{"id":88628,"date":"2018-03-10T00:13:38","date_gmt":"2018-03-10T00:13:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ecografia-doppler-y-angiografia-en-el-seguimiento-de-la-derivacion-portosistemica-percutanea-intrahepatica-dppi-deteccion-de-la-disfuncion\/"},"modified":"2018-03-10T00:13:38","modified_gmt":"2018-03-10T00:13:38","slug":"ecografia-doppler-y-angiografia-en-el-seguimiento-de-la-derivacion-portosistemica-percutanea-intrahepatica-dppi-deteccion-de-la-disfuncion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ecografia-doppler-y-angiografia-en-el-seguimiento-de-la-derivacion-portosistemica-percutanea-intrahepatica-dppi-deteccion-de-la-disfuncion\/","title":{"rendered":"Ecografia-doppler y angiografia en el seguimiento de la derivacion portosistemica percutanea intrahepatica (dppi): deteccion de la disfuncion"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alberto Benito Boillos <\/strong><\/h2>\n<p>Objetivo: valoraci\u00f3n de la disfunci\u00f3n de la derivaci\u00f3n portosist\u00e9mica percutanea intrahepatica (dppi) y la ecografia-doppler como alternativa a la angiografia en su seguimiento.  material y metodo: durante 8 a\u00f1os se realizan 150 dppi en 145 pacientes. se comparan los hallazgos de 422 pares de ecografia-doppler y angiografia correspondiente de los 105 pacientes seguidos.  resultados: se crean 148 dppi en 143 pacientes. La incidencia de disfunci\u00f3n es del 70,6% al a\u00f1o y 88,7% a los 3 a\u00f1os y la permeabilidad secundaria se mantiene en 94,7%  a partir de los 6 meses.  la sensibilidad del doppler en la detecci\u00f3n de la oclusi\u00f3n es del 100% con una especificidad del 99,5%. Se observan diferencias significativas en las medianas de velocidad m\u00e1xima entre las dppisin y con disfunci\u00f3n en la vena porta (28 vs 20 cm\/s) y en el tracto intraprot\u00e9sico (125 vs 100 cm\/s). La sensibilidad es 55% y la especificidad 74% en la detecci\u00f3n de la disfunci\u00f3n si la velocidad portal es &lt; 22 cm\/s y si en el tracto intraprotesico la velocidad es &lt; 98 cm\/s la sensibilidad de 46% y la especificidad de 79%. Cuando la velocidad portal es &lt; 22 cm\/s y\/o la velocidad en la protesis desciende m\u00e1s del 6% respecto al basal, la sensibilidad es 82% y la especificidad baja al 55%.  conclusiones: la disfunci\u00f3n de la dppi es un fen\u00f3meno frecuente que exige vigilancia e intervenci\u00f3n frecuente para mantener la permeabilidad. La ecografia-doppler no debe sustituir a la angiografia en el seguimiento de estos pacientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Ecografia-doppler y angiografia en el seguimiento de la derivacion portosistemica percutanea intrahepatica (dppi): deteccion de la disfuncion<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Ecografia-doppler y angiografia en el seguimiento de la derivacion portosistemica percutanea intrahepatica (dppi): deteccion de la disfuncion <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alberto Benito Boillos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/01\/2001<\/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> Bilbao Jaureguizar Jos\u00e9 Ignacio<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas m. Prieto valtue\u00f1a <\/li>\n<li>Francisco Javier Alvarez-cienfuegos suarez (vocal)<\/li>\n<li>Miguel angel De gregorio ariza (vocal)<\/li>\n<li>lLuis Donoso bach (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alberto Benito Boillos Objetivo: valoraci\u00f3n de la disfunci\u00f3n de la derivaci\u00f3n portosist\u00e9mica percutanea intrahepatica (dppi) y 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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[155,9,346,491,139,17749,2046],"tags":[124880,18318,58949,15059,14213,28729],"class_list":["post-88628","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-diagnostico-por-imagen","category-gastroenterologia","category-medicina-interna","category-navarra","category-radiologia","tag-alberto-benito-boillos","tag-bilbao-jaureguizar-jose-ignacio","tag-francisco-javier-alvarez-cienfuegos-suarez","tag-jesus-m-prieto-valtuena","tag-lluis-donoso-bach","tag-miguel-angel-de-gregorio-ariza"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88628","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=88628"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88628\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}