Publication: Estudio del comportamiento hemodinámico in-vivo de tres bioprótesis cardiacas: análisis comparativo y resultados a medio plazo
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2021-08-18
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Universidad Complutense de Madrid
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Abstract
La sustitución valvular aórtica es el procedimiento quirúrgico cardiaco más frecuentemente realizado en España. La causa más común en nuestro medio de valvulopatía aórtica es la estenosis aórtica degenerativa. En la actualidad, el único tratamiento eficaz para parar la progresión de la estenosis aórtica, mejorar los síntomas y prolongar la esperanza de vida es la sustitución valvular por una prótesis. Existen dos tipos de prótesis valvulares cardiacas, las biológicas y las mecánicas, cada una de ellas con diferentes indicaciones de implante. Debido a la tendencia creciente de la población mayor de 65 años se está extendiendo el uso de bioprótesis con el fin de disminuir el riesgo hemorrágico y trombótico asociado al uso de prótesis mecánicas. A día de hoy existen pocas comparaciones adecuadas en la literatura científica entre las distintas prótesis biológicas comercializadas...
Aortic valve replacement is the most frequently performed cardiac surgical procedure in Spain. Currently, the most common cause of this valvular heart disease is degenerative aortic stenosis.The only approved medical treatment to stop the progression of aortic stenosis, improve symptoms and prolong life expectancy is aortic valve replacement with a prosthesis. There are two types of prostheses, biological and mechanical, each one with different indications for implantation. Due to an increase in the elderly population over of 65 years, the use of bioprosthesis is becoming more common in order to reduce the hemorrhagic and thrombotic risk associated with the use of mechanical prosthesis. Nowadays, there are few adequate comparisons in the scientific literature among the different biological prosthesis comercialized...
Aortic valve replacement is the most frequently performed cardiac surgical procedure in Spain. Currently, the most common cause of this valvular heart disease is degenerative aortic stenosis.The only approved medical treatment to stop the progression of aortic stenosis, improve symptoms and prolong life expectancy is aortic valve replacement with a prosthesis. There are two types of prostheses, biological and mechanical, each one with different indications for implantation. Due to an increase in the elderly population over of 65 years, the use of bioprosthesis is becoming more common in order to reduce the hemorrhagic and thrombotic risk associated with the use of mechanical prosthesis. Nowadays, there are few adequate comparisons in the scientific literature among the different biological prosthesis comercialized...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía, leída el 15-06-2021