{"id":98368,"date":"2018-03-11T10:19:08","date_gmt":"2018-03-11T10:19:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-de-lesiones-ostiales-de-la-arteria-coronaria-descendente-anterior-con-stent-flotante-farmacoactivo-anatoma%c2%ada-vulnerable-de-la-carina\/"},"modified":"2018-03-11T10:19:08","modified_gmt":"2018-03-11T10:19:08","slug":"tratamiento-de-lesiones-ostiales-de-la-arteria-coronaria-descendente-anterior-con-stent-flotante-farmacoactivo-anatoma%c2%ada-vulnerable-de-la-carina","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cardiologia\/tratamiento-de-lesiones-ostiales-de-la-arteria-coronaria-descendente-anterior-con-stent-flotante-farmacoactivo-anatoma%c2%ada-vulnerable-de-la-carina\/","title":{"rendered":"\u00abtratamiento de lesiones ostiales de la arteria coronaria descendente anterior con stent flotante farmacoactivo. anatom\u00edavulnerable de la carina\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro &#8211; Luis Mart\u00edn Lorenzo <\/strong><\/h2>\n<p>Tratamiento de lesiones ostiales de la arteria coronaria descendente anterior con stent flotante farmacoactivo.Anatom\u00eda vulnerable de la carina.        el abordaje de las lesiones coronarias, que afectan a una bifurcaci\u00f3n es complejo, con un \u00e9xito inicial del procedimiento m\u00e1s bajo y una incidencia de reestenosis superior que en las lesiones no bifurcadas. En las lesiones ostiales de la arteria descendente anterior (da), su tratamiento adquiere especial relevancia, ya que involucra al tronco coronario izquierdo (tci). Existen dos estrategias establecidas para el tratamiento percut\u00e1neo de las lesiones ostiales de la da (t\u00e9cnica del stent \u00abacross\u00bb y la t\u00e9cnica del ajuste \u00abprecise\u00bb), no habi\u00e9ndose impuesto ninguna de ellas como definitiva. Se realiz\u00f3 un estudio con una t\u00e9cnica no descrita previamente (stent flotante), consistente en el implante de un stent en la da proximal, con m\u00ednima protrusi\u00f3n del mismo nivel del \u00e1rea carinal, cubriendo parcialmente el origen de la cx. Entre 2002 y 2008, se registraron 101 pacientes con lesiones ostiales de la da, de los cuales 75 pacientes fueron tratados con esta t\u00e9cnica. Se realiz\u00f3 un estudio angiogr\u00e1fico y ultras\u00f3nico basal y tras el implante del stent, analiz\u00e1ndose los posibles predictores del da\u00f1o inducido a nivel ostium de la cx tras el implante del stent. Se realiz\u00f3 un angio-ct al seguimiento en el 40% de los pacientes. Las lesiones ostiales de la da, presentan un patr\u00f3n dominante de distribuci\u00f3n de la placa, a nivel de la contracarina. No obstante, existe placa en la carina en el 27% de las lesiones, hallazgo no reportado hasta el momento en la literatura. La t\u00e9cnica del stent flotante es una simple, factible y segura, como demuestra el \u00e9xito primario conseguido y la baja tasa de eventos cardiacos adversos mayores obtenidos al seguimiento (5%). El ivus identifica un patr\u00f3n de anatom\u00eda vulnerable de la carina,(\u00absigno de la ceja\u00bb), que fue el \u00fanico predictor de da\u00f1o angiogr\u00e1fico focal a nivel del ostium de la cx, tras el implante del stent a nivel de la da.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abtratamiento de lesiones ostiales de la arteria coronaria descendente anterior con stent flotante farmacoactivo. anatom\u00edavulnerable de la carina\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abtratamiento de lesiones ostiales de la arteria coronaria descendente anterior con stent flotante farmacoactivo. anatom\u00edavulnerable de la carina\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro &#8211; Luis Mart\u00edn Lorenzo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/12\/2009<\/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>Alfonso Medina Fern\u00e1ndez Aceytuno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: armando Torres ramirez <\/li>\n<li>Manuel Pan alvarez-ossorio (vocal)<\/li>\n<li>Francisco Javier Novoa mogoll\u00f3n (vocal)<\/li>\n<li>Jos\u00e9 Suarez de lezo cruz conde (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro &#8211; Luis Mart\u00edn Lorenzo Tratamiento de lesiones ostiales de la arteria coronaria descendente anterior con stent [&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":[932,16629,1601],"tags":[2287,10010,16770,2284,98969,201206],"class_list":["post-98368","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-palmas-de-gran-canaria","category-patologia-cardiovascular","tag-alfonso-medina-fernandez-aceytuno","tag-armando-torres-ramirez","tag-francisco-javier-novoa-mogollon","tag-jose-suarez-de-lezo-cruz-conde","tag-manuel-pan-alvarez-ossorio","tag-pedro-luis-martin-lorenzo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/98368","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=98368"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/98368\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=98368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=98368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=98368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}