{"id":70134,"date":"2018-03-09T23:14:37","date_gmt":"2018-03-09T23:14:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-tratamiento-con-trombolisis-intraarterial-del-infarto-cerebral-factores-predictores-de-recanalizacion-arterial-transformacion-hemorragica-y-pronostico-funcional\/"},"modified":"2018-03-09T23:14:37","modified_gmt":"2018-03-09T23:14:37","slug":"analisis-del-tratamiento-con-trombolisis-intraarterial-del-infarto-cerebral-factores-predictores-de-recanalizacion-arterial-transformacion-hemorragica-y-pronostico-funcional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-tratamiento-con-trombolisis-intraarterial-del-infarto-cerebral-factores-predictores-de-recanalizacion-arterial-transformacion-hemorragica-y-pronostico-funcional\/","title":{"rendered":"Analisis del tratamiento con trombolisis intraarterial del infarto cerebral. factores predictores de recanalizacion arterial, transformacion hemorragica y pronostico funcional"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Carneado Ruiz <\/strong><\/h2>\n<p>Objetivo: el objetivo es el identificar factores predictores de recanalizacion arterial, hemorragia cerebral y pron\u00f3stico funcional en el infarto cerebral tratado con tromb\u00f3lisis intra-arterial(tra).  -poblaci\u00f3n (criterios de inclusi\u00f3n-exclusi\u00f3n) estudiamos 89 pacientes consecutivos con infarto cerebral tratados con tra, sola o combinada con trombolisis intravenosa(iv).  \/fueron evaluados para este estudio prospectivo, pacientes con s\u00edntomas de infarto cerebral hemisf\u00e9rico que acudieron a la universidad de california los angeles  medical center. El estudio fue aprobado por el comit\u00e9 de \u00e9tica y se obtuvo el consentimiento informado en todos los pacientes.  los criterios de inclusi\u00f3n fueron los siguientes:  duraci\u00f3n de los s\u00edntomas menor de 6 horas, no tener contraindicaci\u00f3n para  tromb\u00f3lisis, ausencia de hemorragia en la tomograf\u00eda computerizada de cr\u00e1neo(tc) y presencia de una oclusi\u00f3n arterial de gran arteria .  los pacientes seleccionados fueron tratados  con tromb\u00f3lisis combinada intravenosa e intra-arterial en las tres primeras horas desde el inicio de los s\u00edntomas o  con tromb\u00f3lisis intra-arterial entre las tres y seis horas. En la pauta combinada de tromb\u00f3lisis se utiliz\u00f3 t-pa administrado v\u00eda intravenosa a una dosis de 0.6 mg\/kg ,el 10% en bolus en un minuto y el restante en una perfusion en 30 minutos, seguido por una perfusi\u00f3n de 10 mg\/hr en intra-arterial hasta obtener la recanalizaci\u00f3n o alcanzar una dosis m\u00e1xima de 20 mg. En la pauta de administraci\u00f3n  intra-arterial se utiliz\u00f3 urokinasa hasta conseguir la recanalizacion o  alcanzar la dosis de 1.000.000 de unidades o t-pa en una perfusi\u00f3n de 10 mg\/hr hasta conseguir la recanalizaci\u00f3n o  alcanzar la dosis m\u00e1xima de 20 mg.  la situaci\u00f3n cl\u00ednica del paciente se eval\u00fao mediante national institutes of health stroke scale.(Nihss) . Esta se hizo en el momento basal ,previo al tratamiento, despu\u00e9s de la tromb\u00f3lisis y en los d\u00edas 1 , 7 ,90.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis del tratamiento con trombolisis intraarterial del infarto cerebral. factores predictores de recanalizacion arterial, transformacion hemorragica y pronostico funcional<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis del tratamiento con trombolisis intraarterial del infarto cerebral. factores predictores de recanalizacion arterial, transformacion hemorragica y pronostico funcional <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Carneado Ruiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/09\/2004<\/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>Hugo Lia\u00f1o Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Matias guiu <\/li>\n<li> Molto jorda Jos\u00e9 Manuel (vocal)<\/li>\n<li>Carlos Jimenez ortiz (vocal)<\/li>\n<li>Antonio Merino garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Carneado Ruiz Objetivo: el objetivo es el identificar factores predictores de recanalizacion arterial, hemorragia cerebral y 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