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Colegio de Medicos y Cirujanos República de Costa Rica

2019, Número 627

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Rev Med Cos Cen 2019; 85 (627)


Actualización en guías de manejo endovascular del evento cerebrovascular isquémico agudo

Hernández GA, Odio ZP, Martínez ME, Huete MF, Barboza EMA

Idioma: Español
Referencias bibliográficas: 23
Paginas: 24-29
Archivo PDF: 108.73 Kb.


RESUMEN

Los eventos cerebrovasculares isquémicos son una entidad clínica frecuente y con un gran impacto en la salud e independencia de los pacientes. Un número importante de estos evolucionan con un pobre resultado funcional al presentar condiciones que les confiere un pobre pronóstico de revascularización mediante la trombólisis intravenosa. Ante esto, la trombectomía mecánica ha venido a ser una opción terapéutica sólida en este tipo de pacientes y aquellos que no resultan candidatos para la administración de alteplasa intravenosa. En los últimos años se ha generado nueva evidencia que respalda este abordaje y demuestra su beneficio en nuevos contextos clínicos para los cuales antes no se tenía ninguna posibilidad de terapia. Por esta razón, las asociaciones internacionales de stroke se han dado a la tarea de actualizar sus guías y recomendaciones con relación a este tema con base en la nueva información que se ha publicado recientemente. En este artículo se pretende establecer los puntos más importantes para definir y abordar un paciente que se considere puede resultar beneficiado de la realización de trombectomía mecánica endovascular.


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