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2003, Número 3

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Cir Cir 2003; 71 (3)


Daño neurológico secundario a cirugía de revascularización miocárdica con circulación extracorpórea

Alfaro-Gómez F , Argüero-Sánchez R , Careaga-Reyna G

Idioma: Español
Referencias bibliográficas: 45
Paginas: 173-178
Archivo PDF: 62.69 Kb.


RESUMEN

Objetivo: describir la incidencia de daño neurológico en pacientes sometidos a revascularización coronaria con derivación cardiopulmonar, en el servicio de cirugía cardiotorácica en un centro cardiológico. Material y métodos: en forma retrospectiva fueron seleccionados los expedientes pertenecientes a pacientes sometidos a revascularización coronaria con circulación extracorpórea, excluyéndose casos debido a que sus expedientes eran incompletos. Se analizaron en busca de alteraciones clínicas neurológicas posteriores a la intervención quirúrgica, valorados mediante la escala de Glasgow, corroborado por estudios complementarios y además se obtuvieron datos relacionados a posibles factores de riesgo. El análisis estadístico de los resultados obtenidos se presentan en frecuencias, medidas de tendencia central y desviación estándar. Resultados: en un año se efectuaron 384 revascularizaciones miocárdicas de los cuales se excluyeron 44 casos. Se analizaron 340 expedientes y la incidencia de complicaciones neurológicas fue de 2.6% (9 casos de 340), con dos casos (0.5%), catalogados como lesión grave de los cuales uno falleció. La incidencia y tipo de complicaciones encontrada coincide con lo reportado; aunque se tienen limitantes, debido a la perspectiva con la que se realizó el trabajo (retrospectivo) y que el tipo de evaluación fue exclusivamente clínico, considerando únicamente lesiones neurológicas mayores y no déficit neuropsicológicos.


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