{"id":6217,"date":"2023-04-19T14:39:24","date_gmt":"2023-04-19T12:39:24","guid":{"rendered":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/?page_id=6217"},"modified":"2024-01-15T15:16:58","modified_gmt":"2024-01-15T13:16:58","slug":"veresoontekirurgia-osakond","status":"publish","type":"page","link":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/","title":{"rendered":"Veresoontekirurgia osakond"},"content":{"rendered":"\n<p><strong>Kontaktandmed<\/strong><\/p>\n\n\n\n<p>L. Puusepa 8, H-korpus, 2. korrus<\/p>\n\n\n\n<p>Telefoninumbrid<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sekret\u00e4r Tiia Ilves:&nbsp;<strong>731 8295&nbsp;<\/strong>(E-R 08.00-16.00), e-post: <a href=\"mailto:tiia.ilves@kliinikum.ee\">tiia.ilves@kliinikum.ee<\/a><\/li>\n\n\n\n<li>Valve\u00f5de:&nbsp;<strong>731 8293<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Veresoontekirurgia osakond on oma valdkonna suurim k\u00f5rgeima etapi ravi\u00fcksus Eestis. Osakonnas on 24 voodikohta, tagatud on \u00f6\u00f6p\u00e4eva- ja aastaringne valveteenus. Igal t\u00f6\u00f6p\u00e4eval n\u00e4dalas toimub veresoontekirurgi ambulatoorne vastuv\u00f5tt.&nbsp;Sagedasemad haigete diagnoosid, mida ravime kaasaegsete endovaskulaarsete ja avatud operatsioonitehnikatega on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alaj\u00e4seme arterite haigus (krooniline ja \u00e4ge isheemia)<\/li>\n\n\n\n<li>Aordi haigused (aneur\u00fcsm, dissektsioon)<\/li>\n\n\n\n<li>Ekstrakraniaalsete ajuarterite haigused<\/li>\n\n\n\n<li>Perifeersete arterite aneur\u00fcsmid<\/li>\n\n\n\n<li>Mesenteriaalveresoonte haigused<\/li>\n\n\n\n<li>Arterite traumad<\/li>\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-97311a63 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-false uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-421f9903 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Ravimeeskonnad<\/span><\/div><div class=\"uagb-faq-content\"><p><strong>Veenilaiendite kirurgia<\/strong>: dr V. Kalbus, dr A. Aavik, dr J. Lieberg <br><strong>Endovaskulaarsed protseduurid<\/strong>: dr V. Kalbus, dr A. Aavik <br><strong>Organsiirdamiste vaskulaarsed rekonstruktsioonid<\/strong>: dr A. Aavik, dr H. J\u00e4rve, dr T. Ellervee <br><strong>EKMO protseduurid<\/strong>: dr A. Aavik, dr H. J\u00e4rve <br><strong>Permanentsete dial\u00fc\u00fcsikateetrite kirurgia<\/strong>: dr A. Metsa, dr A. Aavik <br><strong>K\u00e4ekirurgia<\/strong>: dr A. Metsa <\/p><\/div><\/div><\/div>\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-3f94cb91 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-false uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-f75cdf6f \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Teadust\u00f6\u00f6 suunad<\/span><\/div><div class=\"uagb-faq-content\"><p>Alaj\u00e4seme arterite haigus (AAH) on pahaloomulise vaskulaarse fenot\u00fc\u00fcbi v\u00e4ljendus. Neil haigetel esineb mitmeid kordi sagedamini t\u00f5siseid s\u00fcdame- ja veresoonkonna haiguste t\u00fcsistusi v\u00f5rreldes teiste ateroskleroosihaigetega. Haiguse progresseerumine v\u00f5ib viia alaj\u00e4seme amputatsioonini, mis on elukvaliteeti laastav ja \u00fchiskonnale tervikuna suur sotsiaalmajanduslik koormus. T\u00e4nap\u00e4eval kasutusel olevad AAH raviv\u00f5imalused on aga suhteliselt v\u00e4heefektiivsed. Seet\u00f5ttu on vajalikud teadusuuringud, mis selgitaksid t\u00e4psemalt haiguse patogeneesi, et seel\u00e4bi leida uusi prognostilisi biomarkereid, t\u00e4ppisravi sihtm\u00e4rke ja raviv\u00f5imalusi.