{"id":11547,"date":"2018-03-09T08:56:58","date_gmt":"2018-03-09T08:56:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-del-estudio-doppler-transcraneal-en-la-deteccion-de-microembolias-cerebrales-descripcion-metodologa%c2%ada-y-aplicabilidad-cla%c2%adnica\/"},"modified":"2018-03-09T08:56:58","modified_gmt":"2018-03-09T08:56:58","slug":"utilidad-del-estudio-doppler-transcraneal-en-la-deteccion-de-microembolias-cerebrales-descripcion-metodologa%c2%ada-y-aplicabilidad-cla%c2%adnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-del-estudio-doppler-transcraneal-en-la-deteccion-de-microembolias-cerebrales-descripcion-metodologa%c2%ada-y-aplicabilidad-cla%c2%adnica\/","title":{"rendered":"Utilidad del estudio doppler transcraneal en la detecci\u00f3n de microembolias cerebrales: descripci\u00f3n, metodolog\u00eda y aplicabilidad cl\u00ednica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Serena Leal <\/strong><\/h2>\n<p>Las intervenciones terap\u00e9uticas, tanto en la fase aguda del ictus como en la prevenci\u00f3n secundaria del infarto cerebral, requieren un diagn\u00f3stico etiol\u00f3gico preciso. Especial importancia tiene la identificaci\u00f3n de un embolismo cerebral arterio-arterial o de origen card\u00edaco, en donde el estudio doppler transcraneal (dtc) puede tener una importancia esencial dado que en la actualidad es probalemente la \u00fanica t\u00e9cnica diagn\u00f3stica que puede permitir la detecci\u00f3n de microembolias cerebrales (mes), s\u00f3lidas o gaseosas, en pacientes con un ictus isqu\u00e9mico.  el objetivo principal del presente estudio fue determinar la utilidad cl\u00edncia de la detecci\u00f3n de microembolias cerebrales mediante doppler transcraneal en pacientes con ictus isqu\u00e9mico agudo.  describimos la metodolog\u00eda a seguir en la detecci\u00f3n tanto de mes s\u00f3lidas, como en la de mes gaseosas, estas \u00faltimas producidas artificialmente y administradas con fines diagn\u00f3sticos.  las conclusiones principales son:  1,- el estudio dtc con contraste (dtc-c) es un m\u00e9todo excelente para la detecci\u00f3n de mes gaseosas, e imprescindible en la evaluaci\u00f3n de pacientes de cualquier edad con un ictus criptog\u00e9nico.  2,- el shunt derecha-izquierda (shdi) masivo constituye un factor de riesgo vascular tan importante, si no m\u00e1s, que otros factores de riesgo tradicionalmente aceptados. El dtc-c es superior al ecocardiograma transesof\u00e1gico con contraste (ete-c) en la detecci\u00f3n y cuantificaci\u00f3n del shdi cardiaco. el shdi masivo con patr\u00f3n ducha o cortina se asocia con un incremento del riesgo de ictus isqu\u00e9mico de 12 veces (or, 12,4; 95% ic, 4.08-38.09).  3,- el estudio dtc es una excelente herramienta en la detecci\u00f3n de mes s\u00f3lidas en pacientes con estenosis carot\u00eddea donde aporta informaci\u00f3n pron\u00f3stica a corto y medio plazo. La detecci\u00f3n de mes constituye un factor de reisgo independiente de mal pron\u00f3stico funcional con una or ajustada de 4,2 (95% ic, 1,2-14,9). La detecci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad del estudio doppler transcraneal en la detecci\u00f3n de microembolias cerebrales: descripci\u00f3n, metodolog\u00eda y aplicabilidad cl\u00ednica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad del estudio doppler transcraneal en la detecci\u00f3n de microembolias cerebrales: descripci\u00f3n, metodolog\u00eda y aplicabilidad cl\u00ednica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Serena Leal <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/06\/2001<\/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>Antonio D\u00e1valos Errando<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Castillo s\u00e1nchez <\/li>\n<li> Mart\u00ed vilalta Jos\u00e9 Luis (vocal)<\/li>\n<li>\u00e1ngel Chamorro s\u00e1nchez (vocal)<\/li>\n<li>ferran Garc\u00eda-bragado dalmau (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Serena Leal Las intervenciones terap\u00e9uticas, tanto en la fase aguda del ictus como en la prevenci\u00f3n [&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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