{"id":20002,"date":"2018-03-09T09:09:11","date_gmt":"2018-03-09T09:09:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/revascularizacion-miocardica-indirecta-tras-cardiomioplastia\/"},"modified":"2018-03-09T09:09:11","modified_gmt":"2018-03-09T09:09:11","slug":"revascularizacion-miocardica-indirecta-tras-cardiomioplastia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sevilla\/revascularizacion-miocardica-indirecta-tras-cardiomioplastia\/","title":{"rendered":"Revascularizaci\u00f3n mioc\u00e1rdica indirecta tras cardiomioplastia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ascension Gonzalez Garcia <\/strong><\/h2>\n<p>La cardiomioplastia es un m\u00e9todo de asistencia ventricular biol\u00f3gica en pacientes en fallo cardiaco cr\u00f3nico. Nuestro prop\u00f3stio es aportar un nuevo m\u00e9todo de revascularizaci\u00f3n del miocardio a expensas de una red de neovasos formados desde un m\u00fasculo esquel\u00e9tico y su aplicaci\u00f3n en pacientes en situaci\u00f3n de angina inestable refractaria a tratamiento m\u00e9dico y quir\u00fargico convencional, o que se encuentren en situaic\u00f3n de insuficiencia cardiaca postisqu\u00e9mica grado funcional iv, sin posibilidad de transplante cardiaco.  realizamos un estudio experimental en 50 cerdos. Elaboramos un modelo de cardiopat\u00eda isqu\u00e9mica mediante cateterismo e inyecci\u00f3n de microesferas de 250 micras en la arteria descendente anterior. Estudiamos dos situaciones: el grupo a, sin caridomioplastia y el grupo b con cardiomioplastia. Para la realizaci\u00f3n de la cardiomioplastia utilizamos el m\u00fasculo dorsal ancho, que se traslada al interior del t\u00f3rax mediante toracotom\u00eda, conservando \u00edntegro su ped\u00edculo neurovascular. Realizamos un estudio de supervivencia acumulada a los 90 d\u00edas y posteriormente realizamos medici\u00f3n de los flujos sangu\u00edneos indirectos mediante doppler sobre la vena interventricular anterior.  resultados: el estudio de supervivencia acumulada para el grupo a es del 60% y para b del 88%. Elaboramos las curvas de supervivencia de kaplan-meyer y aplicando el test estad\u00edstico de b breslow nos confirma una diferencia significativa entre ambas curvas. El flujo sangu\u00edneo aportado por el m\u00fasculo dorsal ancho contribuye a la irrigaci\u00f3n de un \u00e1rea de isquemia del miocardio y por lo tanto a la mejora de la supervivencia del grupo b.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Revascularizaci\u00f3n mioc\u00e1rdica indirecta tras cardiomioplastia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Revascularizaci\u00f3n mioc\u00e1rdica indirecta tras cardiomioplastia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ascension Gonzalez Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/11\/2002<\/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>\u00e1lvaro Garc\u00eda Perla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Fajardo galvez <\/li>\n<li>Jos\u00e9 Miguel Borrego dom\u00ednguez (vocal)<\/li>\n<li>Javier Ayarra jarne (vocal)<\/li>\n<li>feliciano Fernandez gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ascension Gonzalez Garcia La cardiomioplastia es un m\u00e9todo de asistencia ventricular biol\u00f3gica en pacientes en fallo cardiaco [&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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