<br>\u00a0<br>K\u00e4imaolevate teadusuuringute raames uurime:<br>a) isheemilise alaj\u00e4seme patof\u00fcsioloogiat l\u00e4bi arteriovenoossete gradientide (metaboloomi, oks\u00fcdatiivse stressi ja p\u00f5letikumarkeride) m\u00e4\u00e4ramise<br>b) arterite funktsionaal-metaboloomilise profiili prognostilist m\u00f5ju j\u00e4seme- ja s\u00fcsteemsetele kardiovaskulaarsetele t\u00fcsistustele (infarkt, insult, surm). Selle tarbeks on loodud pidevalt t\u00e4ienev kvaliteetne korrastatud andmekogu - AAH biopank.<br>c) muutusi arterite funktsionaal-metaboloomilise profiilis alaj\u00e4seme verevarustuse taastamise j\u00e4rgselt<br>d) kaugisheemilise eelkohastamise m\u00f5ju organkahjustuse v\u00e4hendamisel perioperatiivselt\u00a0 veresoontekirurgias<br>e) \u00a0kaugisheemilise eelkohastamise m\u00f5ju klaudikatsioonile AAH patsientidel<br>f) vasaku s\u00fcdamepoole d\u00fcsfunktsiooni hindamine <em>strain<\/em>-anal\u00fc\u00fcsidega AAH patsientidel<br><br>\u00dclalmainitud projektid on rahastatud Eesti Teadusagentuuri ja T\u00dc Kliinikumi teadus-arendusteenistuse poolt.<br>Lisaks uurime k\u00f5huaordi aneur\u00fcsmi kirurgilise ja endovaskulaarse ravi tulemusi ning proteesiinfektsiooni k\u00e4sitlust.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-455835aa \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Kaitstud dissertatsioonid<\/span><\/div><div class=\"uagb-faq-content\"><p>1967 Endel T\u00fcnder \"N\u00e4idustused alaj\u00e4semete arterite taastavateks operatsioonideks oblitereeruva ateroskleroosi puhul\"<br>1971 Kaljo P\u00f5der \"Aordi ja niudearterite taastavatest operatsioonidest\"<br>1972 Ennu Sepp \"Posttrombootiline s\u00fcndroom ja selle kirurgiline korrigeerimine\"<br>1973 Henno Tikko \"Intimotrombektoomia aordi ja alaj\u00e4semete magistraalarterite l\u00e4bitavuse taastamisel\"<br>1986 Urmas Lepner \"Kordusoperatsioonid aordi-niudearteritel ja reiep\u00f5lve\u00f5ndlaarteritel\"<br>1986 Tiit Meren  \u201eAortokoronaarne sunteerimine s\u00fcdamelihase \u00e4geda infarkti staadiumis\u201c\u00a0<br>1989 Andres Pulges \"Surgical treatment of Raynaud disease and syndrome and thoracic outlet syndrome\"<br>2006 Priit P\u00f5der \"Clinical and experimental investigation: relationship of ischaemia\/reperfusion injury with oxidative stress in abdominal aortic aneurysm repair and in extracranial brain artery endarterectomy and possibilities of protection against ischaemia using a glutathione analogue in a rat model of global brain ischaemia\"<br>2007 Jaak Kals  \"Endothelial function and arterial stiffness in patients with atherosclerosis and in healthy subjects. A clinical and biochemical study\"<br>2022 J\u00fcri Lieberg \"Results of surgical treatment and role of biomarkers in pathogenesis and risk prediction in patients with abdominal aortic aneurysm and peripheral artery disease\"<\/p><\/div><\/div><\/div>\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-39b6af3f uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-false uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-d401e08d \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Olulisemad publikatsioonid<\/span><\/div><div class=\"uagb-faq-content\"><p>1. Kuusik K, Kasepalu T, Zilmer M, Eha J, Paapstel K, Kilk K, Rehema A, Kals J. Effects of RIPC on the metabolomical profile during lower limb digital subtraction angiography: a randomized controlled trial. Metabolites 2023;13:856.<br>2. R\u00fc\u00fctmann AM, Kals J. Primary and secondary aortoenteric fistulas in a patient with abdominal aortic aneurysm. International Journal of Surgery Case Reports 2023;<a href=\"https:\/\/www.sciencedirect.com\/journal\/international-journal-of-surgery-case-reports\/vol\/107\/suppl\/C\">107<\/a>:108344.