{"id":62435,"date":"2018-03-09T22:50:21","date_gmt":"2018-03-09T22:50:21","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/lesiones-coronarias-largas-tratamiento-percutaneo-con-stents-recubiertos-de-farmaco\/"},"modified":"2018-03-09T22:50:21","modified_gmt":"2018-03-09T22:50:21","slug":"lesiones-coronarias-largas-tratamiento-percutaneo-con-stents-recubiertos-de-farmaco","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/lesiones-coronarias-largas-tratamiento-percutaneo-con-stents-recubiertos-de-farmaco\/","title":{"rendered":"Lesiones coronarias largas: tratamiento percut\u00e1neo con stents recubiertos de f\u00e1rmaco"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Mazuelos Bellido <\/strong><\/h2>\n<p>Introducci\u00f3n: el tratamiento percut\u00e1neo de las lesiones coronarias difusas sigue siendo un reto t\u00e9cnico y cl\u00ednico. Con la aparici\u00f3n de los stents liberadores de f\u00e1rmaco (slf), las tasas de reestenosis han disminu\u00eddo, lo que ha aumentado las posibilidades de \u00e9xito al abordar este tipo de lesiones de alto riesgo.  objetivos: el objetivo de esta tesis es analizar los resultados tanto angiogr\u00e1ficos como cl\u00ednicos, inmediatos y a medio plazo, en lesiones coronarias difusas (>20 mm) tratadas con slf; stents liberadores de rapamicina, paclitaxel o tacrolimus.  pacientes y m\u00e9todos: desde mayo de 2002 hasta enero de 2006, se han analizado un total de 646 pacientes consecutivos, con un total de 730 lesiones difusas. Primeramente se realiz\u00f3 un estudio observacional con slr, posteriormente se realizaron dos estudios prospectivos comparativos randomizados abiertos: primero entre stents de rapamicina y de paclitaxel, y despu\u00e9s entre stents liberadores de rapamicina y de tacrolimus.  resultados: la tasa de reestenosis global fue del 23%. La tasa de eventos card\u00edacos adversos global (infarto, muerte o revascularizaci\u00f3n) fue del 22% a los 36 meses. La tasa de muerte, infarto y reestenosis a los 36 meses, fue del 5%, 6% y 15%, respectivamente. No hubo diferencias en la tasa de reestenosis ni de eventos entre los grupos tratados de stents liberadores de rapamicina y paclitaxel, ni entre los tratados con rapamicina y tacrolimus. La tasa de trombosis fue del 1% (0.5% de trombosis en el primer mes, y 0.5% de trombosis tard\u00eda.  conclusiones: el tratamiento de lesiones coronarias difusas con slf presenta una elevada tasa de \u00e9xito primario y una necesidad de revascularizaci\u00f3n a medio plazo del 15%, a pesar de la complejidad de las lesiones. La tasa de trombosis tard\u00eda no ha sido superior a la encontrada en lesiones m\u00e1s simples. No se han encontrado diferencias en la reestenosis ni en los eventos cl\u00ednicos card\u00edacos entre los diferentes tipos de slf estudiados.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Lesiones coronarias largas: tratamiento percut\u00e1neo con stents recubiertos de f\u00e1rmaco<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Lesiones coronarias largas: tratamiento percut\u00e1neo con stents recubiertos de f\u00e1rmaco <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Mazuelos Bellido <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/01\/2008<\/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>Jose Suarez De Lezo Cruz Conde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfonso Medina fern\u00e1ndez aceytuno <\/li>\n<li>Luis Pastor torres (vocal)<\/li>\n<li>Miguel \u00e1ngel Romero moreno (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Segura saint-gerons (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Mazuelos Bellido Introducci\u00f3n: el tratamiento percut\u00e1neo de las lesiones coronarias difusas sigue siendo un reto t\u00e9cnico [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1610,932,973,1601,12395],"tags":[2287,137869,20995,2284,137870,137871],"class_list":["post-62435","post","type-post","status-publish","format-standard","hentry","category-arterioesclerosis-y-ateroesclerosis","category-cardiologia","category-cordoba","category-patologia-cardiovascular","category-trombosis","tag-alfonso-medina-fernandez-aceytuno","tag-francisco-mazuelos-bellido","tag-jose-maria-segura-saint-gerons","tag-jose-suarez-de-lezo-cruz-conde","tag-luis-pastor-torres","tag-miguel-angel-romero-moreno"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/62435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=62435"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/62435\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=62435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=62435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=62435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}