{"id":84604,"date":"2018-03-10T00:08:55","date_gmt":"2018-03-10T00:08:55","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-de-los-aneurismas-de-aorta-abdominal-tratados-quirurgicamente-mediante-protesis-rectas-y-bifurcadas\/"},"modified":"2018-03-10T00:08:55","modified_gmt":"2018-03-10T00:08:55","slug":"estudio-comparativo-de-los-aneurismas-de-aorta-abdominal-tratados-quirurgicamente-mediante-protesis-rectas-y-bifurcadas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-de-los-aneurismas-de-aorta-abdominal-tratados-quirurgicamente-mediante-protesis-rectas-y-bifurcadas\/","title":{"rendered":"Estudio comparativo de los aneurismas de aorta abdominal tratados quir\u00fargicamente mediante protesis rectas y bifurcadas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Secundino Llagostera Pujol <\/strong><\/h2>\n<p>Los avances alcanzados en el cuidado del paciente, tecnicas operatorias, evaluaci\u00f3n preoperatoria, han contribuido progresivamente a mejorar la mortalidad operatoria de los aaas, actualmente por debajo del 2%. Ello no solo ha conllevado una mayor supervivencia de esta poblaci\u00f3n, sino tambi\u00e9n ha servido para conocer aquellas complicaciones tardias, no solo referidas a la pr\u00f3tesis, sino tambien a la aparici\u00f3n de complicaciones sistem\u00e1ticas ya sea debido a la arteriosclerosis, o bien a la aparici\u00f3n de aneurismas en otras localizaciones(il\u00edacas, femorales, popl\u00edteas,etc).  en d\u00e9cadas anteriores los aaas eran tratados preferencialmente por la mayor\u00eda de cirujanos vasculares mediante una pr\u00f3tesis bifurcada, y las pr\u00f3tesis rectas solo supon\u00edan el 5%-15%, mientras que actualmente esta proporcion es del 60% pero no existen demasiados estudios respecto a lo que sucede con los ejes il\u00edacos al no ser salvados y excluidos como sucede cuando se emplaza una pr\u00f3tesis bifurcada.  ello ha motivado la realizaci\u00f3n de este estudiado prospectivo-retrospectivo multifactorial sobre 100 pacientes en el que a parte, de analizar factores de \u00edndole epidemiol\u00f3gico y correlacionarlos entre si, se ha valorado el devenir de los ejes il\u00edacos de forma comparativa entre aquellos tratados mediante pr\u00f3tesis recta y los tratados con pr\u00f3tesis bifurcada durante un seguimiento m\u00ednimo de dos a\u00f1os.  el estudio en estos pacientes muestra que es una poblaci\u00f3n afecta de arteriosclerosis severa y la edad es el par\u00e1metro de supervivencia por excelencia. Desde el punto de vista quirurgico, no han existido diferencias significativas de supervivencias, ni de reintervenciones durante el seguimiento practicado, si bien la utilizaci\u00f3n de pr\u00f3tesis rectas debe ser preferente por requerir menor tiempo quir\u00fargico y de \u00abclampaje\u00bb a\u00f3rtico, adem\u00e1s de no constatarse degeneraci\u00f3n aneurism\u00e1tica u obliterante significativa a nivel il\u00edaco.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo de los aneurismas de aorta abdominal tratados quir\u00fargicamente mediante protesis rectas y bifurcadas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo de los aneurismas de aorta abdominal tratados quir\u00fargicamente mediante protesis rectas y bifurcadas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Secundino Llagostera Pujol <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/05\/2000<\/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>Xavier Rius Cornado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>marc Cairols castellote (vocal)<\/li>\n<li>carles Miquel abbad (vocal)<\/li>\n<li> Mestres sales Jos\u00e9 M\u00aa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Secundino Llagostera Pujol Los avances alcanzados en el cuidado del paciente, tecnicas operatorias, evaluaci\u00f3n preoperatoria, han contribuido [&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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