Your browser doesn't support javascript.
loading
Tratamiento neuroquirúrgico de la isquemia cerebral / Neurosurgical treatment of cerebral ischemia
Cuevas Seguel, José Luis.
  • Cuevas Seguel, José Luis; Hospital de Puerto Montt. Servicio de Neurocirugía. Puerto Montt. CL
Rev. chil. neurocir ; 43(1): 23-33, July 2017. ilus, tab
Article in Spanish | LILACS | ID: biblio-869776
RESUMEN

Introducción:

El manejo actual de la isquemia cerebral aguda (IA) contempla el uso de r-tPA y terapia endovascular, mientrasque en la isquemia cerebral crónica (IC) la mejor terapia aún no está definida. La revascularización cerebral microquirúrgicaha sido descrita como tratamiento alternativo para pacientes con IA y contraindicación para r-tPA o terapia endovascular, asícomo para pacientes con IC en quienes la terapia médica ha fracasado.

Objetivo:

Comunicar la experiencia inicial en cirugíade revascularización cerebral, con énfasis en la utilidad de la embolectomía microquirúrgica y del bypass cerebral comoterapia de rescate en IA, así como del bypass cerebral en IC. Pacientes y

Método:

Serie prospectiva de 5 pacientes conisquemia cerebral tratados con cirugía de revascularización cerebral en el período 2013 a 2016. Se describe la técnica y resultadosquirúrgicos, así como el estado funcional a los 3, 6 y 12 meses de seguimiento según modified Rankin Scale (mRS)...
ABSTRACT

Background:

Tissue Plasminogen Activator (t-PA) and mechanical thrombectomy are today the best treatment approachfor acute ischemic stroke (AIS). However, the best management for chronic cerebral ischemia (CCI) is still debated. Microsurgicalrevascularization has been described as alternative treatment for patients with AIS and contraindication for t-PA orendovascular therapy, and for patients with CCI and failure of maximal medical therapy.

Aim:

To describe the effectiveness ofmicrosurgical embolectomy and cerebral bypass as salvage therapy in AIS, as well as cerebral bypass in CCI.

Methods:

Fivepatients were treated by cerebral revascularization between 2013 and 2016. Surgical and functional results were analyzed.Neurological outcomes were assessed by modified Rankin Scale (mRS) at 3, 6 & 12 months...
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Reperfusion Injury / Brain Ischemia / Cerebral Revascularization / Embolectomy / Moyamoya Disease Limits: Humans / Male Language: Spanish Journal: Rev. chil. neurocir Journal subject: Neurosurgery Year: 2017 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital de Puerto Montt/CL

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: LILACS (Americas) Main subject: Reperfusion Injury / Brain Ischemia / Cerebral Revascularization / Embolectomy / Moyamoya Disease Limits: Humans / Male Language: Spanish Journal: Rev. chil. neurocir Journal subject: Neurosurgery Year: 2017 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital de Puerto Montt/CL