<br>3. Tamme K, Reintam Blaser A, LaisaarK-T, M\u00e4ndul M, Kals J, Forbes A, Kiss O, Acosta S, Bj\u00f6rck M, Starkopf J. Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis. British Medical Journal Open 2022;12:e062846.<br>4. Eerik K, Kasepalu T, Kuusik K, Eha J, V\u00e4hi M, Kilk K, Zilmer M, Kals J. Effects of RIPC on the metabolome in patients undergoing vascular surgery: a randomized controlled trial. Biomolecules 2022;12:1312.<br>5. Paapstel K, Kals J. Metabolomics of Arterial Stiffness (Review). Metabolites 2022;12:370.<br>6. Hakovirta H, Jalkanen J, Saimanen E, Kukkonen T, Romsi P, Suominen V, Vikatmaa L, Valtonen M, Karvonen MK, Venermo M; INFORAAA Study Group. Induction of CD73 prevents death after emergency open aortic surgery for a ruptured abdominal aortic aneurysm: a randomized, double-blind, placebo-controlled study. Scientific Reports 2022;12:1839.<br>7. Lieberg J, Kadatski KG, Kals M, Paapstel K, Kals J. Five-year survival after elective open and endovascular aortic aneurysm repair. Scandinavian Journal of Surgery 2022;111:14574969211048707.<br>8. Kuusik K, Kasepalu T, Zilmer M, Eha J, V\u00e4hi M, Torop LA, Lieberg J, Kals J. The role of RIPC in preventing organ damage, inflammation and oxidative stress during lower limb DSA: a randomised controlled trial. Oxidative Medicine and Cellular Longevity 2021:6043550.<br>9. Lieberg J, Wanhainen A, Ottas A, V\u00e4hi M, Zilmer M, Soomets U, Bj\u00f6rck M, Kals J. Metabolomic profile of abdominal aortic aneurysm. Metabolites 2021; 11:555.<br>10. J\u00e4rve H, Kals J. <em>Listeria monocytogenes<\/em> infectious abdominal aortic aneurysm: case report and review of the literature. Clinical Case Reports 2021;9:800\u2013804.<br>11. Kasepalu T, Kuusik K, Lepner U, Starkopf J, Zilmer M, Eha J, V\u00e4hi M, Kals J. Remote ischaemic preconditioning influences the levels of acylcarnitines in vascular surgery: a randomised clinical trial. Nutrition and Metabolism 2020; 17:76.<br>12. Kasepalu T, Kuusik K, Lepner U, Starkopf J, Zilmer M, Eha J, V\u00e4hi M, Kals J. Remote ischaemic preconditioning reduces kidney injury biomarkers in patients undergoing open surgical lower limb revascularisation: a randomised trial. Oxidative Medicine and Cellular Longevity 2020:7098505.<br>13. Kepler T, Kuusik K, Lepner U, Starkopf J, Zilmer M, Eha J, V\u00e4hi M, Kals J. Remote ischaemic preconditioning attenuates cardiac biomarkers during vascular surgery: a randomised clinical trial. European Journal of Vascular and Endovascular Surgery 2020;59:301-308.<br>14. Reile R, V\u00f5rno T, Kals J, Ilves P, Kiivet RA. The cost-effectiveness of abdominal aortic aneurysm screening in Estonia. Value in Health Regional Issues 2020;22:1-6.<br>15. Kuusik K, Kepler T, Zilmer M, Eha J, V\u00e4hi M, Kals J. Effects of remote ischaemic preconditioning on arterial stiffness in patients undergoing lower limb angiographic procedure: a randomised clinical trial. European Journal of Vascular and Endovascular Surgery 2019;58:875-882.<br>16. Kepler T, Kuusik K, Lepner U, Starkopf J, Zilmer M, Eha J, Lieberg J, V\u00e4hi M, Kals J. The effect of remote ischaemic preconditioning on arterial stiffness in patients undergoing vascular surgery: a randomised clinical trial. European Journal of Vascular and Endovascular Surgery 2019;57:868-875.<br>17. Aavik A, Kibur RT,\u00a0Lieberg J, Lepner U, Aunapuu M, Arend A. Cold-Stored Venous Allografts In Different Preserving Solutions: A Study On Changes In Vein Wall Morphology. Scandinavian Journal of Surgery 2019;108:67-75.