{"id":4129,"date":"2021-02-09T09:00:39","date_gmt":"2021-02-09T09:00:39","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=4129"},"modified":"2022-07-11T07:43:07","modified_gmt":"2022-07-11T07:43:07","slug":"hemostasia-com-cateter-bipolar","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemostasia-com-cateter-bipolar\/","title":{"rendered":"Hemostasia com cateter bipolar"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Paciente masculino, 78 anos, admitido por HDA. Ap\u00f3s condutas para estabiliza\u00e7\u00e3o hemodin\u00e2mica, foi submetido \u00e0 <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/ac-endoscopia-digestiva-alta\/\"><span style=\"font-weight: 400;\">endoscopia digestiva alta<\/span><\/a><span style=\"font-weight: 400;\">. O exame demonstrou na pequena curvatura do corpo g\u00e1strico proximal uma grande \u00falcera com sinais de sangramento recente e coto vascular vis\u00edvel.<\/span><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-7804 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/01-300x217.png\" alt=\"\" width=\"500\" height=\"362\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/01-300x217.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/01.png 442w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><img decoding=\"async\" class=\" wp-image-7803 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/02-300x213.png\" alt=\"\" width=\"504\" height=\"358\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/02-300x213.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/02.png 445w\" sizes=\"(max-width: 504px) 100vw, 504px\" \/><\/p>\n<p><img decoding=\"async\" class=\" wp-image-7802 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/03-300x216.png\" alt=\"\" width=\"501\" height=\"361\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/03-300x216.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/03.png 440w\" sizes=\"(max-width: 501px) 100vw, 501px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7801 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/04-300x214.png\" alt=\"\" width=\"502\" height=\"358\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/04-300x214.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/04.png 446w\" sizes=\"(max-width: 502px) 100vw, 502px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>Nesta situa\u00e7\u00e3o, quais m\u00e9todos a serem usados para hemostasia?<\/h2>\n<p><span style=\"font-weight: 400;\">A escleroterapia com adrenalina era uma escolha certa. Mas, tendo em vista os melhores resultados com terapia combinada, ficou a d\u00favida qual o segundo m\u00e9todo a ser utilizado. Logo ficou claro que o clipe n\u00e3o seria a melhor op\u00e7\u00e3o pois a \u00falcera era muito grande, com bordas endurecidas e o clipe n\u00e3o iria conseguir aproximar as bordas. Se o clipe fosse usado diretamente no vaso, provavelmente, n\u00e3o ficaria bem aderido pois a base da \u00falcera estava muito fri\u00e1vel e teria o risco de aumentar a ruptura do vaso.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A ideia foi usar algum m\u00e9todo t\u00e9rmico, sendo as op\u00e7\u00f5es a coagula\u00e7\u00e3o com plasma de arg\u00f4nio ou a hemostasia com cateter bipolar. O arg\u00f4nio n\u00e3o funciona bem em superf\u00edcie que tem l\u00edquido, forma muitos debris que aderem ao cateter. Al\u00e9m disso, a coagula\u00e7\u00e3o \u00e9 superficial e seria insuficiente para a hemostasia mais profunda para um vaso como este.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7806 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/05-300x219.png\" alt=\"\" width=\"500\" height=\"365\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/05-300x219.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/05.png 442w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7805 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/06-300x215.png\" alt=\"\" width=\"501\" height=\"359\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/06-300x215.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/06.png 441w\" sizes=\"(max-width: 501px) 100vw, 501px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">O cateter bipolar (<strong><em><a href=\"https:\/\/www.bostonscientific.com\/en-US\/products\/probes\/injection-gold-probe.html\" target=\"_blank\" rel=\"noopener noreferrer\">Injection Gold Probe<\/a><a href=\"https:\/\/www.bostonscientific.com\/en-US\/products\/probes\/injection-gold-probe.html\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0&#8211; Boston Scientific<\/a><\/em><\/strong>) pareceu ser a melhor op\u00e7\u00e3o. Esse cateter combina a possibilidade de realizar a\u00a0escleroteria\u00a0e a hemostasia t\u00e9rmica com o mesmo acess\u00f3rio. Foi usado atrav\u00e9s de compress\u00e3o no foco exato a ser hemostasiado e com pot\u00eancia de 30 W no modo coagula\u00e7\u00e3o. O efeito imediato foi muito bom, n\u00e3o precisando ser aplicado novamente.