{"id":4813,"date":"2020-10-13T09:00:29","date_gmt":"2020-10-13T09:00:29","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/plasma-de-argonio\/"},"modified":"2021-11-25T21:12:40","modified_gmt":"2021-11-25T21:12:40","slug":"plasma-de-argonio","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/plasma-de-argonio\/","title":{"rendered":"Usos do Plasma de Arg\u00f4nio em endoscopia"},"content":{"rendered":"<h2><strong>CONCEITO<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">A coagula\u00e7\u00e3o por plasma de arg\u00f4nio (APC) \u00e9 um procedimento eletrocir\u00fargico que combina uma corrente monopolar com o g\u00e1s arg\u00f4nio para obter a coagula\u00e7\u00e3o. O g\u00e1s \u00e9 ionizado por meio de uma fa\u00edsca de alta voltagem liberada na extremidade do cateter, aplicando, desse modo, o plasma de energia no tecido adjacente.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ap\u00f3s o efeito t\u00e9rmico, a superf\u00edcie do tecido perde sua condutividade el\u00e9trica, e o feixe de plasma muda sua dire\u00e7\u00e3o para um tecido condutor adjacente (n\u00e3o coagulado). Isso resulta em uma profundidade limitada de trauma local.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Quando a dist\u00e2ncia n\u00e3o \u00e9 suficiente, n\u00e3o h\u00e1 transmiss\u00e3o el\u00e9trica pelo g\u00e1s, pois a resist\u00eancia ao fluxo de corrente el\u00e9trica \u00e9 muito alta, e a ativa\u00e7\u00e3o do pedal resulta apenas no fluxo de g\u00e1s arg\u00f4nio inerte. Em geral, a dist\u00e2ncia ideal entre a sonda e o tecido varia de 2 a 8 mm.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">As vantagens do APC na hemostasia s\u00e3o:<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hemostasia sem contato;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Coagula\u00e7\u00e3o superficial homog\u00eanea para desvitaliza\u00e7\u00e3o;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Baixo risco de perfura\u00e7\u00e3o;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Carboniza\u00e7\u00e3o e fuma\u00e7a m\u00ednima.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>INSTRUMENTOS<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">O sistema para APC consiste em um gerador eletrocir\u00fargico, um pedal de ativa\u00e7\u00e3o, um medidor de fluxo de g\u00e1s de arg\u00f4nio preso ao cilindro de g\u00e1s, sondas de distribui\u00e7\u00e3o flex\u00edveis (cateter) e uma placa de aterramento.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Figura 1. Esta\u00e7\u00e3o de trabalho VIO 300 D \u2013 ERBE (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Arg\u00f4nio.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-11732 size-full\" title=\"Plasma de Arg\u00f4nio\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Plasma-de-ArgoCC82nio.jpg\" alt=\"Plasma de Arg\u00f4nio - Esta\u00e7\u00e3o de trabalho VIO 300 D \u2013 ERBE (cortesia de Erbe do Brasil Ltda. \u2013 Barueri, SP, Brasil)\" width=\"597\" height=\"498\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Os cateteres de APC s\u00e3o instrumentos flex\u00edveis, capazes de fornecer, simultaneamente, o g\u00e1s arg\u00f4nio e a corrente el\u00e9trica com a ativa\u00e7\u00e3o de um \u00fanico pedal. Essas sondas diferem de acordo com o seu di\u00e2metro, comprimento e desenho da ponta.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Figura 2. Dire\u00e7\u00e3o do fluxo de g\u00e1s arg\u00f4nio (setas) depende da posi\u00e7\u00e3o do desenho da ponta da sonda (A); efeitos das diferentes sondas (B) (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Arg\u00f4nio-2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"aligncenter wp-image-11733 size-full\" title=\"Plasma de Arg\u00f4nio\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Plasma-de-ArgoCC82nio-2.jpg\" alt=\"Plasma de Arg\u00f4nio - Dire\u00e7\u00e3o do fluxo de g\u00e1s arg\u00f4nio\" width=\"606\" height=\"548\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>MODOS DO APC<\/strong><\/h2>\n<p><strong>Forced APC<\/strong><span style=\"font-weight: 400;\">:<\/span> <span style=\"font-weight: 400;\">energia elevada no tecido alvo, resultando em coagula\u00e7\u00e3o profunda e desvitaliza\u00e7\u00e3o efetiva. Apresenta uma pot\u00eancia fixa, forte efeito hemost\u00e1tico e aplica\u00e7\u00e3o cont\u00ednua de energia.