{"id":24584,"date":"2003-10-07T00:00:00","date_gmt":"2003-10-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-cla%c2%adnica-de-los-pacientes-tratados-con-stent-en-el-segmento-proximal-de-la-arteria-descendente-anterior\/"},"modified":"2003-10-07T00:00:00","modified_gmt":"2003-10-07T00:00:00","slug":"evolucion-cla%c2%adnica-de-los-pacientes-tratados-con-stent-en-el-segmento-proximal-de-la-arteria-descendente-anterior","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/miguel-hernandez-de-elche\/evolucion-cla%c2%adnica-de-los-pacientes-tratados-con-stent-en-el-segmento-proximal-de-la-arteria-descendente-anterior\/","title":{"rendered":"Evoluci\u00f3n cl\u00ednica de los pacientes tratados con stent en el segmento proximal de la arteria descendente anterior"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Mainar Tello <\/strong><\/h2>\n<p>La arteria coronaria descendente anterior est\u00e1 m\u00e1s desarrollada que otros vasos coronarios y las estenosis localizadas en su segmento proximal (dap) tienen importancia pron\u00f3stica. Su tratamiento percut\u00e1neo presenta riesgos derivados de la extensa masa de miocardio servido por la arteria y de la proximidad del tronco com\u00fan. Mientras con cat\u00e9ter bal\u00f3n no se obtienen buenos resultados, experiencias preliminares sugieren que el tratamiento son stent podr\u00eda ser tan efectivo como de la cirug\u00eda coronaria.  en el hospital general universitario de alicante he analizado de forma prospectiva la tasa de \u00e9xito inmediato en la colocaci\u00f3n de stent de dap, los eventos cardiacos adversos mayores (ecam): muerte card\u00edaca, infarto agudo de miocardio y necesidad de nueva revascularizaci\u00f3n en una observaci\u00f3n entre 2 y 5 a\u00f1os y los factores cl\u00ednicos, angiogr\u00e1ficos y de procedimiento que se han asociado al resultado tard\u00edo en una serie de 98 pacientes. Han sido exclusiones: primeras 24 horas de infarto de miocardio, enfermedad de tronco com\u00fan, oclusi\u00f3n cr\u00f3nica y enfermedad concomitante de mal pron\u00f3sitco. eran elegibles los pacientes sin l\u00edmite de edad, con estenosis mayor 70% en dap, isquemia demostrada con o sin s\u00edntomas y que aceptaran un seguimiento cl\u00ednico en la consulta. Los stents m\u00e1s usados fueron palmaz-schatz y nir colocados manualmente sobre el bal\u00f3n. El seguimiento fu\u00e9 telef\u00f3nico o presencial, pero el \u00faltimo contacto incluy\u00f3 la realizaci\u00f3n de ecg y la revisi\u00f3n de la documentaci\u00f3n cl\u00ednica. Las probabilidades acumuladas de supervivencia libre de muerte, de muerte card\u00edaca y de ecam se calcularon con el estimador de kaplan-meier. El an\u00e1lisis multivariado se realiz\u00f3 construyendo un modelo de cox.  las caracter\u00edsticas basales del grupo fueron: edad 62,5 +- 9,2 a\u00f1os, varones 82,7%, hipertensi\u00f3n 59,2%, diabetes 26,5%, hipercolesterolemia 81,6% tabaquismo activo 18,4%, exfumador 50%, afectaci\u00f3n de m\u00e1s de un vaso 28,6<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evoluci\u00f3n cl\u00ednica de los pacientes tratados con stent en el segmento proximal de la arteria descendente anterior<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evoluci\u00f3n cl\u00ednica de los pacientes tratados con stent en el segmento proximal de la arteria descendente anterior <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Mainar Tello <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/07\/2003<\/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>Ildefonso Hernandez Aguado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Caturla such <\/li>\n<li>Francisco Javier Chorro gasc\u00f3 (vocal)<\/li>\n<li>eduardo Otero coto (vocal)<\/li>\n<li>Jaime Latour p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Mainar Tello La arteria coronaria descendente anterior est\u00e1 m\u00e1s desarrollada que otros vasos coronarios y las [&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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