{"id":100942,"date":"2018-03-11T10:22:34","date_gmt":"2018-03-11T10:22:34","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/dilatacion-simultanea-versus-dilatacion-consecutiva-en-pacientes-con-lesiones-bifurcadas-tratadas-con-un-stent-un-estudio-randomizado-con-con-ultrasonidos-intracoronarios\/"},"modified":"2018-03-11T10:22:34","modified_gmt":"2018-03-11T10:22:34","slug":"dilatacion-simultanea-versus-dilatacion-consecutiva-en-pacientes-con-lesiones-bifurcadas-tratadas-con-un-stent-un-estudio-randomizado-con-con-ultrasonidos-intracoronarios","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/dilatacion-simultanea-versus-dilatacion-consecutiva-en-pacientes-con-lesiones-bifurcadas-tratadas-con-un-stent-un-estudio-randomizado-con-con-ultrasonidos-intracoronarios\/","title":{"rendered":"Dilatacion simultanea versus dilatacion consecutiva en pacientes con lesiones bifurcadas tratadas con un stent. un estudio randomizado con con ultrasonidos intracoronarios"},"content":{"rendered":"<h2>Tesis doctoral de <strong> \u00c1lvaro Leon Moreno Reig <\/strong><\/h2>\n<p>La deformaci\u00f3n del stent en el vaso  principal tras la dilataci\u00f3n de la rama se describe con detalle en m\u00faltiples estudios. La t\u00e9cnica del kissing bal\u00f3n se propone para restaurar la geometr\u00eda original del stent. No obstante, hay muy poca informaci\u00f3n in vivo disponible. Los ultrasonidos intravasculares (ivus) permiten obetivar  la morfolog\u00eda del stent tras la postdilataci\u00f3n de la rama. Realizamos  un estudio randomizado en pacientes con lesiones bifurcadas tratadas mediante estrategia simple (stent liberador de f\u00e1rmacos en la rama principal). M\u00e9todos: incluimos 151 pacientes con lesiones bifurcadas tratados con \u00e9xito ; 76 recibieron kissing bal\u00f3n y 75 postdilataci\u00f3n simple. Resultados: la edad media fue 63\u00c2\u00b19 a\u00f1os y 112 (77%) eran hombres. La lesi\u00f3n diana se localiz\u00f3 en la descendente anterior en 76 pacientes (50%), en la circunfleja en 39 pacientes (26%) y en la coronaria derecha en 21 (14%). No hubo diferencias significativas en t\u00e9rminos de factores de riesgo, presentaci\u00f3n cl\u00ednica o par\u00e1metros angiogr\u00e1ficos. La tabla muestra los hallazgos de ivus en ambos grupos. A fecha de enero 2009, 78 pacientes (52%)  completaron un a\u00f1o de seguimiento. Hasta la fecha 8 pacientes han presentado eventos card\u00edacos mayores sin diferencias significativas entre grupos. Conclusiones: un cierto grado de deformaci\u00f3n ocurre inmediatamente bajo el origen de la rama tras la postdilataci\u00f3n simple. La t\u00e9cnica del kissing bal\u00f3n no permite una completa recuperaci\u00f3n de la geometr\u00eda del stent, aunque el segmento proximal aumenta de forma significativa. No hay diferencias en cuanto a eventos cl\u00ednicos en un a\u00f1o area de la luz (mm2) \tkissing s\u00ed\t\t kissing no segmento prox\t\t9,5\u00c2\u00b12,6\t\t7,5\u00c2\u00b12,1\t0,01 bajo origen rama colat\t6,1\u00c2\u00b11,8\t\t5,6\u00c2\u00b11,6\tns segmento distal\t\t6,8\u00c2\u00b11,9\t\t6,3\u00c2\u00b11,5\tns<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Dilatacion simultanea versus dilatacion consecutiva en pacientes con lesiones bifurcadas tratadas con un stent. un estudio randomizado con con ultrasonidos intracoronarios<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Dilatacion simultanea versus dilatacion consecutiva en pacientes con lesiones bifurcadas tratadas con un stent. un estudio randomizado con con ultrasonidos intracoronarios <\/li>\n<li><strong>Autor:<\/strong>\u00a0 \u00c1lvaro Leon Moreno Reig <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/05\/2010<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>ossorio Pan Alvarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Medina fern\u00e1ndez aceytuno <\/li>\n<li>eduardo Deteresa galvan (vocal)<\/li>\n<li>enrique Hernandez ortega (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Segura saint-gerons (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de \u00c1lvaro Leon Moreno Reig La deformaci\u00f3n del stent en el vaso principal tras la dilataci\u00f3n de la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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