<br>18. Paapstel K, Kals J, Eha J, Tootsi K, Ottas A, Piir A, Jakobson M, Lieberg J, Zilmer M. Inverse relations of serum phosphatidylcholines and lysophosphatidylcholines with vascular damage and heart rate in patients with atherosclerosis. <em>Nutrition<\/em>,\u00a0<em>Metabolism<\/em>\u00a0and <em>Cardiovascular<\/em>\u00a0Diseases 2018:28: 44-52.<br>19. Lieberg J, Pruks L.-L., Kals M, Paapstel K, Aavik A, Kals J. Mortality After Elective and Ruptured Abdominal Aortic Aneurysm Surgical Repair: 12-Year Single-Center Experience of Estonia. Scandinavian Journal of Surgery 2018; 107:152-157.<br>20. Paapstel K, Zilmer M, Eha J, Tootsi K, Piir A, Kals J. Early biomarkers of renal damage in relation to arterial stiffness and inflammation in male coronary artery disease patients. Kidney &amp; Blood Pressure Research 2016;41:488-497.\u00a0\u00a0\u00a0<br>21. Paapstel K, Kals J, Eha J, Tootsi K, Ottas A, Piir A, Zilmer M. Metabolomic profiles of lipid metabolism, arterial stiffness and hemodynamics in male coronary artery disease patients. IJC Metabolic and Endocrine 2016;11:13-18.<br>22. Paapstel K, Zilmer M, Eha J, Piir A, Tootsi K, Kals J. Association between fibulin-1 and aortic augmentation index in male patients with peripheral arterial disease. European Journal of Vascular and Endovascular Surgery 2016;51:76-82.<br>23. Zagura M, Kals J, Kilk K, Serg M, Kampus P, Eha J, Soomets U, Zilmer M. Metabolomic signature of arterial stiffness in patients with peripheral arterial disease. Hypertension Research 2015;38:840-846.<br>24. Kals J, Lieberg J, Kampus P, Zagura M, Eha J, Zilmer M. Prognostic impact of arterial stiffness in patients with symptomatic peripheral arterial disease. European Journal of Vascular and Endovascular Surgery 2014;48:308\u2013315.<\/p><\/div><\/div><\/div>\n\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-45972903 uagb-faq-icon-row uagb-faq-layout-accordion uagb-faq-expand-first-false uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-bd0532a3 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M400 288h-352c-17.69 0-32-14.32-32-32.01s14.31-31.99 32-31.99h352c17.69 0 32 14.3 32 31.99S417.7 288 400 288z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\">Osakonna ajalugu<\/span><\/div><div class=\"uagb-faq-content\"><p>Veresoontekirurgia osakond avati 1. veebruaril\u00a0 1965. aastal Tartu Linna Kliinilises Haiglas Toomel.<br>\u00a0<br><strong>Toome Haigla periood: 1965-1971<\/strong><br>Voodikohti : 25<br>Ravitud haigeid aastas: 350 \u2013 400<br>Operatsioonide arv aastas: 160 \u2013 200<br>Ambulatoorse vastuv\u00f5tud: 600-700<br>1960.a. tehti reiearteril esimene rekonstruktiivne operatsioon<br>1962.a. tehti esimene aortograafia tehti Raul Talviku poolt.<br>1962.a. esimene veresoonesiire (A. Linkberg, E. T\u00fcnder, K. P\u00f5der).<br>1963 - 1966.a.\u00a0\u00a0 a. carotis interna endarterektoomia<br>1968 \u2013 1970.a. veenide trombektoomiad, Palma, Lintoni ja Felderi op., veeniklapi moodustamine<br>1969.a.\u00a0 aordi-niudearterite eversioonendarterektoomiad<br>1969.a. veresoontekirurgia probleemlaboratooriumi rajamine Toomas \u2013 Andres Sullingu eestvedamisel<br><br><strong>Maarjam\u00f5isa periood: 1971 \u2013 1980<\/strong><br>Osakonda juhatasid: dr. Henno Tikko, dr. Villu M\u00f6lder, dr. Raivo Annus \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<br>Voodikohti: 40<br>Ravitud haigeid: 600 \u2013 650 aastas<br>Operatsioonide arv: 420 \u2013 450 aastas<br>Femoro \u2013 tibiaalsed rekonstruktsioonid\u00a0 1972<br>S\u00fcmpatektoomia Atkins`i j\u00e4rgi<br>Esimene aorto \u2013 koronaarne \u0161unteerimine 1974<br>Esimene \u00f5nnestunud labak\u00e4e replantatsioon\u00a0 1979<br>Nendel aastatel arendati Toomas-Andres Sullingu eestvedamisel s\u00fcdame p\u00e4rgarterite kirurgiat ja see tipnes 1979.a. osakonna jagunemisega: osa personalist siirdus Tallinnasse vastloodud \u00a0kardiovaskulaarkirurgia osakonda Mustam\u00e4e Haiglas.