{"id":8263,"date":"2014-12-02T00:00:00","date_gmt":"2014-12-01T23:00:00","guid":{"rendered":"https:\/\/idibell.cat\/blog\/2014\/12\/02\/la-trombectomia-mecanica-en-la-fase-aguda-de-lictus-pot-millorar-el-pronostic-i-la-recuperacio-dalguns-pacients\/"},"modified":"2020-05-13T19:47:51","modified_gmt":"2020-05-13T17:47:51","slug":"la-trombectomia-mecanica-en-la-fase-aguda-de-lictus-pot-millorar-el-pronostic-i-la-recuperacio-dalguns-pacients","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2014\/12\/la-trombectomia-mecanica-en-la-fase-aguda-de-lictus-pot-millorar-el-pronostic-i-la-recuperacio-dalguns-pacients\/","title":{"rendered":"La trombectomia mec\u00e0nica en la fase aguda de l\u2019ictus pot millorar el pron\u00f2stic i la recuperaci\u00f3 d\u2019alguns pacients"},"content":{"rendered":"<p>En un grup seleccionats de pacients, els tractaments de revascularitzaci\u00f3 mitjan\u00e7ant trombectomia mec\u00e0nica en la fase aguda de l\u2019ictus podrien millorar el pron\u00f2stic funcional i la recuperaci\u00f3 cl\u00ednica del pacient. Aquesta \u00e9s una de les conclusions de l\u2019estudi<em>Outcomes of a contemporary cohort of 536 consecutive patients with acute ischemic stroke treated with endovascular therapy<\/em>, realitzat pels serveis de Neurologia i Neuroradiologia de l\u2019Hospital Universitari de Bellvitge, Hospital Vall d\u00b4Hebron, Hospital Germans Trias i Pujol i Hospital Cl\u00ednic, i on l\u2019Hospital Universitari de Bellvitge ha aportat el nombre m\u00e9s alt de pacients. Pere Cardona, <\/p>\n<p>M. \u00c1ngeles de Miguel i Francisco Rubio de l&#8217;Hospital Univeritari de Bellvitge i el grup de malalties neurol\u00f2giques i neurogen\u00e8tica de l&#8217;IDIBELL han participat en l&#8217;estudi. <br \/> Escur\u00e7ar el temps en qu\u00e8 es valora el pacient i en qu\u00e8 es realitza el tractament de reperfusi\u00f3 s\u00f3n variables associades a uns bons resultats, i corroboren la idea de \u201ctemps \u00e9s cervell\u201d. El fet d\u2019aconseguir una recanalitzaci\u00f3 efica\u00e7 i completa mitjan\u00e7ant un dispositiu d\u2019\u00faltima generaci\u00f3 tipus stent-retriever ha incrementat la taxa d\u2019\u00e8xit d\u2019aquests procediments. Variables com l\u2019edat superior als 80 anys, la hipertensi\u00f3 arterial o l\u2019ictus vertebrobasilar s\u00f3n les que s\u2019han associat a un pitjor pron\u00f2stic funcional i a una pitjor mortalitat, mentre que la fibrilaci\u00f3 auricular i cl\u00ednica neurol\u00f2gica severa en el debut cl\u00ednic s\u00f3n variables que s\u2019associaven a uns millors resultats. <br \/> Els objectius de l\u2019estudi<\/p>\n<p>s\u00f3n avaluar l\u2019efic\u00e0cia en la recuperaci\u00f3 neurol\u00f2gica i la independ\u00e8ncia funcional de pacients que van rebre tractaments de reperfusi\u00f3 endovasculars en fase aguda de l\u2019ictus. El procediment seguit ha estat un estudi observacional prospectiu multic\u00e8ntric de pacients tractats en fase aguda de l\u2019ictus amb tractaments endovasculars amb o sense tromb\u00f2lisi endovenosa pr\u00e8via. <br \/> Es va realitzar una an\u00e0lisi del registre de tractaments de repefusi\u00f3 SONIIA del Pla director de la malaltia vascular cerebral, del Departament de Salut. Es van avaluar pacients tractats amb tractaments de repefusi\u00f3 i es van analitzar diferents variable i subgrups per valorar la independ\u00e8ncia funcional, el pron\u00f2stic i la mortalitat al tercer mes de rebre\u2019ls. Aquesta base de dades est\u00e0 auditada pel Departament de Salut i l\u2019Ag\u00e8ncia d\u2019Avaluaci\u00f3 i Qualitat Sanit\u00e0ries de Catalunya.<br \/> Podeu accedir a l\u2019<em>abstract<\/em><\/p>\n<p>de l\u2019estudi clicant<\/p>\n<p><span class=\"enllac\"><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24595590\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>aqu\u00ed<\/strong>.<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>aqu\u00ed<\/p>\n","protected":false},"author":6,"featured_media":10953,"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":[1],"tags":[],"class_list":["post-8263","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar"],"publishpress_future_action":{"enabled":false,"date":"2024-12-30 05:50:21","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/8263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=8263"}],"version-history":[{"count":0,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/8263\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/10953"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=8263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=8263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=8263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}