{"id":12304,"date":"2024-03-09T19:28:12","date_gmt":"2024-03-09T19:28:12","guid":{"rendered":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/politique\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie"},"modified":"2024-03-09T21:10:20","modified_gmt":"2024-03-09T21:10:20","slug":"avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie","title":{"rendered":"AVC : pas d\u2019oreiller sous la t\u00eate avant une thrombectomie"},"content":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. <\/strong><\/span>Le diable se situe toujours dans les de\u0301tails, y compris dans la prise en charge des accidents vasculaires ce\u0301re\u0301braux (AVC).<\/p>\n

Une e\u0301tude pour le moins originale re\u0301cemment pre\u0301sente\u0301e a\u0300 une confe\u0301rence internationale se de\u0301roulant a\u0300 Phoenix (Etats-Unis) a eu l\u2019ide\u0301e d\u2019e\u0301valuer le ro\u0302le du positionnement de la te\u0302te chez des patients pre\u0301sentant un AVC ische\u0301mique, les plus fre\u0301quents (80%), ceux se produisant quand une arte\u0300re ce\u0301re\u0301brale se bouche, un me\u0301canisme diffe\u0301rent des AVC he\u0301morragiques, en lien eux par exemple avec une rupture d\u2019ane\u0301vrisme.<\/p>\n

AVC et horizontalite\u0301 prolonge\u0301e<\/b><\/p>\n

Les chercheurs se sont ici inte\u0301resse\u0301s a\u0300 la position de la te\u0302te du patient entre son arrive\u0301e aux urgences et le transfert vers un centre de radiologie interventionnelle pour la re\u0301alisation de la thrombectomie, le geste me\u0301canique associe\u0301 a\u0300 la thrombolyse, consistant a\u0300 aller chercher le caillot pour l\u2019extraire.<\/p>\n

Ils ont eu l\u2019ide\u0301e de comparer deux groupes de malades, ceux avec et sans oreiller dispose\u0301 sous leur te\u0302te, pendant l\u2019attente de la thrombectomie. Les scientifiques ont pour la premie\u0300re fois mene\u0301 un essai clinique randomise\u0301 aupre\u0300s de 92 patients re\u0301partis dans 12 centres diffe\u0301rents a\u0300 travers les Etats Unis.<\/p>\n

Et leur e\u0301tude dite ZODIAC ( ZerO Degree head positionning In Acute large vessel) a utilise\u0301 dans les deux groupes une e\u0301chelle (National Institutes of Health Stroke Scale, NIHSS) e\u0301valuant re\u0301gulie\u0300rement la conscience, la vision, la parole, le de\u0301ficit moteur et sensitif.<\/p>\n

\u201cUne man\u0153uvre de sauvetage, pas un traitement\u201d<\/b><\/p>\n

A lire les premiers re\u0301sultats de ZODIAC pre\u0301sente\u0301s oralement a\u0300 Phe\u0301nix mais non encore publie\u0301s dans une revue, il semble que les re\u0301sultats soient meilleurs en cas de position horizontale de la te\u0302te (0\u00b0) en comparaison a\u0300 celle du groupe \u201coreiller\u201d, l\u2019horizontalite\u0301 prolonge\u0301e assurant ainsi un meilleur flux sanguin au niveau des vaisseaux ce\u0301re\u0301braux.<\/p>\n

\u201cLe positionnement de la te\u0302te a\u0300 0\u00b0 n\u2019est e\u0301videmment pas un traitement de l\u2019AVC , a re\u0301agi l\u2019auteur principal de l\u2019e\u0301tude, le Pr Anne Alexandrov de l\u2019universite\u0301 du Tennessee (Memphis). Il s\u2019agit juste d\u2019un moyen de pre\u0301server la fonction ce\u0301re\u0301brale en optimisant le flux sanguin jusqu\u2019a\u0300 ce que la thrombectomie puisse e\u0302tre re\u0301alise\u0301e. C\u2019est une man\u0153uvre de sauvetage, pas un traitement\u201d. \u201cCette e\u0301tude semble tre\u0300s inte\u0301ressante, commente pour sa part le Pr Jean Philippe De\u0301silles, neuroradiologue a\u0300 l\u2019Ho\u0302pital Fondation Adolphe de Rothschild (Paris), mais nous devons attendre sa publication pour en analyser les re\u0301sultats avec pre\u0301cision\u201d.<\/p>\n