<br>\u00a0<br><strong>Maarjam\u00f5isa periood: 1981 \u2013 1990<\/strong><br>1980.-2005.a. juhatas veresoontekirurgia osakonda dr. Enn Rebane.<br>Voodikohti: 40<br>ravitud haigeid : 800 \u2013 820 aastas<br>operatsioonide arv: 600 \u2013 650 aastas<br>F - P ja F \u2013 T rekonstruktsioonide kasv<br>esimesed popliteo-pedaalsed sildamised<br>reoperatsioonid hilisperioodis<br>vaskulariseeritud koelapid<br>mikrokirurgilise meetodi laialdasem rakendamine<br>seoses osakonnas tekkinud arstide puudusega v\u00f5eti eelk\u00f5ige prof. Henno Tikko initsiatiivil t\u00f6\u00f6le 9 noort arsti.<br>1982.a. omistati professoritele \u00dclo Arendile, J\u00fcri M\u00e4nnistele, Kalju P\u00f5derile, Ennu Sepale, Henno Tikkole ja Endel T\u00fcnderile ENSV Riiklik Teaduspreemia veresoontekirurgia arendamise ja juurutamise eest Eesti NSV-s aastatel 1960 \u2013 1980.<br>\u00a0<br><strong>Maarjam\u00f5isa periood: 1991 \u2013 1995<\/strong><br>Voodikohti: 40<br>ravitud haigeid : 790 \u2013 820 aastas<br>operatsioonide arv : 630 \u2013 650 aastas\u00a0\u00a0<br>1992.a. - femoro \u2013 tibiaalne bypass in situ<br>1994.a. \u2013 a. carotis interna eversioonendarterektoomia<br>aktiivsemad suhted l\u00e4\u00e4neriikide kirurgidega, v\u00e4lisl\u00e4hetused<br>\u00fcleminek kindlustusmeditsiinile<br>\u00a0<br><strong>Maarjam\u00f5isa periood: 1996 \u2013 2000<\/strong><br>Voodikohti: 30<br>ravitud haigete arv: \u00fcle 1000 aastas<br>operatsioonide arv: 880 \u2013 910 aastas<br>suurenes rekonstruktiivsete operatsioonide arv ekstrakraniaalsetel ajuarteritel ja k\u00f5huaordi aneur\u00fcsmide resektsioonproteseerimiste arv<br>1997.a. -\u00a0 uus metoodika infitseeritud veresoone proteeside ravis \u2013 alloveeni kasutamine<br><br><strong>SA Tartu \u00dclikooli Kliinikum\u00a0alates 2000. a.<\/strong><br>2000.-2005.a. kuulus veresoontekirurgia osakond kardiovaskulaar- ja torakaalkirurgia kliinikusse (juhataja dr. Andres Pulges), 2005. a aastast uuesti kirurgiakliiniku koosseisu. 2005. -2021.a. juhatas veresoontekirurgia osakonda dr. J\u00fcri Lieberg.<br>Ravit\u00f6\u00f6 intensiivsuse j\u00e4tkuv kasv<br>Ravitud statsionaarseid \u00a0haigeid aastas\u00a0 1000 -1200<br>Operatsioone statsionaaris 1000 - 1100<br>Postop. letaalsus\u00a0 kuni\u00a0 1,5%<br>Operatsioone p\u00e4evakirurgias 280 - 330<br>Ambulatoorseid vastuv\u00f5tte\u00a0 : 4500 - 4800<br>Arste \u2013 6<br>Diagnostikav\u00f5imaluste paranemine<br>Probleemid tervishoiu rahastamisega<br>Innovatiivsete ravimeetodite juurutamine (ravime vanemaid, raskemaid patsiente, kiiremini)<br>Oluliselt tihenenud koost\u00f6\u00f6 teiste erialade arstidega (nefroloogid, kardioloogid, traumatoloogid, transplantoloogid jt)<br>\u00a0<br><strong>SA Tartu \u00dclikooli Kliinikum 2005 \u2013 2021.a.