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7810 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/07-300x217.png\" alt=\"\" width=\"503\" height=\"364\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/07-300x217.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/07.png 439w\" sizes=\"(max-width: 503px) 100vw, 503px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7809 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/08-300x217.png\" alt=\"\" width=\"505\" height=\"365\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/08-300x217.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/08.png 447w\" sizes=\"(max-width: 505px) 100vw, 505px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7808 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/09-300x215.png\" alt=\"\" width=\"500\" height=\"358\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/09-300x215.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/09.png 453w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7807 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/10-300x215.png\" alt=\"\" width=\"502\" height=\"360\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/10-300x215.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/10.png 449w\" sizes=\"(max-width: 502px) 100vw, 502px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">O tratamento foi complementado com inje\u00e7\u00e3o de solu\u00e7\u00e3o de adrenalina ao redor do vaso rompido. O aspecto foi satisfat\u00f3rio e, ap\u00f3s a hemostasia, n\u00e3o houve ressangramento imediato nem tardio.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7814 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/11-300x216.png\" alt=\"\" width=\"503\" height=\"362\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/11-300x216.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/11.png 432w\" sizes=\"(max-width: 503px) 100vw, 503px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7813 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/12-300x215.png\" alt=\"\" width=\"500\" height=\"358\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/12-300x215.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/12.png 436w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7812 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/13-300x218.png\" alt=\"\" width=\"502\" height=\"365\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/13-300x218.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/13.png 429w\" sizes=\"(max-width: 502px) 100vw, 502px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7811 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/14-300x214.png\" alt=\"\" width=\"504\" height=\"360\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/14-300x214.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/14.png 434w\" sizes=\"(max-width: 504px) 100vw, 504px\" \/><\/p>\n<h2>Eletrocoagula\u00e7\u00e3o bipolar<\/h2>\n<p><span style=\"font-weight: 400;\">O cateter bipolar e o cateter multipolar geram energia t\u00e9rmica completando um circuito el\u00e9trico entre 2 eletrodos na ponta de uma sonda. Em contraste com o eletrocaut\u00e9rio monopolar, o circuito \u00e9 conclu\u00eddo localmente, por isso nenhuma base de aterramento \u00e9 necess\u00e1ria. Como o tecido-alvo desidrata, h\u00e1 uma diminui\u00e7\u00e3o da condutividade el\u00e9trica, limitando a temperatura m\u00e1xima (100 \u00b0C), profundidade e extens\u00e3o da les\u00e3o do tecido. O pedal controla a entrega de energia, e a pot\u00eancia de sa\u00edda \u00e9 em watts (W). Configura\u00e7\u00f5es de pot\u00eancia m\u00e1xima dependem do gerador usado, mas geralmente n\u00e3o excedem 50 W. A configura\u00e7\u00e3o padr\u00e3o \u00e9 20 W.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A sonda bipolar consiste em bandas alternadas de eletrodos que produzem um campo el\u00e9trico que aquece a mucosa e o vaso. Os eletrodos s\u00e3o revestidos com ouro para reduzir a adesividade ao tecido. As sondas s\u00e3o r\u00edgidas a fim de permitir que uma press\u00e3o adequada seja aplicada para comprimir e selar as paredes do vaso sangrante (\u201ccoagula\u00e7\u00e3o coaptiva\u201d) enquanto a energia do campo el\u00e9trico \u00e9 transmitida. A sonda pode ser usada tangencialmente ou perpendicularmente na fonte de sangramento.<\/span><\/p>\n<h3><\/h3>\n<h3><\/h3>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7816 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe-300x300.jpg\" alt=\"\" width=\"500\" height=\"500\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe-300x300.