{"id":35915,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-un-nuevo-regimen-antitrombotico-sin-efecto-anticoagulante-inicial-en-la-terapia-postimplantacion-de-endoprotesis-coronarias-stent\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"impacto-de-un-nuevo-regimen-antitrombotico-sin-efecto-anticoagulante-inicial-en-la-terapia-postimplantacion-de-endoprotesis-coronarias-stent","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/impacto-de-un-nuevo-regimen-antitrombotico-sin-efecto-anticoagulante-inicial-en-la-terapia-postimplantacion-de-endoprotesis-coronarias-stent\/","title":{"rendered":"Impacto de un nuevo regimen antitrombotico sin efecto anticoagulante inicial en la terapia postimplantacion de endoprotesis coronarias (stent)."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Mu\u00f1oz San Jos\u00e9 Juan  Carlos <\/strong><\/h2>\n<p>La utilidad del stent coronario est\u00e1 limitada por el riesgo de oclusi\u00f3n tromb\u00f3tica del stent, las complicaciones hemorr\u00e1gicas del tratamiento antitromb\u00f3tico y la consiguiente prolongaci\u00f3n de la estancia hospitalaria. Este estudio se dise\u00f1\u00f3 para evaluar la efectividad contra estas limitaciones de un r\u00e9gimen antitromb\u00f3tico sin anticoagulaci\u00f3n inicial, analizando la evoluci\u00f3n de 110 pts consecutivos (61+11 a\u00f1os, 64% varones) sometidos a implante electivo de un stent de palmaz-schatz sobre 121 lesiones. S\u00f3lo se administr\u00f3 heparina intravenosa durante la intervenci\u00f3n.  despu\u00e9s, todos los pacientes fueron tratados con aspirina, dipiridamol, dextrano, acenocumarol y heparina de bajo peso molecular (hbpm) (enoxaparina, 40 mg sc\/d\u00eda). El tratamiento con hbpm comenz\u00f3 6 horas post procedimiento y se interrumpi\u00f3 cuando se hab\u00eda conseguido un inr 2. Se analiz\u00f3 diariamente antes del alta el ttpa y el inr. En los primeros 52 pacientes (grupo a) se realiz\u00f3 coronariograf\u00eda a las 24 horas y se prolong\u00f3 el ingreso hasta obtener un inr estable de 2-3. Los siguientes 60 pacientes (grupo b) fueron dados de alta a las 24 horas, con control ambulatorio de la anticoagulaci\u00f3n. En todos los pacientes se efectu\u00f3 seguimiento cl\u00ednico y angiogr\u00e1fico a los 30 d\u00edas y a los 6 meses.  durante el tratamiento con hbpm el ttpa permaneci\u00f3 normal (30+-6,2 seg). Al tercer d\u00eda el inr fu\u00e9 2 en el 78% de los pacientes. La estancia hospitalaria del grupo a fu\u00e9 de 9,1+-4,3 d\u00edas, frente a 27+-8 horas en el grupo b. No hubo eventos card\u00edacos mayores durante el primer mes. Todas las lesiones tratadas permanecieron permeables en las coronariograf\u00edas realizadas a las 24 horas y al sexto mes. S\u00f3lo 2 pacientes (1,8%, ic95%:  0,3-7%) sufrieron complicaciones hemorr\u00e1gicas. A los 6 meses no hubo eventos card\u00edacos mayores y 10 pts (9,1%, ic95%: 5-16%) sufr\u00edan angina o isquemia atribuible a reestenosis del stent. La incidencia de reestenosis a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de un nuevo regimen antitrombotico sin efecto anticoagulante inicial en la terapia postimplantacion de endoprotesis coronarias (stent).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de un nuevo regimen antitrombotico sin efecto anticoagulante inicial en la terapia postimplantacion de endoprotesis coronarias (stent). <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Mu\u00f1oz San Jos\u00e9 Juan  Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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> Fern\u00e1ndez Aviles Francisco Jes\u00fas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Del Pozo Crespo Fernando Jes\u00fas <\/li>\n<li>Alfonso Castro Beiras (vocal)<\/li>\n<li>Jes\u00fas Herreros Gonzalez (vocal)<\/li>\n<li>Enrique Asin Cardiel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mu\u00f1oz San Jos\u00e9 Juan Carlos La utilidad del stent coronario est\u00e1 limitada por el riesgo de oclusi\u00f3n [&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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