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Aplica\u00e7\u00f5es para a coagula\u00e7\u00e3o por plasma de arg\u00f4nio:<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sangramentos tumorais;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Abla\u00e7\u00e3o tumoral;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Recanaliza\u00e7\u00e3o de stents (<\/span><i><span style=\"font-weight: 400;\">in-growth<\/span><\/i><span style=\"font-weight: 400;\"> e <\/span><i><span style=\"font-weight: 400;\">over-growth<\/span><\/i><span style=\"font-weight: 400;\">);<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Redu\u00e7\u00e3o de stents met\u00e1licos;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sangramento agudo n\u00e3o varicoso;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sangramento p\u00f3s-dissec\u00e7\u00e3o endosc\u00f3pica submucosa (ESD).<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Video 1. APC modo Forced (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><br \/>\n<iframe src=\"https:\/\/www.youtube.com\/embed\/e1LmDNUUPY0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Pulsed APC<\/strong><span style=\"font-weight: 400;\">:<\/span> <span style=\"font-weight: 400;\">esse modo \u00e9 baseado em ativa\u00e7\u00e3o pulsada. Utilizado no tratamento de les\u00f5es superficiais grandes, situadas, principalmente, em estruturas de paredes finas e termossens\u00edveis. Devido \u00e0 sa\u00edda de energia intermitente, o risco de perfura\u00e7\u00e3o \u00e9 reduzido em compara\u00e7\u00e3o com aquele que utiliza um feixe de APC cont\u00ednuo.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Utiliza duas frequ\u00eancias diferentes:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Efeito 1: 1 pulso\/seg. Alta energia de sa\u00edda por pulso.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Efeito 2:<\/span> <span style=\"font-weight: 400;\">16 pulsos\/seg. Baixa energia de sa\u00edda por pulso.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aplica\u00e7\u00f5es:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sangramento cr\u00f4nico \u2013 ectasia vascular de antro g\u00e1strico (GAVE), retite act\u00ednica, angiodisplasias;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sangramento difuso do c\u00f3lon e reto;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Desvitaliza\u00e7\u00e3o tecidual (adenoma remanescente e es\u00f4fago de Barret);<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Divert\u00edculo de Zenker.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Video 2. APC modo Pulsed (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><\/p>\n<p><iframe src=\"https:\/\/www.youtube.com\/embed\/R3IQDfHScW0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Precise APC<\/strong><span style=\"font-weight: 400;\">: efeito de coagula\u00e7\u00e3o superficial por meio de uma sa\u00edda de baixa energia por unidade de tempo, adequado em tecidos delicados. Possui controle de ajuste autom\u00e1tico do plasma de arg\u00f4nio, ou seja, o efeito tissular \u00e9 independente da dist\u00e2ncia (em at\u00e9 5 mm).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aplica\u00e7\u00f5es:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hemostasia em sangramentos superficiais;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u00c1reas termossens\u00edveis e\/ou estruturas de paredes finas (duodeno, intestino delgado e ceco);<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Em situa\u00e7\u00f5es em que \u00e9 dif\u00edcil manter uma dist\u00e2ncia cont\u00ednua do cateter para tecido (interven\u00e7\u00e3o enterosc\u00f3pica com intenso peristaltismo).<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Video 3. APC modo Precise (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><br \/>\n<iframe src=\"https:\/\/www.youtube.com\/embed\/gj3k8PgyL0M\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">Na Figura 3, demonstramos os diferentes efeitos tissulares e, na Figura 4, a sensibilidade t\u00e9rmica nos diferentes tecidos.