rada beynin kans\u0131z kalmamas\u0131 i\u00e7in, baz\u0131 durumlarda &#8220;\u015fant&#8221; ad\u0131 verilen ince bir t\u00fcp ile kan ak\u0131\u015f\u0131 ge\u00e7ici olarak ba\u015fka bir yoldan devam ettirilir.<\/p>\n<p>Damar g\u00fcvene al\u0131nd\u0131ktan sonra, cerrah damar duvar\u0131n\u0131 longit\u00fcdinal olarak a\u00e7ar ve i\u00e7indeki pla\u011f\u0131, damar\u0131n i\u00e7 y\u00fczeyinden dikkatlice soyarak bir b\u00fct\u00fcn halinde \u00e7\u0131kar\u0131r. Ama\u00e7 geride p\u00fcr\u00fczs\u00fcz ve temiz bir y\u00fczey b\u0131rakmakt\u0131r.<\/p>\n<p>Plak temizlendikten sonra damar, genellikle sentetik bir materyalden veya hastan\u0131n kendi bacak damar\u0131ndan al\u0131nan bir par\u00e7ayla &#8220;yama&#8221; yap\u0131larak onar\u0131l\u0131r. Bu yama, damar\u0131n onar\u0131lan yerde tekrar daralmas\u0131n\u0131 \u00f6nler ve daha geni\u015f bir kan ak\u0131\u015f yolu sa\u011flar. Onar\u0131m tamamland\u0131ktan sonra klempler kald\u0131r\u0131l\u0131r, kan ak\u0131\u015f\u0131 yeniden sa\u011flan\u0131r ve kesi katmanlar halinde kapat\u0131l\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Ameliyatinin_Kanitlanmis_Faydalari_Nelerdir\"><\/span>Karotis Endarterektomi Ameliyat\u0131n\u0131n Kan\u0131tlanm\u0131\u015f Faydalar\u0131 Nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Karotis endarterektomi ameliyat\u0131 keyfi bir i\u015flem de\u011fil faydas\u0131 on y\u0131llard\u0131r yap\u0131lan b\u00fcy\u00fck bilimsel \u00e7al\u0131\u015fmalarla net bir \u015fekilde kan\u0131tlanm\u0131\u015f, hayat kurtar\u0131c\u0131 bir m\u00fcdahaledir. Bu ameliyat\u0131n en b\u00fcy\u00fck ve tart\u0131\u015fmas\u0131z faydas\u0131, gelecekteki inme riskini ciddi oranda azaltmas\u0131d\u0131r.<\/p>\n<p>\u00d6zellikle daha \u00f6nce mini-inme (G\u0130A) veya hafif bir fel\u00e7 ge\u00e7irmi\u015f ve \u015fah damar\u0131nda %70&#8217;in \u00fczerinde darl\u0131k olan hastalarda fayda en \u00fcst d\u00fczeydedir. Yap\u0131lan \u00e7al\u0131\u015fmalar bu hasta grubunda ameliyat\u0131n, sadece ila\u00e7 tedavisine k\u0131yasla 5 y\u0131l i\u00e7inde inme ge\u00e7irme riskini mutlak olarak %16 azaltt\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Bu rakam\u0131 somutla\u015ft\u0131rmak gerekirse, bu durumdaki her 6-7 hastadan birinin, ameliyat sayesinde \u00f6n\u00fcm\u00fczdeki 5 y\u0131l i\u00e7inde ya\u015fayaca\u011f\u0131 b\u00fcy\u00fck ve y\u0131k\u0131c\u0131 bir inmeden kurtuldu\u011fu anlam\u0131na gelir.<\/p>\n<p>Hi\u00e7bir belirti vermemi\u015f ancak tarama s\u0131ras\u0131nda tesad\u00fcfen ciddi darl\u0131\u011f\u0131 saptanan hastalarda da ameliyat\u0131n faydas\u0131 vard\u0131r. Ancak bu durumda karar\u0131n daha hassas verilmesi gerekir. Ameliyat\u0131n faydas\u0131n\u0131n risklerinden daha a\u011f\u0131r basmas\u0131 i\u00e7in, operasyonun yap\u0131ld\u0131\u011f\u0131 merkezin ve cerrah\u0131n bu ameliyattaki komplikasyon oran\u0131n\u0131n \u00e7ok d\u00fc\u015f\u00fck (%3&#8217;\u00fcn alt\u0131nda) olmas\u0131 kritik bir \u015fartt\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Her_Ameliyat_Gibi_Karotis_Endarterektomi_de_Risk_Tasir_mi\"><\/span>Her Ameliyat Gibi Karotis Endarterektomi de Risk Ta\u015f\u0131r m\u0131?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>T\u0131ptaki her etkili m\u00fcdahale gibi, karotis endarterektomi ameliyat\u0131n\u0131n da potansiyel riskleri vard\u0131r. \u00d6nemli olan bu risklerin, ameliyat\u0131n sa\u011flad\u0131\u011f\u0131 inmeden korunma gibi devasa bir fayda kar\u015f\u0131s\u0131nda ne kadar d\u00fc\u015f\u00fck oldu\u011funu bilmektir. Deneyimli bir merkezde, bu riskler en aza indirilmi\u015ftir. Olas\u0131 komplikasyonlar\u0131 a\u00e7\u0131k\u00e7a konu\u015fmak, do\u011fru karar\u0131 vermenize yard\u0131mc\u0131 olur.