Publication: Tratamiento endovascular del ictus isquémico agudo en el territorio vascular posterior cerebral
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2020-02-18
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Universidad Complutense de Madrid
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Abstract
El ictus isquémico sigue constituyendo una de las causas principales de muerte y dependencia. El objetivo del tratamiento es la recanalización precoz de la arteria y las técnicas de revascularización endovascular de oclusiones de la circulación anterior cerebral se han correlacionado con una mejoría significativa en el pronóstico en pacientes seleccionados. El ictus isquémico agudo en el territorio vascular cerebral posterior tiene unas características clínicas propias que dificultan el diagnóstico precoz, determinadas por sus características morfológicas y funcionales y provocando cuadros con una alta morbilidad y mortalidad, no habiendo en la actualidad suficiente evidencia científica en cuanto a la eficacia y seguridad del tratamiento endovascular en este territorio.Tomando como hipótesis que el tratamiento endovascular en el territorio vascular cerebral posterior debería ser eficaz y seguro y debería también mejorar el pronóstico funcional de los pacientes, se han descrito y analizado los 62 pacientes tratados en el Hospital Universitario Donostia (San Sebastián, Guipúzcoa) entre los años 2011 y 2017, el 85% de ellos con oclusiones en la arteria basilar y con unas características clínicas y epidemiológicas similares a otras series publicadas...
Ischemic stroke continues to be one of the leading causes of death and dependence. The goal of treatment is the early recanalization of the artery and the endovascular revascularization techniques of occlusions of the cerebral anterior circulation have been correlated with a significant improvement in the prognosis in selected patients. Acute ischemic stroke in the posterior cerebral vascular territory has its own clinical characteristics that hinder early diagnosis, determined by its morphological and functional characteristics and causing conditions with high morbidity and mortality, currently not having enough scientific evidence regarding the Efficacy and safety of endovascular treatment in this territory. Taking as hypothesis that endovascular treatment in the posterior cerebral vascular territory should be effective and safe and should also improve the functional prognosis of patients, the 62 patients treated in the Donostia University Hospital (San Sebastián, Guipúzcoa) between 2011 and 2017, 85% of them with occlusions in the basilar artery and with clinical and epidemiological characteristics similar to other published series ...
Ischemic stroke continues to be one of the leading causes of death and dependence. The goal of treatment is the early recanalization of the artery and the endovascular revascularization techniques of occlusions of the cerebral anterior circulation have been correlated with a significant improvement in the prognosis in selected patients. Acute ischemic stroke in the posterior cerebral vascular territory has its own clinical characteristics that hinder early diagnosis, determined by its morphological and functional characteristics and causing conditions with high morbidity and mortality, currently not having enough scientific evidence regarding the Efficacy and safety of endovascular treatment in this territory. Taking as hypothesis that endovascular treatment in the posterior cerebral vascular territory should be effective and safe and should also improve the functional prognosis of patients, the 62 patients treated in the Donostia University Hospital (San Sebastián, Guipúzcoa) between 2011 and 2017, 85% of them with occlusions in the basilar artery and with clinical and epidemiological characteristics similar to other published series ...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 25-11-2019