{"id":75204,"date":"2018-03-09T23:20:23","date_gmt":"2018-03-09T23:20:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-de-lesiones-coronarias-bifurcadas-con-stents-liberadores-de-drogas\/"},"modified":"2018-03-09T23:20:23","modified_gmt":"2018-03-09T23:20:23","slug":"tratamiento-de-lesiones-coronarias-bifurcadas-con-stents-liberadores-de-drogas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-de-lesiones-coronarias-bifurcadas-con-stents-liberadores-de-drogas\/","title":{"rendered":"Tratamiento de lesiones coronarias bifurcadas con stents liberadores de drogas"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Herrador Fuentes Juan  Angel <\/strong><\/h2>\n<p>En este trabajo se estudian los resultados del tratamiento de bifurcaciones coronarias con stens liberadores de drogas. Diferenciamos 3 proyectos:  1)estudio randomizdo comparativo entre tratamiento con estrategia simple (stent en ramo principal y bal\u00f3n en el ramo colateral ) vs estrategia compleja (stens en ambas ramas)con stents de rapamicina, en el que se englobaron 91 pacientes ;  2)estudio observacional, realizandose ecograf\u00eda intracoronaria a los 6 meses en pacientes que habian sido tratados con stents de rapamicina en una bifurcaci\u00f3n , en el que se estudi\u00f3 la influencia del inflado simult\u00e1neo con 2 balones y la dilataci\u00f3n fuera de los l\u00edmites del stent  3)estudio randomizado comparativo entre stents de rapamicina frente a stents de paclitaxel en el tratamiento de las bifurcaciones , en un total de 200 pacientes.  a todos los pacientes se les realizaba un estudio angiografico completo , con tratamiento de la bifurcaci\u00f3n mediciones pre y post-tratamiento de diversos par\u00e1metrso (minimo diametro luminal, % de estenosis). Se les realiz\u00f3 un seguimiento cl\u00ednico a todos ellos y a un alto porcentaje se les realiz\u00f3 un estudio reevaluador angiogr\u00e1fico y ultras\u00f3nico a los 6 meses.  los resultados y conclusiones obtenidos fueron:  &#8211; los stents recubiertos de drogas presentan alto indice de \u00e9xito primario, escasas incidencias hospitalarias y reducen la reestenosis al seguimiento.  &#8211; la deformaci\u00f3n del stent del ramo principal bajo el origen del ramo lateral, no depende de la realizaci\u00f3n de doble inflado con bal\u00f3n ni del tipo de tratamiento del ramo lateral y no predispone a un aumento de reestenosis.  &#8211; la reestenosis en los bordes del stent de rapamicina ocurre con poca frecuencia.  &#8211; los resultados obtenidos con el stent de rapamicina fueron significativamente mejores en t\u00e9rminos de reestenosis al seguimiento y p\u00e9rdida lumina tard\u00eda que el stent de paclitaxel.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento de lesiones coronarias bifurcadas con stents liberadores de drogas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento de lesiones coronarias bifurcadas con stents liberadores de drogas <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Herrador Fuentes Juan  Angel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/06\/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>Jose Suarez De Lezo Cruz Conde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Perez jimenez <\/li>\n<li>Javier L\u00f3pez pujol (vocal)<\/li>\n<li>Fernando Alfonso manterola (vocal)<\/li>\n<li>Antonio Delgado espinosa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Herrador Fuentes Juan Angel En este trabajo se estudian los resultados del tratamiento de bifurcaciones coronarias con [&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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