Premie\u0300re conclusion en tout cas: l\u2019oreiller ne semble pas vraiment indispensable et mieux vaudrait carre\u0301ment s\u2019en passer et ne pas ce\u0301der au confort apparent, histoire d\u2019optimiser la circulation arte\u0301rielle pendant le temps d\u2019attente qui peut parfois e\u0302tre long.<\/p>\n

Et le spe\u0301cialiste parisien de poursuivre: \u201cSi le geste de la thrombectomie a lui toujours lieu avec la te\u0302te positionne\u0301e a\u0300 0\u00b0, reste a\u0300 savoir quelle position est la plus approprie\u0301e au de\u0301cours de la thrombectomie\u201d. A suivre donc.<\/p>\n

Pour plus d’informations et d’analyses sur la S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/a>, suivez Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – S\u00e3o Tom\u00e9 e Pr\u00edncipe. Le diable se situe toujours dans les de\u0301tails, y compris dans la prise en charge des accidents vasculaires ce\u0301re\u0301braux (AVC). Une e\u0301tude pour le moins originale re\u0301cemment pre\u0301sente\u0301e a\u0300 une confe\u0301rence internationale se de\u0301roulant a\u0300 Phoenix (Etats-Unis) a eu l\u2019ide\u0301e d\u2019e\u0301valuer le ro\u0302le du positionnement de la te\u0302te chez […]<\/p>\n","protected":false},"author":82,"featured_media":12303,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[36,55,56],"class_list":["post-12304","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-africa-press","tag-africa-press-sao-tome-e-principe","tag-sao-tome-e-principe"],"yoast_head":"\nAVC : pas d\u2019oreiller sous la t\u00eate avant une thrombectomie - S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/title>\n<meta name=\"description\" content=\"Le diable se situe toujours dans les de\u0301tails, y compris dans la prise en charge des accidents vasculaires ce\u0301re\u0301braux ( ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"AVC : pas d\u2019oreiller sous la t\u00eate avant une thrombectomie\" \/>\n<meta property=\"og:description\" content=\"Le diable se situe toujours dans les de\u0301tails, y compris dans la prise en charge des accidents vasculaires ce\u0301re\u0301braux ( ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\" \/>\n<meta property=\"og:site_name\" content=\"S\u00e3o Tom\u00e9 e Pr\u00edncipe\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-09T19:28:12+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-09T21:10:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/sao-tome-e-principe\/sites\/59\/2024\/03\/sm_1710001983.584372.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"899\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditorfr\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditorfr\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\"},\"author\":{\"name\":\"cfeditorfr\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/#\/schema\/person\/2b1cf3cd81a31e3cd26889ca66d677f1\"},\"headline\":\"AVC : pas d\u2019oreiller sous la t\u00eate avant une thrombectomie\",\"datePublished\":\"2024-03-09T19:28:12+00:00\",\"dateModified\":\"2024-03-09T21:10:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\"},\"wordCount\":592,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/sao-tome-e-principe\/sites\/59\/2024\/03\/sm_1710001983.584372.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-S\u00e3o Tom\u00e9 e Pr\u00edncipe\",\"S\u00e3o Tom\u00e9 e Pr\u00edncipe\"],\"articleSection\":[\"Divers\",\"Toutes les actualit\u00e9s\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\",\"url\":\"https:\/\/www.africa-press.net\/sao-tome-e-principe\/toutes-les-actualites\/avc-pas-doreiller-sous-la-tete-avant-une-thrombectomie\",\"name\":\"AVC : pas d\u2019oreiller sous la t\u00eate avant une thrombectomie - 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