ABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Blue Toe Syndrome/surgery , Blue Toe Syndrome , Endovascular Procedures/instrumentation , Endovascular Procedures/methods , Endovascular Procedures , Anticoagulants/therapeutic use , Endovascular Procedures/standards , Embolism, Cholesterol/complications , Embolism, Cholesterol , Electrocardiography/methods , Angiography/instrumentation , Angiography/methodsABSTRACT
OBJETIVO: El objetivo de este estudio es evaluar la seguridad de la endarterectomía carotídea (EAC) en pacientes sintomáticos y asintomáticos en nuestro servicio. PACIENTES Y MÉTODOS: Este estudio retrospectivo incluye un total de 266 procedimientos realizados en pacientes tanto sintomáticos como asintomáticos, con carácter programado. La seguridad se evaluó en términos de tasa de ictus/muerte e infarto agudo de miocardio (IAM) perioperatorio. RESULTADOS: Entre enero de 2005 y diciembre de 2012 se realizaron 266 EAC en 238 pacientes. La tasa de ictus/muerte global a los 30 días de la cirugía fue del 3%, siendo la de pacientes sintomáticos de un 4,5% y la de asintomáticos un 2,8%. Se observó un mayor riesgo de sangrado en pacientes tratados previamente con clopidogrel (OR: 3,85; IC: 1,05-11). CONCLUSIONES: Atendiendo a los criterios de calidad necesarios para realizar una EAC podemos concluir que, en nuestro servicio, este procedimiento es seguro y garantiza sus ventajas terapéuticas
OBJECTIVE: The aim of this study is to assess the safety of carotid endarterectomy (CEA) in symptomatic and asymptomatic patients in our department. PATIENTS AND METHODS: This retrospective study included a total of 266 programmed procedures performed in both symptomatic and asymptomatic patients. Safety was evaluated in terms of perioperative rate of stroke/death and acute myocardial infarction (AMI). RESULTS: Between January 2005 and December 2012, 266 CEAs were performed in 238 patients. The overall rate of stoke/death at 30 days after surgery was 3%, 4,5% in symptomatic patients and 2,8% in the asymptomatic cohort. An increased risk of bleeding was observed in patients previosly treated with clopidogrel (OR: 3,85 CI 1,5-11). CONCLUSIONS: Considering the quality criteria required to perform a carotid endarterectomy we can conclude that in our department, this procedure is safe and ensures its therapeutic benefits
Subject(s)
Endarterectomy, Carotid/instrumentation , Endarterectomy, Carotid/methods , Security Measures/trends , Aortic Stenosis, Subvalvular/therapy , Aortic Valve Stenosis/therapy , Myocardial Revascularization/methods , Retrospective Studies , Stroke/complications , Myocardial Infarction/complications , Myocardial Infarction/diagnosis , Coronary Restenosis/therapyABSTRACT
No disponible
Subject(s)
Humans , Aneurysm, Ruptured/surgery , Femoral Artery/surgery , Giant Cell Arteritis/complications , Risk FactorsABSTRACT
No disponible
Subject(s)
Humans , Carotid Artery, Internal, Dissection , Aneurysm , Carotid Artery Injuries/complicationsABSTRACT
No disponible
Subject(s)
Humans , Male , Young Adult , Venous Thrombosis/complications , Recurrence , Risk FactorsSubject(s)
Humans , Female , Middle Aged , Aortic Aneurysm, Thoracic/complications , Aortic Aneurysm, Thoracic/diagnosis , Pleural Effusion/complications , Pleural Effusion , Aortic Aneurysm, Thoracic/physiopathology , Aortic Aneurysm, Thoracic/surgery , Aortic Aneurysm, Thoracic , Radiography, Thoracic/methods , Radiography, Thoracic , Radiography, Thoracic/instrumentation , /methodsSubject(s)
Humans , Female , Adult , Thrombosis/complications , Thrombosis/diagnosis , Thrombosis/pathology , Femoral Artery/anatomy & histology , Femoral Artery/pathology , Venous Thrombosis/complications , Venous Thrombosis/diagnosis , Venous Thrombosis/pathology , Smoking/mortality , Smoking/pathology , Pulmonary Embolism/complications , Pulmonary Embolism/diagnosisABSTRACT
No disponible