<\/p>\n<p>En \u00e7ok endi\u015fe edilen ancak nadir g\u00f6r\u00fclen maj\u00f6r riskler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">\u0130nme (Ameliyat s\u0131ras\u0131 veya sonras\u0131)<\/li>\n<li aria-level=\"1\">Kalp krizi<\/li>\n<li aria-level=\"1\">\u00d6l\u00fcm (Mortalite)<\/li>\n<\/ul>\n<p>Deneyimli merkezlerde bu ciddi komplikasyonlar\u0131n toplam oran\u0131, belirti vermi\u015f hastalar i\u00e7in bile %2-5 aral\u0131\u011f\u0131ndad\u0131r ve genellikle %1&#8217;in alt\u0131ndad\u0131r.<\/p>\n<p>Daha s\u0131k g\u00f6r\u00fclebilen ancak genellikle ge\u00e7ici olan min\u00f6r komplikasyonlar da mevcuttur:<\/p>\n<ul>\n<li aria-level=\"1\">Yara yerinde kanama (hematom)<\/li>\n<li aria-level=\"1\">Enfeksiyon<\/li>\n<li aria-level=\"1\">Ge\u00e7ici sinir hasar\u0131 (ses k\u0131s\u0131kl\u0131\u011f\u0131, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, dilde kayma)<\/li>\n<li aria-level=\"1\">Damarda yeniden daralma (restenoz)<\/li>\n<\/ul>\n<p>Bu min\u00f6r komplikasyonlar\u0131n \u00e7o\u011fu, haftalar veya aylar i\u00e7inde kendili\u011finden tamamen d\u00fczelir. Cerrah\u0131n\u0131z, sizin ki\u015fisel sa\u011fl\u0131k durumunuza g\u00f6re bu riskleri de\u011ferlendirecek ve bunlar\u0131 \u00f6nlemek i\u00e7in al\u0131nan t\u00fcm tedbirleri size detayl\u0131 olarak anlatacakt\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Karotis_Endarterektomi_Sonrasi_Iyilesme_Sureci_Genellikle_Nasil_Gecer\"><\/span>Karotis Endarterektomi Sonras\u0131 \u0130yile\u015fme S\u00fcreci Genellikle Nas\u0131l Ge\u00e7er?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hastalar\u0131n en \u00e7ok \u015fa\u015f\u0131rd\u0131\u011f\u0131 konulardan biri, bu kadar \u00f6nemli bir ameliyattan sonra iyile\u015fmenin ne kadar h\u0131zl\u0131 ve konforlu oldu\u011fudur. Modern cerrahi ve anestezi teknikleri sayesinde, \u00e7o\u011fu hasta normal hayat\u0131na \u00e7ok k\u0131sa bir s\u00fcrede d\u00f6nebilir.<\/p>\n<p>Ameliyat sonras\u0131 genellikle hastanede sadece bir gece kalman\u0131z yeterlidir. Ertesi g\u00fcn kendinizi iyi hissediyorsan\u0131z, evinize taburcu edilebilirsiniz. Boynunuzdaki kesi yerinde hafif bir a\u011fr\u0131 ve \u015fi\u015flik olmas\u0131 normaldir ve bu durum basit a\u011fr\u0131 kesicilerle kolayca kontrol alt\u0131na al\u0131n\u0131r. Kesi \u00e7evresinde ve \u00e7ene alt\u0131nda bir s\u00fcre uyu\u015fukluk hissetmek de s\u0131k g\u00f6r\u00fclen ve zamanla d\u00fczelen bir durumdur.<\/p>\n<p>Eve d\u00f6nd\u00fckten sonra dikkat etmeniz gereken baz\u0131 basit noktalar iyile\u015fmenizi h\u0131zland\u0131racakt\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Kesi yerini kuru ve temiz tutmak<\/li>\n<li aria-level=\"1\">Du\u015f alabilirsiniz, ancak kesiyi ovalamamak<\/li>\n<li aria-level=\"1\">Birka\u00e7 hafta a\u011f\u0131r kald\u0131rmaktan ka\u00e7\u0131nmak<\/li>\n<li aria-level=\"1\">Boynunuzu rahat\u00e7a \u00e7evirebildi\u011finizde araba kullanmaya ba\u015flamak (genellikle 1-2 hafta)<\/li>\n<li aria-level=\"1\">Doktorunuzun verdi\u011fi ila\u00e7lar\u0131 d\u00fczenli kullanmak<\/li>\n<li aria-level=\"1\">Kontrol randevular\u0131n\u0131 aksatmamak<\/li>\n<\/ul>\n<p>\u00c7o\u011fu hasta, ameliyattan sonraki bir veya iki hafta i\u00e7inde normal g\u00fcnl\u00fck aktivitelerine ve sosyal ya\u015fam\u0131na tamamen geri d\u00f6nebilir. Ameliyat sonras\u0131 en \u00f6nemli takip, belirli aral\u0131klarla yap\u0131lacak olan boyun ultrasonudur. Bu kontroller, hem ameliyat