{"id":20930,"date":"2018-03-09T09:10:29","date_gmt":"2018-03-09T09:10:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-hemodinamico-del-trasplante-hepatico-analisis-de-la-lesion-de-isquemia-reperfusion-y-valoracion-de-la-administracion-intraportal-de-prostaglandina-e1-en-la-fase-de-revascularizacion\/"},"modified":"2018-03-09T09:10:29","modified_gmt":"2018-03-09T09:10:29","slug":"estudio-hemodinamico-del-trasplante-hepatico-analisis-de-la-lesion-de-isquemia-reperfusion-y-valoracion-de-la-administracion-intraportal-de-prostaglandina-e1-en-la-fase-de-revascularizacion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-hemodinamico-del-trasplante-hepatico-analisis-de-la-lesion-de-isquemia-reperfusion-y-valoracion-de-la-administracion-intraportal-de-prostaglandina-e1-en-la-fase-de-revascularizacion\/","title":{"rendered":"Estudio hemodin\u00e1mico del trasplante hep\u00e1tico: an\u00e1lisis de la lesi\u00f3n de isquemia-reperfusi\u00f3n y valoraci\u00f3n de la administraci\u00f3n intraportal de prostaglandina e1 en la fase de revascularizaci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ernesto Hidalgo Llompart <\/strong><\/h2>\n<p>El trasplante hep\u00e1tico es el tratamiento de elecci\u00f3n para las hepatopat\u00edas en fase terminal, siendo la cirrosis la principal indicaci\u00f3n en nuestro medio. Esta tesis pretende profundizar en el conocimiento de la hemodin\u00e1mica sist\u00e9mica y regional que caracteriza al paciente candidato al trasplante, as\u00ed como en la hemodin\u00e1mica propia de la fase post-reperfusi\u00f3n. Por otro lado se valorar\u00e1 el posible efecto beneficioso de la perfusi\u00f3n de prostaglandina e1 (pge1) en la fase de revascularizaci\u00f3n por v\u00eda intraportal y a dosis m\u00e1ximas. Para ello se dise\u00f1o un estudio prospectivo incluyendo 155 pacientes, de los cuales 90 se aleatorizaron para la perfusi\u00f3n de pge1 (0,6 ugr\/kg\/hora). la aleatorizaci\u00f3n se efectu\u00f3 mediante sobre abierto en el preciso instante de iniciar el trasplante. Los pacientes previamente hab\u00edan dado su conformidad mediante consentimiento informado. La determinaci\u00f3n hemodin\u00e1mica sist\u00e9mica se realiz\u00f3 mediante cateterismo de las cavidades cardiacas derechas (swan-ganz); la hemodin\u00e1mica regional se registr\u00f3 mediante el tiempo de tr\u00e1nsito de ultrasonidos. El trasplante hep\u00e1tico se llev\u00f3 a cabo utilizando la t\u00e9cnica de preservaci\u00f3n de vena cava inferior (descrita en margarit c.Et al. Transplant international 1998; 11:248-250). Los objetivos que se definieron en este trabajo fueron:  1,- la descripci\u00f3n de la hemodin\u00e1mica basal sist\u00e9mica y regional en el paciente cirr\u00f3tico, as\u00ed como su correlaci\u00f3n con el grado de hepatopat\u00eda (child-pugh).  2,- el an\u00e1lisis de los cambios hemodin\u00e1micos despu\u00e9s de la revascularizaci\u00f3n del injerto.  3,- la posible correlaci\u00f3n entre el grado de lesi\u00f3n de preservaci\u00f3n del injerto y el patr\u00f3n hemodin\u00e1mico.  4,- la descripci\u00f3n del posible efecto de la pge1, tanto hemodin\u00e1mico como cl\u00ednico.  finalmente pudimos concluir que la cirrosis hep\u00e1tica es una enfermedad que se caracteriza a nivel hemodin\u00e1mico local por un incremento de las resistencias portales y co<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio hemodin\u00e1mico del trasplante hep\u00e1tico: an\u00e1lisis de la lesi\u00f3n de isquemia-reperfusi\u00f3n y valoraci\u00f3n de la administraci\u00f3n intraportal de prostaglandina e1 en la fase de revascularizaci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio hemodin\u00e1mico del trasplante hep\u00e1tico: an\u00e1lisis de la lesi\u00f3n de isquemia-reperfusi\u00f3n y valoraci\u00f3n de la administraci\u00f3n intraportal de prostaglandina e1 en la fase de revascularizaci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ernesto Hidalgo Llompart <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/12\/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>Carlos Margarit Creixell<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>ramon Charco torra (vocal)<\/li>\n<li>v\u00edctor Vargas blasco (vocal)<\/li>\n<li>joan Figueras felip (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ernesto Hidalgo Llompart El trasplante hep\u00e1tico es el tratamiento de elecci\u00f3n para las hepatopat\u00edas en fase terminal, [&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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