{"id":70363,"date":"2018-03-09T23:14:52","date_gmt":"2018-03-09T23:14:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/inyeccion-percutanea-ecodirigida-de-trombina-en-los-seudoaneurismas-femorales-iatrogenos\/"},"modified":"2018-03-09T23:14:52","modified_gmt":"2018-03-09T23:14:52","slug":"inyeccion-percutanea-ecodirigida-de-trombina-en-los-seudoaneurismas-femorales-iatrogenos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/murcia\/inyeccion-percutanea-ecodirigida-de-trombina-en-los-seudoaneurismas-femorales-iatrogenos\/","title":{"rendered":"Inyeccion percutanea ecodirigida de trombina en los seudoaneurismas femorales iatrogenos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Victoria Vazquez Saez <\/strong><\/h2>\n<p>La formaci\u00f3n de seudoaneurismas iatr\u00f3genos en la arteria femoral, tras arteriograf\u00edas percut\u00e1neas es una complicaci\u00f3n que, aunque poco frecuente, ha ido en constante aumento en las dos \u00faltimas d\u00e9cadas. La causa de este incremento en la incidencia se debe al gran auge en la realizaci\u00f3n de acp y atp, procedimientos donde se utilizan cat\u00e9teres gruesos y terapias anticoagulantes y antiplaquetarias potentes, que junto a una compresi\u00f3n inadecuada son los principales responsables en la producci\u00f3n de los seudoaneurismas. Los seudoaneurismas, tradicionalmente, hab\u00edan  sido tratados mediante cirug\u00eda para evitar el riesgo de rotura. Desde que felmeth en 1991 describi\u00f3 la compresi\u00f3n ecodirigida se convirti\u00f3 en el tratamiento de elecci\u00f3n con una efectividad del 60-80%. Pero el n\u00famero de recurrencias era alto (30%) en pacientes que recib\u00edan terapias anticoagulantes. Kang en el 1998 desarroll\u00f3 un nuevo tratamiento, que consist\u00eda en el uso de la ecograf\u00eda como gu\u00eda para la inyecci\u00f3n percut\u00e1nea de trombina bovina en la luz del seudoaneurisma. los trabajos publicados con trombina bovina mostraron que era una  t\u00e9cnica segura, r\u00e1pida, confortable para el paciente y eficaz en el 96-100% de los casos,  incluso en pacientes con terapias anticoagulantes y antiplaquetarias. la trombina bovina puede producir reacciones de sensibilizaci\u00f3n al\u00e9rgica en pacientes que han estado expuestos a la prote\u00edna bovina. Por ello nuestro grupo de trabajo decidi\u00f3 utilizar trombina de origen humano.  los objetivos de esta tesis son:  1. Valorar la eficacia de la inyecci\u00f3n directa eco-dirigida de la trombina bovina y humana en los seudoaneurismas iatr\u00f3genos femorales.  2. Determinar como influyen en el resultado de esta t\u00e9cnica las caracter\u00edsticas del seudoaneurisma (localizaci\u00f3n, tama\u00f1o y morfolog\u00eda, longitud y calibre del cuello), dosis de trombina utilizada y el empleo o no de terapia anticoagulante.  3. Comparar la eficacia de la trombi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Inyeccion percutanea ecodirigida de trombina en los seudoaneurismas femorales iatrogenos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Inyeccion percutanea ecodirigida de trombina en los seudoaneurismas femorales iatrogenos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Victoria Vazquez Saez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/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>Manuel Reus Pintado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas (secretario) Belda serrano <\/li>\n<li>Luisa Martinez de haro (vocal)<\/li>\n<li>Antonio Gomez yelo (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Victoria Vazquez Saez La formaci\u00f3n de seudoaneurismas iatr\u00f3genos en la arteria femoral, tras arteriograf\u00edas percut\u00e1neas es una [&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":[8235],"tags":[52191,153684,52404,93803,153683],"class_list":["post-70363","post","type-post","status-publish","format-standard","hentry","category-murcia","tag-antonio-gomez-yelo","tag-jesus-secretario-belda-serrano","tag-luisa-Martinez-de-haro","tag-manuel-reus-pintado","tag-victoria-vazquez-saez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70363","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=70363"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70363\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=70363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=70363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=70363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}