edilen damar\u0131n hem de kar\u015f\u0131 damar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 g\u00fcvence alt\u0131na al\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Sikca_sorulan_sorular\"><\/span>S\u0131k\u00e7a sorulan sorular<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div class=\"accordion\">\n\t<div id=\"accordion-4224259036\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4224259036-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-nedir-ve-hangi-hastalarda-uygulan\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-4224259036-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_nedir_ve_hangi_hastalarda_uygulanir\"><\/span>Karotis endarterektomi nedir ve hangi hastalarda uygulan\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4224259036-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4224259036-label\">\n\t\t\t\nKarotis endarterektomi, \u015fah damar\u0131ndaki aterosklerotik plaklar\u0131n cerrahi olarak \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 bir ameliyatt\u0131r. \u0130nme riski y\u00fcksek olan, belirgin karotis darl\u0131\u011f\u0131 bulunan veya ge\u00e7ici iskemik atak ge\u00e7iren hastalarda uygulanabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1834921870\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1834921870-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-ameliyat\u0131-\u00f6ncesinde-hangi-testler-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-1834921870-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_ameliyati_oncesinde_hangi_testler_yapilir\"><\/span>Karotis endarterektomi ameliyat\u0131 \u00f6ncesinde hangi testler yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1834921870-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1834921870-label\">\n\t\t\t\nAmeliyat \u00f6ncesinde Doppler ultrason, BT anjiyografi, MR anjiyografi ve gerekti\u011finde klasik anjiyografi uygulanabilir. Bu incelemeler damar darl\u0131\u011f\u0131n\u0131n derecesini belirleyerek en uygun tedavi plan\u0131n\u0131n olu\u015fturulmas\u0131na yard\u0131mc\u0131 olur.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1482379372\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1482379372-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-ameliyat\u0131-nas\u0131l-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-1482379372-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_ameliyati_nasil_yapilir\"><\/span>Karotis endarterektomi ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1482379372-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1482379372-label\">\n\t\t\t\nAmeliyatta boyun b\u00f6lgesine yap\u0131lan k\u00fc\u00e7\u00fck bir kesiyle \u015fah damar\u0131na ula\u015f\u0131l\u0131r. Damar ge\u00e7ici olarak kontrol alt\u0131na al\u0131n\u0131r, plak dikkatlice \u00e7\u0131kar\u0131l\u0131r ve damar uygun teknikle kapat\u0131larak beyne giden kan ak\u0131\u015f\u0131n\u0131n iyile\u015ftirilmesi hedeflenir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3263015707\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3263015707-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-ile-karotis-stent-tedavisi-aras\u0131nda-nas\u0131l-se\u00e7im-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3263015707-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_ile_karotis_stent_tedavisi_arasinda_nasil_secim_yapilir\"><\/span>Karotis endarterektomi ile karotis stent tedavisi aras\u0131nda nas\u0131l se\u00e7im yap\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3263015707-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3263015707-label\">\n\t\t\t\nTedavi