<\/strong><br>Viimasel\u00a0 paaril k\u00fcmnendil on h\u00fcppeliselt kasvanud endovaskulaarsete revaskulariseerivate protseduuride\u00a0 hulk<br>Avatud rekonstruktiivsete operatsioonide osakaal on seet\u00f5ttu langustrendis &lt; 50% (sarnane trend kogu maailmas)<br>Kasvab patsientide hulk, kelle arterite kahjustus on mitmetasandiline, mis vajab kombineeritud ravi (endovaskulaarne + avatud kirurgia)\u00a0 h\u00fcbriidprotseduurina<br>Aordi aneur\u00fcsmide, dissektsioonide ja traumaatiliste aordi vigastuste ravis endovaskulaarselt stentgraftide paigaldamine (EVAR; TEVAR)<br>Intra-arteriaalne kateeterjuhitud trombol\u00fc\u00fcsi kasutuselv\u00f5tt v\u00f5imaldab v\u00e4ltida t\u00fcsilikke ja tehniliselt keerukaid kordusoperatsioone ning ravida patsiente nii sildade\/bypasside tromboseerumise korral kui ka primaarsete \u00e4gedate isheemiate korral.<br>K\u00e4ekirurgia patsientide ravimise kompetentsi tekkimine<br>Sisearsti t\u00f6\u00f6lev\u00f5tt on parandanud patsientide medikamentoosset ravi<br>Veresoontealase ja \u2013kirurgilise teadust\u00f6\u00f6 osakaalu oluline suurenemine viimase 15-20 aasta jooksul. Veresoonte teaduslabori - Endoteeli Keskuse - avamine 2004.a. koost\u00f6\u00f6s S\u00fcdamekliinikuga ja T\u00dc Biokeemia osakonnaga.<\/p><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Kontaktandmed L. Puusepa 8, H-korpus, 2. korrus Telefoninumbrid Veresoontekirurgia osakond on oma valdkonna suurim k\u00f5rgeima etapi ravi\u00fcksus Eestis. Osakonnas on 24 voodikohta, tagatud on \u00f6\u00f6p\u00e4eva- ja aastaringne valveteenus. Igal t\u00f6\u00f6p\u00e4eval n\u00e4dalas toimub veresoontekirurgi ambulatoorne vastuv\u00f5tt.&nbsp;Sagedasemad haigete diagnoosid, mida ravime kaasaegsete endovaskulaarsete ja avatud operatsioonitehnikatega on:<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":17,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"class_list":["post-6217","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Veresoontekirurgia osakond - Kirurgiakliinik<\/title>\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.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/\" \/>\n<meta property=\"og:locale\" content=\"et_EE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Veresoontekirurgia osakond - Kirurgiakliinik\" \/>\n<meta property=\"og:description\" content=\"Kontaktandmed L. Puusepa 8, H-korpus, 2. korrus Telefoninumbrid Veresoontekirurgia osakond on oma valdkonna suurim k\u00f5rgeima etapi ravi\u00fcksus Eestis. Osakonnas on 24 voodikohta, tagatud on \u00f6\u00f6p\u00e4eva- ja aastaringne valveteenus. Igal t\u00f6\u00f6p\u00e4eval n\u00e4dalas toimub veresoontekirurgi ambulatoorne vastuv\u00f5tt.&nbsp;Sagedasemad haigete diagnoosid, mida ravime kaasaegsete endovaskulaarsete ja avatud operatsioonitehnikatega on:\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/\" \/>\n<meta property=\"og:site_name\" content=\"Kirurgiakliinik\" \/>\n<meta property=\"article:modified_time\" content=\"2024-01-15T13:16:58+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 minutit\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/veresoontekirurgia-osakond\\\/\",\"url\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/veresoontekirurgia-osakond\\\/\",\"name\":\"Veresoontekirurgia osakond - Kirurgiakliinik\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/#website\"},\"datePublished\":\"2023-04-19T12:39:24+00:00\",\"dateModified\":\"2024-01-15T13:16:58+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/veresoontekirurgia-osakond\\\/#breadcrumb\"},\"inLanguage\":\"et\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/veresoontekirurgia-osakond\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/veresoontekirurgia-osakond\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Kliinikust\",\"item\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/kliinikust\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Veresoontekirurgia