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Desenlaces angiográficos en la embolización de pacientes con aneurismas intracraneales con coils asistidos con stent cortados a láser versus stent trenzados
dc.contributor.advisor | Martínez Melo, Javier Álvaro | |
dc.contributor.author | Ortiz Giraldo, Andrés Felipe | |
dc.coverage.spatial | Colombia | spa |
dc.date.accessioned | 2023-02-22T14:32:16Z | |
dc.date.available | 2023-02-22T14:32:16Z | |
dc.date.issued | 2022-12-14 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12749/19088 | |
dc.description.abstract | Introducción: Los aneurismas intracraneales son una dilatación focal de la pared de los vasos, la ruptura de estos provoca una hemorragia subaracnoidea. Hasta el momento, el manejo endovascular es el tratamiento ideal, brindando al intervencionista un abanico de opciones entre las que destaca la embolización de stents y coils por su tasa de oclusión. Este estudio presenta los resultados de un cohorte retrospectiva que compara la efectividad, la morbilidad y la mortalidad del tratamiento IA con bobinas asistidas por stent cortadas con láser versus stents trenzados. Metodología: Cohorte retrospectiva de pacientes diagnosticados de aneurismas intracraneales no rotos tratados con stents cortados con láser asistidos por bobina o stents trenzados. Resultados: Se analizaron 138 pacientes con 147 aneurismas intracraneales, con el principal antecedente de hipertensión arterial (48,55%), el grupo de stents más utilizados fueron los stents cortados con láser, de estos el más utilizado fue el solitario (54,95%). Se utilizaron hidrocoils en el 66,89% de los pacientes y se realizó angioplastia in-stent en el 6,12%. Conclusión: El tratamiento de pacientes con aneurismas intracraneales con stents cortados con láser o stents trenzados y bobinas es igual de seguro y efectivo. | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | spa | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
dc.title | Desenlaces angiográficos en la embolización de pacientes con aneurismas intracraneales con coils asistidos con stent cortados a láser versus stent trenzados | spa |
dc.title.translated | Angiographic outcomes of embolization in patients with intracranial aneurysms with coil- assisted laser cut stent versus braided stents | spa |
dc.degree.name | Especialistas en Radiología e Imágenes Diagnósticas | spa |
dc.publisher.grantor | Universidad Autónoma de Bucaramanga UNAB | spa |
dc.rights.local | Abierto (Texto Completo) | spa |
dc.publisher.faculty | Facultad Ciencias de la Salud | spa |
dc.publisher.program | Especialización en Radiología e Imágenes Diagnósticas | spa |
dc.description.degreelevel | Especialización | spa |
dc.type.driver | info:eu-repo/semantics/masterThesis | |
dc.type.local | Tesis | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_bdcc | |
dc.subject.keywords | Medical sciences | spa |
dc.subject.keywords | Health sciences | spa |
dc.subject.keywords | Radiology | spa |
dc.subject.keywords | Diagnostic imaging | spa |
dc.subject.keywords | Embolization of patients | spa |
dc.subject.keywords | Intracranial aneurysm | spa |
dc.subject.keywords | Cerebrovascular disorders | spa |
dc.subject.keywords | Braided stents | spa |
dc.subject.keywords | Endovascular management | spa |
dc.subject.keywords | Medicine (Devices and instruments) | spa |
dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga - UNAB | spa |
dc.identifier.reponame | reponame:Repositorio Institucional UNAB | spa |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.relation.references | 1. Keun-Hwa Jund, MD, PhD. New Pathophysiological Considerations on Cerebral Aneurysms. Neurointervention. 2018. Doi: 10.5469/neuroint.2018.01011 | spa |
dc.relation.references | 2. Laurrent Pierot, MD, PhD; Ajay K. Wakhloo, MD, PhD. Endovascular Treatment of Intracranial Aneurysms. 2013. STROKE. AHA Journals. Doi: 10.1161/STROKEAHA.113.000733 | spa |