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Figura 3. Efeitos dos diferentes modos de APC (cortesia de Erbe do Brasil Ltda. &#8211; Barueri, SP, Brasil)<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-7917\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-300x195.png\" alt=\"Plasma de Arg\u00f4nio - Efeitos dos diferentes modos de APC\" width=\"540\" height=\"351\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-300x195.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-585x380.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio.png 600w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Figura 4. Sensibilidade t\u00e9rmica nos diferentes tecidos<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-7918\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-2-300x186.png\" alt=\"Plasma de Arg\u00f4nio - Sensibilidade t\u00e9rmica nos diferentes tecidos\" width=\"461\" height=\"286\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-2-300x186.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/Plasma-de-Argo\u0302nio-2.png 351w\" sizes=\"(max-width: 461px) 100vw, 461px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>EVENTOS ADVERSOS<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dor: devido \u00e0 falta de inerva\u00e7\u00e3o na maior parte do trato gastrointestinal (TGI), a dor n\u00e3o \u00e9 comum ap\u00f3s o uso do APC. No entanto, na parte distal do canal anal (ao n\u00edvel da linha pect\u00ednea), os pacientes podem apresentar est\u00edmulo \u00e1lgico que, em geral, cessa rapidamente com analg\u00e9sicos e\/ou anti-inflamat\u00f3rios. Outros efeitos indiretos de dor durante o procedimento podem ser causados por distens\u00e3o excessiva devido ao g\u00e1s ou ap\u00f3s a aplica\u00e7\u00e3o de APC no es\u00f4fago (dor retroesternal ou odinofagia).<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Enfisema gasoso: \u00e9 uma cole\u00e7\u00e3o revers\u00edvel de g\u00e1s em \u00e1rea do tecido-alvo e\/ou no tecido pr\u00f3ximo, em geral sem import\u00e2ncia cl\u00ednica.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Explos\u00e3o\/combust\u00e3o: ao aplicar APC e outras fontes de energia no TGI, devido \u00e0 presen\u00e7a de gases inflam\u00e1veis \u200b\u200bpotencialmente presentes no intestino, pode resultar em uma explos\u00e3o.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Perfura\u00e7\u00e3o: apesar de seu efeito superficial, a perfura\u00e7\u00e3o pode ocorrer ao usar APC. As seguintes medidas preventivas s\u00e3o, portanto, recomendadas: aplica\u00e7\u00f5es curtas (1-2 seg.), levar em conta a indica\u00e7\u00e3o e localiza\u00e7\u00e3o da les\u00e3o e a dist\u00e2ncia entre a sonda e o tecido deve ser de 2 a 8 mm.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>RECOMENDA\u00c7\u00d5ES DE AJUSTES<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">GAVE: Pulsed APC, efeito 2, 20-50 Watt<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ANGIODISPLASIA DE C\u00d3LON: Pulsed APC, efeito 2, 10-30 Watt ou Precise APC<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">RETITE ACT\u00cdNICA: Pulsed APC, efeito 2, 10-30 Watt<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fluxo 0,8 \u2013 1,0 L\/min<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong>Como citar esse artigo:<\/strong><\/h3>\n<p><em>Fernandez\u00a0J. Usos do Plasma de Arg\u00f4nio em endoscopia. Endoscopia Terap\u00eautica; 2020. Dispon\u00edvel em:\u00a0https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/plasma-de-argonio\/<\/em><\/p>\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<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CONCEITO A coagula\u00e7\u00e3o por plasma de arg\u00f4nio (APC) \u00e9 um procedimento eletrocir\u00fargico que combina&hellip;<\/p>\n","protected":false},"author":2592,"featured_media":7917,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[146],"tipo":[159],"volume":[147],"class_list":["post-4813","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-146","tipo-outros","volume-volume-ii"],"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>Usos do Plasma de Arg\u00f4nio em endoscopia &#8226; 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