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe-150x150.jpg 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe-70x70.jpg 70w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe.jpg 460w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/h3>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-7815 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe_tip-300x300.jpg\" alt=\"\" width=\"511\" height=\"511\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe_tip-300x300.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe_tip-150x150.jpg 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe_tip-70x70.jpg 70w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/02\/gold-probe_tip.jpg 460w\" sizes=\"(max-width: 511px) 100vw, 511px\" \/><\/h3>\n<h3>Como citar este artigo:<\/h3>\n<p><span style=\"font-weight: 400;\">Salles FP. Hemostasia com cateter bipolar. Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel em:\u00a0https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemostasia-com-cateter-bipolar<\/span><\/p>\n<h3>Refer\u00eancia bibliogr\u00e1fica<\/h3>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">BIANCO, Maria Antonia; ROTONDANO, Gianluca; MARMO, Riccardo; PISCOPO, Roberto; ORSINI, Luigi; CIPOLLETTA, Livio. Combined epinephrine and bipolar probe coagulation vs. bipolar probe coagulation alone for bleeding peptic ulcer: a randomized, controlled trial. Gastrointestinal Endoscopy, [S.L.], v. 60, n. 6, p. 910-915, dez. 2004. Elsevier BV. <\/span><a href=\"http:\/\/dx.doi.org\/10.1016\/s0016-5107(04)02232-1\"><span style=\"font-weight: 400;\">http:\/\/dx.doi.org\/10.1016\/s0016-5107(04)02232-1<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">MORRIS, Marcia L; TUCKER, Robert D; BARON, Todd H; SONG, Louis M Wong Kee. Electrosurgery in Gastrointestinal Endoscopy: principles to practice. The American Journal Of Gastroenterology, [S.L.], v. 104, n. 6, p. 1563-1574, 21 abr. 2009. Ovid Technologies (Wolters Kluwer Health). <\/span><a href=\"http:\/\/dx.doi.org\/10.1038\/ajg.2009.1\"><span style=\"font-weight: 400;\">http:\/\/dx.doi.org\/10.1038\/ajg.2009.1<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">PARSI, Mansour A.; SCHULMAN, Allison R.; ASLANIAN, Harry R.; BHUTANI, Manoop S.; KRISHNAN, Kuman; LICHTENSTEIN, David R.; MELSON, Joshua; NAVANEETHAN, Udayakumar; PANNALA, Rahul; SETHI, Amrita. Devices for endoscopic hemostasis of nonvariceal GI bleeding (with videos). Videogie, [S.L.], v. 4, n. 7, p. 285-299, jul. 2019. Elsevier BV. <\/span><a href=\"http:\/\/dx.doi.org\/10.1016\/j.vgie.2019.02.004\"><span style=\"font-weight: 400;\">http:\/\/dx.doi.org\/10.1016\/j.vgie.2019.02.004<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">CONWAY, Jason D.; ADLER, Douglas G.; DIEHL, David L.; FARRAYE, Francis A.; KANTSEVOY, Sergey V.; KAUL, Vivek; KETHU, Sripathi R.; KWON, Richard S.; MAMULA, Petar; RODRIGUEZ, Sarah A.. Endoscopic hemostatic devices. Gastrointestinal Endoscopy, [S.L.], v. 69, n. 6, p. 987-996, maio 2009. Elsevier BV. http:\/\/dx.doi.org\/10.1016\/j.gie.2008.12.251.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><span style=\"font-weight: 400;\">Endoscopia Terap\u00eautica<\/span><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><span style=\"font-weight: 400;\">artigos comentados<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><span style=\"font-weight: 400;\">assuntos gerais<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><span style=\"font-weight: 400;\">casos cl\u00ednicos<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quizes\/\"><span style=\"font-weight: 400;\">quizzes<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><span style=\"font-weight: 400;\">classifica\u00e7\u00f5es<\/span><\/a><span style=\"font-weight: 400;\"> e mais!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente masculino, 78 anos, admitido por HDA. Ap\u00f3s condutas para estabiliza\u00e7\u00e3o hemodin\u00e2mica, foi submetido&hellip;<\/p>\n","protected":false},"author":1772,"featured_media":10125,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[262],"tipo":[153],"volume":[263],"class_list":["post-4129","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-262","tipo-endoscopia-digestiva-alta","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hemostasia com cateter bipolar &#8226; Endoscopia Terapeutica<\/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:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemostasia-com-cateter-bipolar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hemostasia com cateter bipolar\" \/>\n<meta property=\"og:description\" content=\"Paciente masculino, 78 anos, admitido por HDA. 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