dc.relation.references | 3. Texakalidis P, Bekelis K, Atallah E, Tjoumakaris S, Rosenwasser RH, Jabbour P. Flow diversion with the pipeline embolization device for patients with intracranial aneurysms and antiplatelet therapy: a systematic literature review. Clin Neurol Neurosurg. 2017;161:78-87. | spa |
dc.relation.references | 4. Longhui Zhang, Xiheng Chen, Linggen Dong, Peng Liu, Luqiong Jia, Yisen Zhang, Ming Lv. Clínical and Angiographics Outcomes After Stent-Assited Coiling of Cerebral Aneurysms With Laser-Cut and Braided Stents: A Comparative Analysis of the Literatures. Frontiers in Neurology. 2021. Doi: 10.3389/fneur.2021.666481 | spa |
dc.relation.references | 4. Longhui Zhang, Xiheng Chen, Linggen Dong, Peng Liu, Luqiong Jia, Yisen Zhang, Ming Lv. Clínical and Angiographics Outcomes After Stent-Assited Coiling of Cerebral Aneurysms With Laser-Cut and Braided Stents: A Comparative Analysis of the Literatures. Frontiers in Neurology. 2021. Doi: 10.3389/fneur.2021.666481 | spa |
dc.relation.references | 6. Zhang L, Chen X, Dong L, Liu P, Jia L, Zhang Y et al. Clinical and Angiographic Outcomes After Stent-Assisted Coiling of Cerebral Aneurysms With Laser-Cut and Braided Stents: A Comparative Analysis of the Literatures. Frontiers in Neurology. 2021;12 | spa |
dc.relation.references | 7. Cho S, Jo W, Jo Y, Yang K, Park J, Lee D. Bench-top Comparison of Physical Properties of 4 Commercially-Available Self-Expanding Intracranial Stents. Neurointervention. 2017;12(1):31-39. | spa |
dc.relation.references | 8. Mine, B., Bonnet, T., Vazquez-Suarez, J. C., Iosif, C., & Lubicz, B. (2018). Comparison of stents used for endovascular treatment of intracranial aneurysms. Expert Review of Medical Devices. doi:10.1080/17434440.2018.15387 | spa |
dc.contributor.cvlac | Martínez Melo, Javier Álvaro [0001363545] | spa |
dc.contributor.orcid | Martínez Melo, Javier Álvaro [0000-0001-6692-5514] | spa |
dc.subject.lemb | Ciencias médicas | spa |
dc.subject.lemb | Radiología | spa |
dc.subject.lemb | Diagnóstico para imágenes | spa |
dc.subject.lemb | Aneurisma intracraneal | spa |
dc.subject.lemb | Trastornos cerebrovasculares | spa |
dc.subject.lemb | Medicina (Aparatos e instrumentos) | spa |
dc.identifier.repourl | repourl:https://repository.unab.edu.co | spa |
dc.description.abstractenglish | Introduction: Intracranial aneurysms are a focal dilatation of the vessel wall, the rupture of these, causes subarachnoid hemorrhage. Until now, endovascular management is the ideal treatment, providing the interventionist a range of options among which the stent and coils embolization stands out because of its occlusion rate. This study presents the results of a retrospective cohort comparing the effectiveness, morbidity, and mortality of IA treatment with laser-cut stent-assisted coils versus braided stents. Methodology: Retrospective cohort of patients diagnosed with unruptured intracranial aneurysms treated with coil-assisted laser-cut stents or braided stents. Results: 138 patients with 147 intracranial aneurysms were analyzed, with the main antecedent of arterial hypertension (48.55%), the most used stents group were the laser cut stents, the most used among these was the solitaire (54.95%). Hydrocoils were used in 66.89% of the patients and in-stent angioplasty was performed in 6.12%. Conclusion: Treatment of patients with intracranial aneurysms with laser-cut stents or braided stents and coils is just as safe and effective. | spa |
dc.subject.proposal | Ciencias de la salud | spa |
dc.subject.proposal | Embolización de pacientes | spa |
dc.subject.proposal | Stent trenzados | spa |
dc.subject.proposal | Manejo endovascular | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/TM | |
dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
dc.contributor.apolounab | Martínez Melo, Javier Álvaro [javier-álvaro-martinez-melo] | spa |
dc.coverage.campus | UNAB Campus Bucaramanga | spa |
dc.description.learningmodality | Modalidad Presencial | spa |