{"id":73631,"date":"2018-03-09T23:18:34","date_gmt":"2018-03-09T23:18:34","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-clinica-y-angiografa%c2%ada-de-los-stents-recubiertos-de-rapamicina-en-el-tratamiento-de-lesiones-coronarias-complejas\/"},"modified":"2018-03-09T23:18:34","modified_gmt":"2018-03-09T23:18:34","slug":"evaluacion-clinica-y-angiografa%c2%ada-de-los-stents-recubiertos-de-rapamicina-en-el-tratamiento-de-lesiones-coronarias-complejas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-clinica-y-angiografa%c2%ada-de-los-stents-recubiertos-de-rapamicina-en-el-tratamiento-de-lesiones-coronarias-complejas\/","title":{"rendered":"Evaluaci\u00f3n clinica y angiograf\u00edade los stents recubiertos de rapamicina en el tratamiento de lesiones coronarias complejas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Valencia Martin <\/strong><\/h2>\n<p>Introducci\u00f3n: la principal limitaci\u00f3n del tratamiento percut\u00e1neo con stents de lesiones coronarias es la reestenosis. Los estudios ravel y sirius con stents recubiertos de rapamicina (srr) han mostrado reducciones importantes en las tasas de reestenosis y nuevas revascularizaciones en lesiones coronaria favorables a la angioplastia en comparaci\u00f3n con los stents convencionales.  objetivos: confirmar los beneficios de los srr en lesiones coronarias con alto riesgo de reestenosis o de complicaciones agudas y en pacientes con perfil cl\u00ednico desfavorable. Determinar los predictores de mala evoluci\u00f3n cl\u00ednica y angiogr\u00e1fica.  material y m\u00e9todos: durante el periodo mayo 2002-agosto 2003 se incluyeron 233 pacientes en la unidad de hemodin\u00e1mica del hospital general universitario de alicante, trat\u00e1ndose un total de 270 lesiones coronaras complejas. Se realiz\u00f3 seguimientcf cl\u00ednico a un a\u00f1o y angiogr\u00e1fico (an\u00e1lisis de lesiones mediante angiografia cuantitativa) al sexto mes.  resultados: edad media 63+-11 a\u00f1os, 27,5% mujeres, 44,2% diab\u00e9ticos, 44,6% enfermedad multivaso. Caracter\u00edsticas anat\u00f3micas desfavorables:  85,2% lesiones tipo b2-c, 35,6% en descendente anterior proximal, 14,4% ostiales, 12,1% calcificadas, 32,6% bifurcaciones, 21,1% reesten\u00f3ticas, 12,6% oclusiones, 2,6% en tronco de coronaria izquierda, 1,1% en injertos de safena, 77,4% vaso menor 3mm, y 30,4% longitud mayor 18mm. Se consigui\u00f3 \u00e9xito angiogr\u00e1fico en el 100% de los pacientes con un 7,7% de complicaciones intrahospitalarias menores. La ganancia aguda media fue de 1,8+-0,5mm.  el di\u00e1metro luminal ascendi\u00f3 de 0,7+-0,4 mm a 2,5+-0,5mm(p menoro,o01). al a\u00f1o se registr\u00f3 un 2,5% de muerte, un 4,3% de infarto agudo de miocardio, un 0,9% de trombosis del stent, un 5,6% de revascularizaci\u00f3n de la lesi\u00f3n diana (rld), un 6,9% de revascularizaciones de otras lesiones y un 9,4% de fracaso del vaso diana (fvd). Las probabilidades de supervivencia al a\u00f1o lib<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n clinica y angiograf\u00edade los stents recubiertos de rapamicina en el tratamiento de lesiones coronarias complejas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n clinica y angiograf\u00edade los stents recubiertos de rapamicina en el tratamiento de lesiones coronarias complejas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Valencia Martin <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/04\/2005<\/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>Juan Caturla Such<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Perez mateo regadera <\/li>\n<li>eduardo Pinar bermudez (vocal)<\/li>\n<li>Francisco Javier Chorro gasc\u00f3 (vocal)<\/li>\n<li>Juan Sanchis fores (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Valencia Martin Introducci\u00f3n: la principal limitaci\u00f3n del tratamiento percut\u00e1neo con stents de lesiones coronarias es la [&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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