{"id":5560631,"date":"2022-12-09T07:27:39","date_gmt":"2022-12-09T06:27:39","guid":{"rendered":"https:\/\/kapitalis.com\/tunisie\/?p=5560631"},"modified":"2022-12-09T07:27:42","modified_gmt":"2022-12-09T06:27:42","slug":"les-potins-du-cardiologue-petite-histoire-de-langioplastie-coronaire-du-ballon-aux-ambitions","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2022\/12\/09\/les-potins-du-cardiologue-petite-histoire-de-langioplastie-coronaire-du-ballon-aux-ambitions\/","title":{"rendered":"Les potins du cardiologue : petite histoire de l\u2019angioplastie coronaire, du ballon aux ambitions"},"content":{"rendered":"\n<p><strong><em>Si elle remonte loin dans l\u2019histoire de la m\u00e9decine occidentale, l\u2019angioplastie coronaire, intervention qui consiste \u00e0 traiter une art\u00e8re coronaire r\u00e9tr\u00e9cie, a connu son r\u00e9el essor au cours des vingt derni\u00e8res ann\u00e9es, en profitant des avanc\u00e9es concomitantes de la m\u00e9decine et de la technologie. Mais tout n\u2019a pas \u00e9t\u00e9 simple\u2026 <\/em><\/strong>\u00a0<\/p>\n\n\n\n<p>Par<strong> Dr Mounir Hanablia <\/strong>*<\/p>\n\n\n\n<!--more-->\n\n\n\n<p>L\u2019histoire de l\u2019opacification des art\u00e8res remonte \u00e0 la fin du XIXe si\u00e8cle et les sondes d\u2019opacification qui meublent aujourd\u2019hui les \u00e9tag\u00e8res des salles de cath\u00e9t\u00e9risme (Cournand, Judkins, Amplatz, Fogarty, etc.) sont les ultimes r\u00e9miniscences des diff\u00e9rentes \u00e9tapes de la progression du cath\u00e9t\u00e9risme. Mais c\u2019est Charles&nbsp;Dotter qui le premier a r\u00e9alis\u00e9 en 1963, selon lui accidentellement, une d\u00e9sobstruction d\u2019une art\u00e8re f\u00e9morale bouch\u00e9e, alors qu\u2019il opacifiait une art\u00e8re r\u00e9nale st\u00e9nos\u00e9e, de calibre r\u00e9duit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tout n\u2019a pas \u00e9t\u00e9 simple<\/h2>\n\n\n\n<p>Depuis sa premi\u00e8re pratique en 1977 \u00e0 San Francisco, par Andr\u00e9as Gruentzig, un m\u00e9decin allemand de Zurich beaucoup plus physiologiste, chimiste, et ing\u00e9nieur, que m\u00e9decin ou cardiologue (en Allemagne ce sont les&nbsp;internistes qui se sp\u00e9cialisent ensuite en cardiologie), dont le patron ne voulait pas entendre parler de nouvelles techniques, l\u2019angioplastie coronaire a r\u00e9volutionn\u00e9 la cardiologie, c\u2019est&nbsp; le cas de le dire.<\/p>\n\n\n\n<p>L\u2019id\u00e9e \u00e9tait d\u2019introduire cette technique utilis\u00e9e pour d\u00e9sobstruer les art\u00e8res de gros calibre des membres inf\u00e9rieurs (f\u00e9morales, iliaques), afin de dilater les r\u00e9tr\u00e9cissements\u00a0sur des art\u00e8res beaucoup plus petites, celles du c\u0153ur.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kapitalis wp-block-embed-kapitalis\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"2mgRENOVF8\"><a href=\"https:\/\/kapitalis.com\/tunisie\/2022\/12\/02\/les-potins-du-cardiologue-lepreuve-deffort-entre-le-risque-et-linutile\/\">Les potins du cardiologue : l\u2019\u00e9preuve d\u2019effort, entre le risque et l\u2019inutile<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"\u00ab\u00a0Les potins du cardiologue : l\u2019\u00e9preuve d\u2019effort, entre le risque et l\u2019inutile\u00a0\u00bb &#8212; Kapitalis\" src=\"https:\/\/kapitalis.com\/tunisie\/2022\/12\/02\/les-potins-du-cardiologue-lepreuve-deffort-entre-le-risque-et-linutile\/embed\/#?secret=NrFNcLrqQb#?secret=2mgRENOVF8\" data-secret=\"2mgRENOVF8\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>Pourtant tout n\u2019a pas \u00e9t\u00e9 simple et il a fallu une vingtaine d\u2019ann\u00e9es afin que cette technique devienne fiable avec l\u2019av\u00e8nement des proth\u00e8ses endovasculaires (stents) et surtout avec les m\u00e9dicaments pr\u00e9venant la formation de caillots dans leur lumi\u00e8re (anti agr\u00e9gants plaquettaires).<\/p>\n\n\n\n<p>Avant cela, l\u2019angioplastie coronaire qui utilisait uniquement le ballon d\u00e9ploy\u00e9 sur les r\u00e9ductions de calibre de plus de 70%, avait \u00e9t\u00e9 une technique s\u00e9rieusement handicap\u00e9e par deux complications : l\u2019occlusion aigu\u00eb de l\u2019art\u00e8re par rupture interne (dissection), et la formation de caillots pendant les proc\u00e9dures, ou bien la rest\u00e9nose, qui est la r\u00e9apparition de la r\u00e9duction de calibre initialement trait\u00e9e, quelques jours \u00e0 quelques semaines apr\u00e8s la proc\u00e9dure (50% des cas ). Le risque \u00e9tait tel qu\u2019il \u00e9tait obligatoire de laisser une salle op\u00e9ratoire en attente (stand by) pour l\u2019\u00e9ventualit\u00e9 d\u2019un pontage coronaire en urgence (implantation chirurgicale d\u2019un greffon sur l\u2019art\u00e8re coronaire) dont le taux de mortalit\u00e9 \u00e9tait important.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">La r\u00e9volution des stents <\/h2>\n\n\n\n<p>Mais \u00e0 la fin des ann\u00e9es 90, l\u2019am\u00e9lioration du mat\u00e9riel utilis\u00e9\u00a0(stents pr\u00e9alablement sertis sur ballons) et la mise sur le march\u00e9 de la Ticlopidine ont pratiquement \u00e9limin\u00e9 les risques proc\u00e9duraux li\u00e9s \u00e0 l\u2019utilisation des stents tout en diminuant la fr\u00e9quence de la rest\u00e9nose. Et cette derni\u00e8re complication est devenue \u00e0 son tour n\u00e9gligeable avec l\u2019apparition des stents dits actifs, le premier \u00e9tant le stent au nom (biblique) de Cypher, enrob\u00e9s de m\u00e9dicaments emp\u00eachant\u00a0la prolif\u00e9ration des cellules dans les art\u00e8res.<\/p>\n\n\n\n<p>\u00c9videmment, il a fallu beaucoup d\u2019audace de la part de tous ces m\u00e9decins qui les premiers se sont aventur\u00e9s sur un terrain inconnu comme des \u00e9quilibristes, sans filets de protection, uniquement sur le constat empirique de la n\u00e9cessit\u00e9 d\u2019une d\u00e9sobstruction des art\u00e8res bouch\u00e9es afin d\u2019\u00e9viter&nbsp;les gangr\u00e8nes ou les infarctus.<\/p>\n\n\n\n<p>Surtout, il a fallu toutes ces grands essais sans ou avec groupes t\u00e9moins (TIMI, Stress, Benestent)\u00a0ainsi que tous les registres d\u2019\u00e9tudes dans diff\u00e9rents pays, afin de valider scientifiquement leurs d\u00e9couvertes et permettre \u00e0 l\u2019industrie m\u00e9dicale et pharmaceutique sans qui rien n\u2019aurait pu se faire, d\u2019avancer.