osakond\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/#website\",\"url\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/\",\"name\":\"Kirurgiakliinik\",\"description\":\"Hoolivus, Uuendusmeelsus, P\u00e4devus ja Usaldusv\u00e4\u00e4rsus\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.kliinikum.ee\\\/kirurgiakliinik\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"et\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Veresoontekirurgia osakond - Kirurgiakliinik","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/","og_locale":"et_EE","og_type":"article","og_title":"Veresoontekirurgia osakond - Kirurgiakliinik","og_description":"Kontaktandmed L. Puusepa 8, H-korpus, 2. korrus Telefoninumbrid Veresoontekirurgia osakond on oma valdkonna suurim k\u00f5rgeima etapi ravi\u00fcksus Eestis. Osakonnas on 24 voodikohta, tagatud on \u00f6\u00f6p\u00e4eva- ja aastaringne valveteenus. Igal t\u00f6\u00f6p\u00e4eval n\u00e4dalas toimub veresoontekirurgi ambulatoorne vastuv\u00f5tt.&nbsp;Sagedasemad haigete diagnoosid, mida ravime kaasaegsete endovaskulaarsete ja avatud operatsioonitehnikatega on:","og_url":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/","og_site_name":"Kirurgiakliinik","article_modified_time":"2024-01-15T13:16:58+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"10 minutit"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/","url":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/","name":"Veresoontekirurgia osakond - Kirurgiakliinik","isPartOf":{"@id":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/#website"},"datePublished":"2023-04-19T12:39:24+00:00","dateModified":"2024-01-15T13:16:58+00:00","breadcrumb":{"@id":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/#breadcrumb"},"inLanguage":"et","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/veresoontekirurgia-osakond\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/"},{"@type":"ListItem","position":2,"name":"Kliinikust","item":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/kliinikust\/"},{"@type":"ListItem","position":3,"name":"Veresoontekirurgia osakond"}]},{"@type":"WebSite","@id":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/#website","url":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/","name":"Kirurgiakliinik","description":"Hoolivus, Uuendusmeelsus, P\u00e4devus ja Usaldusv\u00e4\u00e4rsus","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"et"}]}},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"Jane Freimann","author_link":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/author\/janef\/"},"uagb_comment_info":0,"uagb_excerpt":"Kontaktandmed L. Puusepa 8, H-korpus, 2. korrus Telefoninumbrid Veresoontekirurgia osakond on oma valdkonna suurim k\u00f5rgeima etapi ravi\u00fcksus Eestis. Osakonnas on 24 voodikohta, tagatud on \u00f6\u00f6p\u00e4eva- ja aastaringne valveteenus. Igal t\u00f6\u00f6p\u00e4eval n\u00e4dalas toimub veresoontekirurgi ambulatoorne vastuv\u00f5tt.&nbsp;Sagedasemad haigete diagnoosid, mida ravime kaasaegsete endovaskulaarsete ja avatud operatsioonitehnikatega on:","_links":{"self":[{"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/pages\/6217","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/comments?post=6217"}],"version-history":[{"count":0,"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/pages\/6217\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/pages\/17"}],"wp:attachment":[{"href":"https:\/\/www.kliinikum.ee\/kirurgiakliinik\/wp-json\/wp\/v2\/media?parent=6217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}