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Radiologische interventies in de palliatieve zorg

Radiologische interventies in de palliatieve zorg. AVL-symposium 13/6/13 Oncologie in perspectief 100 jaar grensverleggend. Mark Meier Interventieradioloog. Wat is palliatie ?. WHO

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Radiologische interventies in de palliatieve zorg

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  1. Radiologische interventies in de palliatieve zorg • AVL-symposium 13/6/13 • Oncologie in perspectief • 100 jaar grensverleggend Mark Meier Interventieradioloog

  2. Wat is palliatie ? • WHO • “an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems”

  3. The term palliative care may refer to any care that alleviates symptoms, whether or not there is hope of a cure by other means; thus, palliative treatments may be used to alleviate the side effects of curative treatments…”

  4. Interventieradiologie • Superspecialisme • Behandeling ipv diagnostiek • Beeldgestuurd • Echo • Doorlichting • CT • Minimaal invasief

  5. Radiologische Interventies • Behandeling van complicaties • van de tumor • van behandeling • Behandeling van tumor • Primair • Metastasen

  6. Complicatiesdoor tumor • Afsluiting van organen • Bloedvaten • VCS • Urinewegen • Hydronefrose • Galwegen • Galwegstuwing • Toegenomen stolling • Botaantasting

  7. Complicatiesvan behandeling • Bloedvaten • Beschadiging • Radiotherapie • Chemotherapie • Centrale lijnen • Click to edit Master text styles

  8. Nefrostomie

  9. v. Cava Filter • Thrombosebeen • Risico longembolie

  10. Complicatiesvan behandeling • Abcessen • Na operatie • Bij verminderde weerstand

  11. Cementoplastiek • Vertebroplastiek • Inzakking • Pijnklachten • Stabilisatie

  12. Complicatiesvan behandeling • Slokdarm/maag • Stenose • Irritatie

  13. Behandelingvan tumor • Lokale behandelingen • RFA • MWA • Regionale behandeling • Toediening chemotherapie • Embolisatie • Chemoembolisatie • Radioembolisatie

  14. Ablatie

  15. Embolisatie • Afsluiten van bloedvaten • Coils • Partikels

  16. Chemo-embolisatie

  17. Radioembolisatie • Yttrium • Bestraling vanuit de tumor • Minder bijwerkingen

  18. Toekomst 18

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