se\u00e7imi darl\u0131\u011f\u0131n derecesi, hastan\u0131n ya\u015f\u0131, genel sa\u011fl\u0131k durumu ve anatomik \u00f6zelliklerine g\u00f6re belirlenir. Baz\u0131 hastalarda cerrahi \u00f6n plandayken, y\u00fcksek cerrahi risk ta\u015f\u0131yan ki\u015filerde stent tedavisi uygun olabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2445597080\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2445597080-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-ameliyat\u0131n\u0131n-olas\u0131-riskleri-ve-komplikasyonlar\u0131-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-2445597080-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_ameliyatinin_olasi_riskleri_ve_komplikasyonlari_nelerdir\"><\/span>Karotis endarterektomi ameliyat\u0131n\u0131n olas\u0131 riskleri ve komplikasyonlar\u0131 nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2445597080-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2445597080-label\">\n\t\t\t\nHer cerrahi i\u015flemde oldu\u011fu gibi kanama, enfeksiyon, sinir yaralanmas\u0131, inme, kalp krizi ve yeniden damar daralmas\u0131 gibi komplikasyonlar g\u00f6r\u00fclebilir. Risk d\u00fczeyi hastan\u0131n genel sa\u011fl\u0131k durumu ve ek hastal\u0131klar\u0131na g\u00f6re de\u011fi\u015febilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1534243823\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1534243823-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-sonras\u0131nda-iyile\u015fme-s\u00fcreci-nas\u0131l-ilerler?\" aria-expanded=\"false\" aria-controls=\"accordion-1534243823-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_sonrasinda_iyilesme_sureci_nasil_ilerler\"><\/span>Karotis endarterektomi sonras\u0131nda iyile\u015fme s\u00fcreci nas\u0131l ilerler?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1534243823-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1534243823-label\">\n\t\t\t\nHastalar genellikle k\u0131sa s\u00fcre hastanede takip edilir. Yara bak\u0131m\u0131na dikkat edilmesi, ila\u00e7lar\u0131n d\u00fczenli kullan\u0131lmas\u0131, tansiyon kontrol\u00fcn\u00fcn sa\u011flanmas\u0131 ve doktor kontrollerinin aksat\u0131lmamas\u0131 iyile\u015fmeyi olumlu y\u00f6nde destekler.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1450161569\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1450161569-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-sonras\u0131nda-inme-riskini-azaltmak-i\u00e7in-nelere-dikkat-edilmelidir?\" aria-expanded=\"false\" aria-controls=\"accordion-1450161569-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_sonrasinda_inme_riskini_azaltmak_icin_nelere_dikkat_edilmelidir\"><\/span>Karotis endarterektomi sonras\u0131nda inme riskini azaltmak i\u00e7in nelere dikkat edilmelidir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1450161569-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1450161569-label\">\n\t\t\t\nSigaran\u0131n b\u0131rak\u0131lmas\u0131, tansiyon, kolesterol ve diyabetin kontrol alt\u0131nda tutulmas\u0131, sa\u011fl\u0131kl\u0131 beslenme, d\u00fczenli egzersiz yap\u0131lmas\u0131 ve re\u00e7ete edilen kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131n d\u00fczenli kullan\u0131lmas\u0131 inme riskini azaltmaya yard\u0131mc\u0131 olabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1169205300\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1169205300-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-sonras\u0131nda-hangi-belirtiler-acil-t\u0131bbi-de\u011ferlendirme-gerektirir?