{"id":73716,"date":"2018-03-09T23:18:38","date_gmt":"2018-03-09T23:18:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-neuroelectrofisiologico-tras-la-extraccion-de-la-arteria-radial-en-ciruga%c2%ada-coronaria\/"},"modified":"2018-03-09T23:18:38","modified_gmt":"2018-03-09T23:18:38","slug":"estudio-neuroelectrofisiologico-tras-la-extraccion-de-la-arteria-radial-en-ciruga%c2%ada-coronaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-neuroelectrofisiologico-tras-la-extraccion-de-la-arteria-radial-en-ciruga%c2%ada-coronaria\/","title":{"rendered":"Estudio neuroelectrofisiol\u00f3gico tras la extracci\u00f3n de la arteria radial en cirugia coronaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Guillermo Reyes Copa <\/strong><\/h2>\n<p>El inter\u00e9s de la cirug\u00eda coronaria por los injertos arteriales ha ido en aumento en los \u00faltimos a\u00f1os debido a sus mejores resultados en comparaci\u00f3n con los injertos venosos. Entre los injerto arterialesla arteria radial se ha convertido en el injerto de elecci\u00f3n tras la arteriamamar\u00edainternaen muchosgruposde trabajo.Adem\u00e1sde su. F\u00e1cil accesibilidad, la extracci\u00f3n de la arteria radial presenta una tasa de complicaciones muy bajas en cuanto a infecciones, t}ematomas, seromas y problemas de tipo isqu\u00e9mico. Sin embargo la incidencia de complicaciones neurol\u00f3gicas en el antebrazo es un problema bastante frecuente en la literatura, llegando incluso a preValencias de casi el 50%. Por otro lado estas alteraciones var\u00edan en cuanto a su localizaci\u00f3n, incidencia y gravedad. Con el objetivo de aclarar la fisiopatolog\u00eda de las  alteracionesde tipo neurol\u00f3gicoproducidastras la cirug\u00eda coronariaen el antebrazo, decidimos realizar un estudio neuroelectrofisiol\u00f3gico y neurocl\u00ednico en 15 pacientes cuya arteria radial fuese a ser empleada como injerto coronario, antes y despu\u00e9s de la cirug\u00eda (a las dos semanas y a los dos meses) se estudi\u00f3 la amplitud, la latencia y la velocidad de conducci\u00f3n nerviosa en los nervios mediano, radial y cubital. Con la amplitud se analiz\u00f3 el componente axonal mientras que con la latencia y la velocidad de conducci\u00f3n nerviosa el componente mielinico.  tras la cirug\u00edase evidenci\u00f3una ca\u00eddade la amplituddel nervio medianoy del  componente sensitivo del nervio cubital. Ambas alteraciones mejoraron en la segunda exploraci\u00f3n postcirug\u00eda. Con respecto al nervio radial se observ\u00f3 una tendencia estad\u00edstica a una disminuci\u00f3n de la velocidad de conducci\u00f3n nerviosa de la rama superficial del nervio radial que mejor\u00f3 con el tiempo. cl\u00ednicamente 3 pacientes presentaron disestesias en el territorio del nervio mediano y uno en el territorio del nervio cubital. En la segunda exploraci\u00f3n tan solo un pacien<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio neuroelectrofisiol\u00f3gico tras la extracci\u00f3n de la arteria radial en cirugia coronaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio neuroelectrofisiol\u00f3gico tras la extracci\u00f3n de la arteria radial en cirugia coronaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Guillermo Reyes Copa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/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>Jos\u00e9 Luis Vallejo Ruiz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li> Revuelta coba Jos\u00e9 Manuel (vocal)<\/li>\n<li> Tellez de peralta ganbriel (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Gonz\u00e1lez santos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Guillermo Reyes Copa El inter\u00e9s de la cirug\u00eda coronaria por los injertos arteriales ha ido en aumento 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