{"id":10885,"date":"2014-12-02T00:00:00","date_gmt":"2014-12-01T23:00:00","guid":{"rendered":"https:\/\/idibell.cat\/es\/blog\/2014\/12\/02\/la-trombectomia-mecanica-en-la-fase-aguda-del-ictus-puede-mejorar-el-pronostico-y-la-recuperacion-de-algunos-pacientes\/"},"modified":"2020-05-21T09:34:40","modified_gmt":"2020-05-21T07:34:40","slug":"la-trombectomia-mecanica-en-la-fase-aguda-del-ictus-puede-mejorar-el-pronostico-y-la-recuperacion-de-algunos-pacientes","status":"publish","type":"post","link":"https:\/\/idibell.cat\/es\/2014\/12\/la-trombectomia-mecanica-en-la-fase-aguda-del-ictus-puede-mejorar-el-pronostico-y-la-recuperacion-de-algunos-pacientes\/","title":{"rendered":"La trombectomia mec\u00e1nica en la fase aguda del ictus puede mejorar el pron\u00f3stico y la recuperaci\u00f3n de algunos pacientes"},"content":{"rendered":"

En un grupo seleccionado de pacientes, los tratamientos de revascularizaci\u00f3n mediante trombectomia mec\u00e1nica en la fase aguda del ictus podr\u00edan mejorar el pron\u00f3stico funcional y la recuperaci\u00f3n cl\u00ednica del paciente. Esta es una de las conclusiones del estudio Outcomes of a contemporary cohorte of 536 consecutive patients with acute ischemic stroke treated with endovascular therapy, realizado por los servicios de Neurolog\u00eda y Neurorradiolog\u00eda del Hospital Universitario de Bellvitge, Hospital Vall d\u2019\u2019Hebron, Hospital Germans Trias i Pujol y Hospital Cl\u00ednico, y donde el Hospital Universitario de Bellvitge ha aportado el mayor n\u00famero de pacientes. Pere Cardona,
M. \u00c1ngeles de Miguel y Francisco Rubio del Hospital Universitario de Bellvitge y el grupo
de enfermedades neurol\u00f3gicas y neurogen\u00e9tica del IDIBELL han participado en el estudio.
Acortar el tiempo en que se valora el paciente y en el que se realiza el tratamiento de reperfusi\u00f3n son variables asociadas a unos buenos resultados, y corroboran la idea de \u201ctiempo es cerebro\u201d. El hecho de conseguir una recanalizaci\u00f3n eficaz y completa mediante un dispositivo de \u00faltima generaci\u00f3n tipo stent-retriever ha incrementado la tasa de \u00e9xito de estos procedimientos. Variables como la edad superior a los 80 a\u00f1os, la hipertensi\u00f3n arterial o el ictus vertebrobasilar son las que se han asociado a un peor pron\u00f3stico funcional y a una peor mortalidad, mientras que la fibrilaci\u00f3n auricular y cl\u00ednica neurol\u00f3gica severa en el debut cl\u00ednico son variables que se asociaban a unos mejores resultados.
Los objetivos del estudio son evaluar la eficacia en la recuperaci\u00f3n neurol\u00f3gica y la independencia funcional de pacientes que recibieron tratamientos de reperfusi\u00f3n endovasculares en fase aguda del ictus. El procedimiento seguido ha sido un estudio observacional prospectivo multic\u00e9ntrico de pacientes tratados en fase aguda del ictus con tratamientos endovasculares con o sin trombolisis endovenosa previa.
Se realiz\u00f3 un an\u00e1lisis del registro de tratamientos de repefusi\u00f3 Sonia del Plan director de la enfermedad vascular cerebral, del Departamento de Salud. Se evaluaron pacientes tratados con tratamientos de repefusi\u00f3 y se analizaron diferentes variable y subgrupos para valorar la independencia funcional, el pron\u00f3stico y la mortalidad en el tercer mes de recibirlos. Esta base de datos est\u00e1 auditada por el Departamento de Salud y la Agencia de Evaluaci\u00f3n y Calidad Sanitarias de Catalu\u00f1a. Puede acceder al abstract del estudio haciendo clic aqu\u00ed<\/strong>.<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

aqu\u00ed<\/p>\n","protected":false},"author":6,"featured_media":10886,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","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":"default","adv-header-id-meta":"","stick-header-meta":"default","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":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[320,300,277],"tags":[],"class_list":["post-10885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-area-neurociencias","category-enfermedades-neurologicas-y-neurogenetica","category-programa-de-neurociencias"],"publishpress_future_action":{"enabled":false,"date":"2024-11-24 13:54:41","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/posts\/10885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/comments?post=10885"}],"version-history":[{"count":0,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/posts\/10885\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/media\/10886"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/media?parent=10885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/categories?post=10885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/es\/wp-json\/wp\/v2\/tags?post=10885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}