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>Revistas >Medicina Crítica >Año 2007, No. 3


Leal LJF, Santana EVM, Pérez RFJM, Macías GMT, Ramírez AFM
Infarto cerebral isquémico postoperatorio en paciente con patología neurovascular hemorrágica aguda
Rev Asoc Mex Med Crit y Ter Int 2007; 21 (3)

Idioma: Español
Referencias bibliográficas: 38
Paginas: 143-148
Archivo PDF: 127.35 Kb.

[Texto completo - PDF]

RESUMEN

Introducción: Las complicaciones isquémicas peri-operatorias a un evento vascular cerebral (EVC) hemorrágico son frecuentes.
Objetivo: Determinar impacto de manejo estandarizado con estabilización hemodinámica para evitar EVC isquémicos.
Pacientes y métodos: Diseño: cohorte preliminar de serie de casos, prospectivo. Variables: días estancia, EVC perioperatorio, pinzamiento temporal de carótida interna (PCIT). Estadística: Descriptiva, tasa de incidencia acumulada de EVC perioperatorio y mortalidad.
Resultados: Se incluyeron 26 pacientes, 20 con aneurisma, y 6 por MAV, 7 masculinos, 19 femeninos. Presentaron EVC isquémico 8 (30.7%), 50% con PCIT. Sin EVC isquémico 18 (69.3%), de ellos 3 (16.6%) tuvieron PCIT. Un fallecimiento asociado a EVC isquémico. Tiempo estancia 6.09 contra 1.66 días con y sin EVC isquémico respectivamente.
Conclusión: Estandarizado el manejo de los EVC hemorrágico secundario a aneurisma o MAV, el desarrollo de complicaciones es más influido por PCIT, impactando estancia y evolución final.


Palabras clave: Hemorragia subaracnoidea, infarto cerebral perioperatorio, vasoespasmo cerebral.


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