{"id":13626,"date":"2001-05-11T00:00:00","date_gmt":"2001-05-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/revascularizacion-en-la-enfermedad-oclusiva-femoropoplitea-con-bypass-de-vena-safena-in-situ-analisis-de-sus-resultados-a-largo-plazo\/"},"modified":"2001-05-11T00:00:00","modified_gmt":"2001-05-11T00:00:00","slug":"revascularizacion-en-la-enfermedad-oclusiva-femoropoplitea-con-bypass-de-vena-safena-in-situ-analisis-de-sus-resultados-a-largo-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/revascularizacion-en-la-enfermedad-oclusiva-femoropoplitea-con-bypass-de-vena-safena-in-situ-analisis-de-sus-resultados-a-largo-plazo\/","title":{"rendered":"Revascularizaci\u00f3n en la enfermedad oclusiva femoropoplitea con bypass de vena safena \u00abin situ\u00bb. analisis de sus resultados a largo plazo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Javier Serrano  Hernando <\/strong><\/h2>\n<p>Objetivo  analizar las caracter\u00edsticas demogr\u00e1ficas, cl\u00ednicas y de t\u00e9cnica quir\u00fargica de los pacientes intervenidos por enfermedad arterial oclusiva fenoropopl\u00edtea con bypass de vena safena in situ.  identificar si la presencia de diabetes mellitus dm, el sexo o la edad avanzada suponen una diferente forma de presentanci\u00f3n cl\u00ednica o en la t\u00e9cnica quir\u00fargica empleada.  identificar variables cl\u00ednicas y factores t\u00e9cnicos de la reconstrucci\u00f3n que se comporten como factor de riesgo de oclusi\u00f3n precoz o tard\u00eda del bypass de vena safena in situ.  conocer la tasa de salvaci\u00f3n de extremidad con esta t\u00e9cnica y la supervivencia tard\u00eda, e identificar la existencia de factores de riesgo para amputaci\u00f3n y mortalidad postoperatoria.  material y m\u00e9todos  estudio prospectivo de cohortes, sobre los pacientes a los que se les pr\u00e1ctico un bypass femoropopl\u00edteo o distal con vena safena in situ por enfermedad arterial oclusiva, en el periodo desde enero de 1988 a diciembre de 1998 (n=415). An\u00e1lisis de variables mediante inclusi\u00f3n en un registro prospectivo informatizado para la valoraci\u00f3n de tasas de permeabilidad acumulada, salvaci\u00f3n de extremidad y supervivencia a largo plazo.  resultados  la presencia de dm se asoci\u00f3 con una mayor preValencia de isquemia cr\u00edtica, sexo femenino y necesidad de bypass a arteria peronea o a vasos a nivel maleolar. En la serie completa la mortalidad postoperatoria fue 2,4% y la permeabilidad secundaria a 30 d\u00edas fue 89% con salvaci\u00f3n de extremidad del 93%.  la permeabilidad tard\u00eda fue 75%, 63&amp; y 59% a 1,5 y 10 a\u00f1os respectivamente. la permeabilidad fue significativamente inferior en pacientes de sexo femenino y aquellos que precisaron una reintervenci\u00f3n precoz (&lt;30 d\u00edas). Las venas de calibre inferior a 3 mm. Ofrecen peor permeabilidad en anastomosis a poplitea pero no en vasos distales.  conclusiones  la presencia de dm establece un patr\u00f3n clinico y de t\u00e9cnica quirurgica<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Revascularizaci\u00f3n en la enfermedad oclusiva femoropoplitea con bypass de vena safena \u00abin situ\u00bb. analisis de sus resultados a largo plazo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Revascularizaci\u00f3n en la enfermedad oclusiva femoropoplitea con bypass de vena safena \u00abin situ\u00bb. analisis de sus resultados a largo plazo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Javier Serrano  Hernando <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/11\/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 Torres  Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li> Paredero del bosque mart\u00edn vicente (vocal)<\/li>\n<li>eduardo Ros die (vocal)<\/li>\n<li>Manuel Mart\u00ednez p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Javier Serrano Hernando Objetivo analizar las caracter\u00edsticas demogr\u00e1ficas, cl\u00ednicas y de t\u00e9cnica quir\u00fargica de los pacientes [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,1550],"tags":[39782,1555,44184,4963,21430,29652],"class_list":["post-13626","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-vascular","tag-antonio-torres-garcia","tag-eduardo-ros-die","tag-francisco-javier-serrano-hernando","tag-jose-luis-balibrea-cantero","tag-manuel-Martinez-perez","tag-paredero-del-bosque-martin-vicente"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/13626","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=13626"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/13626\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=13626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=13626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=13626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}