{"id":60582367,"date":"2025-01-31T10:13:49","date_gmt":"2025-01-31T09:13:49","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=60582367"},"modified":"2025-01-31T10:13:53","modified_gmt":"2025-01-31T09:13:53","slug":"pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\/","title":{"rendered":"Pontage coronarien\u00a0: une proc\u00e9dure mini invasive pour le pr\u00e9l\u00e8vement des greffons"},"content":{"rendered":"\n<p>Les maladies coronaires sont provoqu\u00e9es par un d\u00e9faut d\u2019approvisionnement en oxyg\u00e8ne du c\u0153ur li\u00e9 \u00e0 une obstruction des vaisseaux cardiaques, les coronaires<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a>, due par exemple \u00e0 l\u2019ath\u00e9roscl\u00e9rose. Parmi les traitements possibles, le pontage aorto-coronarien est une op\u00e9ration chirurgicale destin\u00e9e \u00e0 revasculariser le muscle cardiaque en cr\u00e9ant une d\u00e9rivation sanguine gr\u00e2ce \u00e0 un greffon de vaisseau de sanguin sain pr\u00e9lev\u00e9 sur le patient. Le greffon est fix\u00e9 en aval de l\u2019obstruction coronarienne permettant au flux sanguin de contourner celle-ci et d\u2019atteindre le muscle cardiaque. Le chirurgien choisit le ou les greffons vasculaires en fonction de l\u2019art\u00e8re coronaire \u00e0 traiter,\u00a0parmi les veines saph\u00e8nes internes dans les jambes, les art\u00e8res mammaires dans le thorax ou l\u2019art\u00e8re radiale au niveau de l\u2019avant-bras.<\/p>\n<p>Depuis plus d\u2019un mois maintenant, le service de chirurgie cardio-thoracique propose une nouvelle proc\u00e9dure pour pr\u00e9lever les greffons utilis\u00e9s pour le pontage\u00a0: le pr\u00e9l\u00e8vement par voie endoscopique. Les chirurgiens cardio-thoraciques cherchaient une solution pour limiter les effets n\u00e9gatifs des pr\u00e9l\u00e8vements classiques\u00a0: cicatrices sur pr\u00e8s de 20 centim\u00e8tres sur le trajet des vaisseaux, douleurs et risques d\u2019infection. Leur choix s\u2019est port\u00e9 sur un dispositif appel\u00e9 Vasoview HemoPro 2\u00ae, propos\u00e9 par le laboratoire GETINGE. Reli\u00e9 \u00e0 une cam\u00e9ra, celui-ci permet de pr\u00e9lever un greffon en pratiquant des petites incisions. \u00ab\u00a0<em>Nous pr\u00e9levons les greffons par l\u2019int\u00e9rieur. Cette proc\u00e9dure est mini invasive. Elle limite les pr\u00e9judices esth\u00e9tiques sur le patient, diminue la g\u00eane fonctionnelle\u00a0et favorise la cicatrisation<\/em> \u00bb, explique le Dr Aur\u00e9lien Bobiet, chef de clinique en chirurgie cardio-thoracique, \u00a0le premier \u00e0 avoir utilis\u00e9 ce dispositif.<\/p>\n<p>Si cette technique est d\u00e9j\u00e0 mise en \u0153uvre dans d\u2019autres pays, le CHU de Poitiers est le premier en France \u00e0 l\u2019utiliser. Le Dr Aur\u00e9lien Bobiet s\u2019est form\u00e9 aupr\u00e8s du laboratoire GETINGE, au sein m\u00eame du CHU de Poitiers. A terme, tous les chirurgiens du service seront en mesure d\u2019effectuer des pr\u00e9l\u00e8vements de greffons par voie endoscopique. \u00ab\u00a0<em>Les soci\u00e9t\u00e9s savantes recommandent d\u2019utiliser dans le traitement des maladies coronaires davantage de greffons art\u00e9riels. Au CHU de Poitiers, le service de chirurgie cardiaque utilise depuis longtemps le greffon d\u2019art\u00e8res radiales plus r\u00e9sistantes et de dur\u00e9e de vie plus longue. Les professeurs Pierre Corbi, Christophe Jayle, le Dr G\u00e9raldine Allain et le Dr Jamil Hajj-Chahine et moi-m\u00eame sommes ravis de proposer une solution moins invasive aux patients dont le principal int\u00e9r\u00eat est de ne laisser que de petites cicatrices tout en garantissant le meilleur traitement de la pathologie cardiaque\u00a0<\/em>\u00bb, conclut le Dr Aur\u00e9lien Bobiet.<\/p>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Les coronaires apportent le sang riche en oxyg\u00e8ne au muscle cardiaque.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/01\/PRELEVEMENT-RADIALE-ENDO-BOBIET-5.jpg\"><img decoding=\"async\" width=\"900\" height=\"600\" data-id=\"60583303\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/01\/PRELEVEMENT-RADIALE-ENDO-BOBIET-5.jpg\" alt=\"\" class=\"wp-image-60583303\"\/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/01\/PRELEVEMENT-RADIALE-ENDO-BOBIET-8.jpg\"><img decoding=\"async\" width=\"900\" height=\"600\" data-id=\"60583297\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/01\/PRELEVEMENT-RADIALE-ENDO-BOBIET-8.jpg\" alt=\"\" class=\"wp-image-60583297\"\/><\/a><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Le service de chirurgie cardio-thoracique du CHU de Poitiers a mis en \u0153uvre depuis pr\u00e8s de deux mois une nouvelle proc\u00e9dure de pr\u00e9l\u00e8vement des\u2026","protected":false},"author":12,"featured_media":60583246,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-60582367","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pontage coronarien\u00a0: une proc\u00e9dure mini invasive pour le pr\u00e9l\u00e8vement des greffons - Site du CHU de Poitiers<\/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.chu-poitiers.fr\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pontage coronarien\u00a0: une proc\u00e9dure mini invasive pour le pr\u00e9l\u00e8vement des greffons - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le service de chirurgie cardio-thoracique du CHU de Poitiers a mis en \u0153uvre depuis pr\u00e8s de deux mois une nouvelle proc\u00e9dure de pr\u00e9l\u00e8vement des greffons vasculaires par voie endoscopique, lors des pontages coronariens. Une proc\u00e9dure mini invasive b\u00e9n\u00e9fique pour les patients.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-31T09:13:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-31T09:13:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2025\/01\/PRELEVEMENT-RADIALE-ENDO-BOBIET-21.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\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\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"Pontage coronarien\u00a0: une proc\u00e9dure mini invasive pour le pr\u00e9l\u00e8vement des greffons\",\"datePublished\":\"2025-01-31T09:13:49+00:00\",\"dateModified\":\"2025-01-31T09:13:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/\"},\"wordCount\":487,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2025\\\/01\\\/PRELEVEMENT-RADIALE-ENDO-BOBIET-21.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/pontage-coronarien-une-procedure-mini-invasive-pour-le-prelevement-des-greffons\\\/\",\"name\":\"Pontage coronarien\u00a0: une proc\u00e9dure mini invasive pour le pr\u00e9l\u00e8vement des greffons - 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