{"id":85234,"date":"2018-03-10T00:09:41","date_gmt":"2018-03-10T00:09:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/implantacion-de-stents-intracoronarios-bajo-soporte-cardiopulmonar-percutaneo\/"},"modified":"2018-03-10T00:09:41","modified_gmt":"2018-03-10T00:09:41","slug":"implantacion-de-stents-intracoronarios-bajo-soporte-cardiopulmonar-percutaneo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/implantacion-de-stents-intracoronarios-bajo-soporte-cardiopulmonar-percutaneo\/","title":{"rendered":"\u00abimplantacion de stents intracoronarios bajo soporte cardiopulmonar percutaneo\u00bb"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Martin Ruiz Ortiz <\/strong><\/h2>\n<p>Introducci\u00f3n:el soporte cardiopulmonar percut\u00e1neo (scpp) ha permitido realizar procedimientos de angioplastia coronaria (aptc) de alto riesgo con buenos resultados. El stent intracoronario permite mejorar los resultado de la aptc. No existe experiencia previa sobre la implantaci\u00f3n de stents bajo scpp. Pacientes y m\u00e9todos: desde marzo de 1994 hasta diciembre de 1998 se ha realizado 72 procedimientos de implantaci\u00f3n de stents bajo scpp en 70 pacientes consecutivos. La edad media fue de 60+-11 a\u00f1os, con un 71% de varones. La situaci\u00f3n cl\u00ednica fue: angor estable (1%) , angor inestable (53%), angor postifarto (22%), shock cardiog\u00e9nico (22%) e insuficiencia cardi\u00e1ca severa con miocardio viable ( 1%). La indicaci\u00f3n fue electiva en el 67% y urgente en el 33%. La mayor\u00eda presentaba enfermedad del tronco de coronaria izquierda (tci, 47%) o enfermedad multivaso (32%).Una vez obtenidos los accesos vasculares se realiz\u00f3 la fase fiagn\u00f3stica, se hepariniz\u00f3 al enfermo, se inici\u00f3 el scpp ( dede el principio en pacientes urgentes) se impant\u00f3 el stent, se redujo el scpp hasta salir de bomba y se retirarion las c\u00e1nulas del scpp con compresi\u00f3n manual, tras revertir la heparina con protamina. El r\u00e9gimen antitrombotico empleado posteriormente fue dalteparina s\u00f3dica 5000 ui\/sc\/12h y ticlopidina 250 mg\/12 h durante un mes y aspirina indefinidamente. Resultados: se implant\u00f3 al menos un stent en todos los casos. Se logr\u00f3 revascularizaci\u00f3n completa (rc) en el 60% de los casos. hubo 11 complicaciones mayores (15.3%): 9 fallecimientos (12,5%), 1 infarto agudo de miocardio ( 1,4%) y 1 procedimiento revascularizadoer de urgencia por angor y shock a los pocos minutos de finalizar el primero (1,4%), lo que arroja una supervivencia al alta del 87.5% y una tasa de \u00e9xito hospitalario de 84,7%.Fueron predictores independientes de eventos la mayor edad, el sexo femenino y la indicaci\u00f3n urgente. Las complicaciones menores m\u00e1s frecuentes estuvieron relac<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abimplantacion de stents intracoronarios bajo soporte cardiopulmonar percutaneo\u00bb<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abimplantacion de stents intracoronarios bajo soporte cardiopulmonar percutaneo\u00bb <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Martin Ruiz Ortiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/06\/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>Jose Suarez De Lezo Cruz Conde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Jim\u00e9nez perep\u00e9rez <\/li>\n<li>pedro Zarco gutierrez (vocal)<\/li>\n<li>Manuel Concha ruiz (vocal)<\/li>\n<li>enrique Hernandez ortega (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Martin Ruiz Ortiz Introducci\u00f3n:el soporte cardiopulmonar percut\u00e1neo (scpp) ha permitido realizar procedimientos de angioplastia coronaria (aptc) de [&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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