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kapitalis wp-block-embed-kapitalis\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"sx7ignS6EL\"><a href=\"https:\/\/kapitalis.com\/tunisie\/2022\/11\/26\/les-potins-du-cardiologue-le-chef-dorchestre-fantome\/\">Les potins du cardiologue: le chef d\u2019orchestre fant\u00f4me \u00a0<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"\u00ab\u00a0Les potins du cardiologue: le chef d\u2019orchestre fant\u00f4me \u00a0\u00a0\u00bb &#8212; Kapitalis\" src=\"https:\/\/kapitalis.com\/tunisie\/2022\/11\/26\/les-potins-du-cardiologue-le-chef-dorchestre-fantome\/embed\/#?secret=X8BdWnZ7Ls#?secret=sx7ignS6EL\" data-secret=\"sx7ignS6EL\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>Par la suite, les indications des stents se sont d\u00e9velopp\u00e9es et d\u00e9sormais elles couvrent les diab\u00e9tiques qui \u00e9taient exclusivement justiciables de la chirurgie,&nbsp;et le pontage coronaire devient non plus une&nbsp;indication, mais un recours uniquement lorsque l\u2019angioplastie coronaire est r\u00e9cus\u00e9e.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Les \u00abvictimes collat\u00e9rales\u00bb du Cypher<\/h2>\n\n\n\n<p>L\u2019apparition sur le march\u00e9 du Cypher au d\u00e9but des ann\u00e9es 2000 avait elle aussi provoqu\u00e9 des effets secondaires, du moins dans notre pays. Elle avait donn\u00e9 libre cours aux ambitions, et marqu\u00e9 le coup d\u2019envoi d\u2019une course au monopole exclusif de l\u2019utilisation, que tous les initi\u00e9s connaissent et pr\u00e9f\u00e8rent taire. Les caisses de prestation sociale avaient dans un premier temps pendant quelques ann\u00e9es&nbsp;tr\u00e8s sagement refus\u00e9 d\u2019assumer le remboursement des stents actifs \u00e9tant donn\u00e9 leur co\u00fbt prohibitif, jusqu\u2019\u00e0 ce qu\u2019un jour, une personnalit\u00e9 politique du parti alors au pouvoir soit sauv\u00e9e de la mort gr\u00e2ce \u00e0 l\u2019implantation d\u2019une de ces proth\u00e8ses endovasculaires.&nbsp;<\/p>\n\n\n\n<p>L\u2019enfer \u00e9tant pav\u00e9 de bonnes intentions, l\u2019usage&nbsp;tous azimuts des&nbsp;stents actifs, qui en avait r\u00e9sult\u00e9, n\u2019avait pas peu contribu\u00e9 \u00e0 ruiner l\u2019h\u00f4pital public et les caisses d\u2019assurance maladie, dont il conviendra aux g\u00e9n\u00e9rations futures d\u2019\u00e9crire un jour les p\u00e9rip\u00e9ties.<\/p>\n\n\n\n<p>Aussi, quand de jeunes ambitions pr\u00e9tendent r\u00e9unifier la profession pour les besoins de leurs propres succ\u00e8s \u00e9lectoraux \u00e0 la t\u00eate de la soci\u00e9t\u00e9 savante, c\u2019est toujours avec une pointe de circonspection qu\u2019on ne peut s\u2019emp\u00eacher d\u2019y pr\u00eater attention.<\/p>\n\n\n\n<p>* <em>M\u00e9decin de pratique libre.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019angioplastie coronaire a connu son r\u00e9el essor au cours des vingt derni\u00e8res ann\u00e9es. <\/p>\n","protected":false},"author":8,"featured_media":5560675,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,998,2433],"tags":[104988,2783,104991,87558,104989,104990,62643],"class_list":["post-5560631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-societe","category-tunisie","tag-angioplastie-coronaire","tag-cardiologie","tag-cypher","tag-dr-mounir-hanablia","tag-protheses-endovasculaires","tag-stents","tag-tunisie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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