\" aria-expanded=\"false\" aria-controls=\"accordion-1169205300-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_sonrasinda_hangi_belirtiler_acil_tibbi_degerlendirme_gerektirir\"><\/span>Karotis endarterektomi sonras\u0131nda hangi belirtiler acil t\u0131bbi de\u011ferlendirme gerektirir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1169205300-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1169205300-label\">\n\t\t\t\nAni konu\u015fma bozuklu\u011fu, y\u00fcz veya kol-bacakta g\u00fc\u00e7s\u00fczl\u00fck, g\u00f6rme kayb\u0131, \u015fiddetli ba\u015f a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, kontrol edilemeyen kanama veya boyunda h\u0131zla artan \u015fi\u015flik geli\u015fmesi acil sa\u011fl\u0131k hizmeti gerektirir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-133887179\" class=\"accordion-item\">\n\t\t<a id=\"accordion-133887179-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-sonras\u0131nda-damar-yeniden-daralabilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-133887179-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_sonrasinda_damar_yeniden_daralabilir_mi\"><\/span>Karotis endarterektomi sonras\u0131nda damar yeniden daralabilir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-133887179-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-133887179-label\">\n\t\t\t\nBa\u015far\u0131l\u0131 ameliyat sonras\u0131nda yeniden daralma riski d\u00fc\u015f\u00fck olsa da tamamen ortadan kalkmaz. D\u00fczenli Doppler ultrason kontrolleri ve risk fakt\u00f6rlerinin kontrol\u00fc olas\u0131 darl\u0131klar\u0131n erken d\u00f6nemde tespit edilmesini sa\u011flar.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2989630433\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2989630433-label\" class=\"accordion-title plain\" href=\"#accordion-item-karotis-endarterektomi-sonras\u0131nda-d\u00fczenli-takip-neden-\u00f6nemlidir?\" aria-expanded=\"false\" aria-controls=\"accordion-2989630433-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Karotis_endarterektomi_sonrasinda_duzenli_takip_neden_onemlidir\"><\/span>Karotis endarterektomi sonras\u0131nda d\u00fczenli takip neden \u00f6nemlidir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2989630433-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2989630433-label\">\n\t\t\t\nD\u00fczenli kontroller sayesinde \u015fah damar\u0131n\u0131n a\u00e7\u0131kl\u0131\u011f\u0131, beyin dola\u015f\u0131m\u0131 ve tedavinin etkinli\u011fi de\u011ferlendirilir. Olas\u0131 komplikasyonlar erken d\u00f6nemde belirlenerek gerekli m\u00fcdahaleler zaman\u0131nda planlanabilir.<br \/>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Karotis endarterektomi, boyundaki \u015fah damar\u0131nda (karotis arter) biriken aterosklerotik plaklar\u0131n cerrahi olarak temizlenmesi i\u015flemidir. Bu operasyon, beyne giden kan ak\u0131\u015f\u0131n\u0131 art\u0131rarak inme riskini azaltmak amac\u0131yla uygulan\u0131r ve genellikle ileri damar darl\u0131klar\u0131nda tercih edilir. Belirtiler aras\u0131nda ge\u00e7ici g\u00f6rme kayb\u0131, y\u00fcz veya kolda uyu\u015fma, konu\u015fma bozuklu\u011fu gibi ge\u00e7ici iskemik atak bulgular\u0131 yer alabilir. Baz\u0131 hastalarda ise ciddi [&#8230;]\n","protected":false},"author":7,"featured_media":9609,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-11053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=11053"}],"version-history":[{"count":3,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11053\/revisions"}],"predecessor-version":[{"id":15024,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11053\/revisions\/15024"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9609"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}