{"id":13926,"date":"2018-03-09T09:00:24","date_gmt":"2018-03-09T09:00:24","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-coronaria-con-injertos-arteriales-multiples-de-arteria-mamaria-y-arteria-radial\/"},"modified":"2018-03-09T09:00:24","modified_gmt":"2018-03-09T09:00:24","slug":"ciruga%c2%ada-coronaria-con-injertos-arteriales-multiples-de-arteria-mamaria-y-arteria-radial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ciruga%c2%ada-coronaria-con-injertos-arteriales-multiples-de-arteria-mamaria-y-arteria-radial\/","title":{"rendered":"Cirugia coronaria con injertos arteriales m\u00faltiples de arteria mamaria y arteria radial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> F\u00e9lix Rovira Gimeno <\/strong><\/h2>\n<p>Objetivos  evaluar los resultados quir\u00fargicos a corto y medio plazo de la revascularizaci\u00f3n mioc\u00e1rdica, mediante la utilizaci\u00f3n combinada de injertos de arteria mamaria interna izquierda y derecha y de arteria radial.  material y m\u00e9todos  se estudina 112 pacientes intervenidos de cirug\u00eda coronaria en el centro cardiovascular san jordi de barcelona, durante el per\u00edodo febrero de 1999 hasta febrero de 2001 , que recibieron m\u00e1s de un injerto arterial.  la edad media fue de 60,7 +- 10,03 (32-79)a\u00f1os. 45 pacientes se intervinieron en situaci\u00f3n cl\u00ednica de angina estable, 39 en angina inestable y 55 hab\u00edan presentado infarto de miocardio previo. 83 enfermos presentaban enfermedad de 3 vasos, 29 de 2 vasos y 20 lesi\u00f3n del tronco com\u00fan de la arteria coronaria izquierda. La fracci\u00f3n de eyecci\u00f3n previa fue del 60,3+-13%. 101 pacientes fueron intervenidos con circulaci\u00f3n extracorp\u00f3rea (cec) y 11, sin cec. se describe con detalle la t\u00e9cnica de extracci\u00f3n de la arteria radial. se implantaron 241 injertos arteriales, 108 arterias mamarias izquierdas, 102 arterias radiales, 22 arterias mamarias derechas y 69 injertos complementarios de vena safena, con un total de 310 injertos coronarios. Media: 2,75 injertos\/pacientes. para la prevenci\u00f3n del espasmo de la arteria radial se utiliz\u00f3 diltiazem o amlodipino durante 6 meses de postoperatorio. El seguimiento fue completo (100%) en los 110 pacientes supervivientes, con una media de 14,4 +-7 (30-6)meses.  resultados  mortalidad hospitalaria (1,7%), iam peroperatorio (4,5%), asintom\u00e1ticos (90%), angina recurrente (10%). Hallazgos angiogr\u00e1ficos en los pacientes con angina recurrente. Todos los injertos de arteria mamaria izquierda a descendente anterior permeables y sin lesiones. 9 (8,8%) injertos de arteria radial ocluidos y 1 (4,5%) injerto de arteria mamaria derecha ocluido. exploraciones postoperatorias no invasivas: 93,9% de pruebas de esfuerzo negativas. 63% de estudios isot\u00f3p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia coronaria con injertos arteriales m\u00faltiples de arteria mamaria y arteria radial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia coronaria con injertos arteriales m\u00faltiples de arteria mamaria y arteria radial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 F\u00e9lix Rovira Gimeno <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/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>Mario Petit Gunivart<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan S\u00e1nchez-lloret tortosa <\/li>\n<li>Jos\u00e9 Reig vilallonsa (vocal)<\/li>\n<li>cipriano Carlos Abad vazquez (vocal)<\/li>\n<li>agustin Jornet moreta (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de F\u00e9lix Rovira Gimeno Objetivos evaluar los resultados quir\u00fargicos a corto y medio plazo de la revascularizaci\u00f3n mioc\u00e1rdica, [&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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