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Contro notizia: Aneurismi Cerebrali

Pubblicato da Dr.Guidalberto Guidi in Malattia Cuore · 18/3/2012 15:28:00
Tags: AneurismiCerebralinotiza
Su La Stampa di Torino di oggi 16.05.2012, nella rubrica Tutto Scienze, veniva pubblicato un ampio articolo di Daniele Banfi sull’Aneurisma Cerebrale e Ictus “ Come si curano senza bisturi” rivoluzione negli interventi per le emorragie cerebrali.

Veniva intervistato il Direttore del dipartimento di Neurochirurgia Vascolare del “Baptist Cardiac & Vascular Institute “ di Miami Florida.

Si affermava che il trattamento di tali patologie si è perfezionato negli ultimi anni in maniera più sicura e meno invasiva, con l’impianto di sfere metalliche all’ interno dell’aneurisma, per via endovascolare e senza dover aprire cranio e cervello con la craniotomia.

Effettivamente è così, l’intervento tradizionale con l’impianto di una clip metallica resta ormai limitato a casi particolari e selezionati. Viene anche citato il contributo di un ricercatore Italiano che ha ideato questa tecnica.

Ciò che non viene evidenziato è che il trattamento endovascolare dell’aneurisma intracranico ha avuto una storia particolare, proceduta spesso per scoperte casuali ed eventi aneddotici: Gallagher per esempio nel 1963 embolizzava gli aneurismi mediante “pilojection”, iniezione pneumatica di peli di cavallo o di suino!

Ma fu proprio Guido Guglielmi, un neurochirurgo Italiano, che concepì nei primi anni ’80 le spirali a distacco controllato, oggi conosciute come GDC (Guglielmi Detachable Coil), che permettono un posizionamento all’interno dell’aneurisma più soddisfacente e un’efficacia di trattamento ottimale.

Successivamente vi sono state modifiche e raffinamenti a quest’ultima tecnica, che rimane tutt’ora la migliore: lo studio ISAT (International subarachnoid aneurysm trial) ha dimostrato un significativo vantaggio nell’utilizzo di spirali, con un migliore esito rispetto al trattamento chirurgico. Questa tecnica rivoluzionaria non invasiva è routinariamente utilizzata da più di 15 anni nei nostri centri Neurochirurgici di eccellenza!

Dispiace che, come spesso accade per innata esterofilia, si dia più enfasi e credibilità a ricercatori stranieri specie Americani che sanno ben proporsi ai media e opinione pubblica, e non si dia il dovuto riconoscimento agli studiosi “nostrani” che con minori mezzi ma con grande cuore e capacità possono contribuire a scoperte veramente rivoluzionarie per il bene dell’umanità.




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