Intervenciones Cardiovasculares: Experiencia Inicial en la Unidad Hemodinámica

Ricardo Quizhpe, Janneth Bermeo, María Augusta Córdova, Ender Salto, Ana Méndez, María Fernanda González

Resumen


OBJETIVO: Describir la mortalidad en los pacientes a quienes se realizó estudios hemodinámicos en el Hospital José Carrasco.

MATERIALES Y MÉTODO: Sujetos de estudio los pacientes que se realizaron estudios hemodinámicos desde el inicio de la unidad en el período junio 2009 a octubre 2010.

RESULTADOS: Durante el periodo de 16 mese de funcionamiento de la Unidad se han realizado 527 procedimientos intervencionistas a 480 pacientes, con un éxito inmediato de 98.9%. la principal indicación de caterismo fue la sospecha de enfermedad coronaria (57.4%), seguidos de estudios de angiografía periférica (19.6%), enfermedad valvular y congénita (14.6%). En el seguimiento clínico de 12 meses los eventos cardíacos mayores fueron de 4.9%, siendo 0.9% por muerte de origen cardíaco de lo cual 0.4% se suscitó en la fase hospitalar.

CONCLUSIÓN: La mortalidad global fue 2.3%.

Palabras Claves: CATETERISMO CARDÍACO, INTERVENCIONISMO, ENFERMEDAD CORONARIA.


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Referencias


Howson CP, Reddy SK, Ryan TJ, Bale JR: Control of cardiovascular disease in developing countries. Washington DC, National Academic Press, 1998.

Instituto Nacional de Estadísticas y Censos. Reporte 2010. http://www.inec.gov.ec

Scanlon P, Faxon D, Audet A, et al. ACC/AHA guidelines for coronary angiography. J Am Coll Cardiol 33:1756; 1999.

Bavry AA, Kumbhani DJ, Rassi AN, et al. Benefit of early invasive therapy in acute coronary síndromes a meta-analysis of contemporany randomized clinical trials. J Am CollCardiol 2006; 48:1319-25.

Azarisman SM, Sabruddin MZ, Rosli MA. Recurrent in-stent restenosis with total occlusion remedied with drug-eluting balloon angioplasty. Int Heart J. 2011;52(1):61-3.PubMed PMID: 21321471.

Sousa AG, Lopes NH, Hueb WA, Krieger JE, Pereira AC. Genetic Variants of diabetes risk and icident cardiovascularevents in chronic coronary artery disease. PLoS One. 2011 Jan 20;6(1):el 6341. PubMed PMID: 21283728; PubMed Central PMCID :PMC3024434.

Zhu D, JinX, Leng X, Wang H, Bao J, Liu W, Yao K, Song C. Loacal gene delivery via endovascular stents coated with dodecylated chitosan-plasmid DNA nanoparticles. Int J Nanomedicine. 2010 Dec 6;5:1095-102. PubMed PMID: 21270960; PubMed Central PMCID :PMC3023238.

Fgiel Ł, Wraga M, Bednarkiewicz Z, Lipiec P, Smigielski J, Krzemińska-Pakuła M, Kasprzak JD. Direct comparison of the diagnostic value of point –of-care tests detecting heart-type fatty acid binding protein or glycogen phosphorylase isoenzyme BB in patients with acute coronary síndromes with persistent ST-SEGMENT ELEVATION. Kardiol Pol. 2011;69(1):1-6. PubMed PMID: 21267954.

Kwac MS, Yoon SJ, Oh SJ, Jeon DW, Kim DH, Yang JY. A rare case of radial arteriovenous fistula after coronary angiography. Korean Circ J. 2010 Dec;40(12):677-9. Epub 2010 Dec 31. PubMed PMCID:21267392; PubMed Central PMCID: PMC3025343.

Turkay S, Abdullah E, Celal A, Cenap Z, Nurdan E, Fadli D, Halil D, Ali AN Ahmet C. Multiple transcatheter interventions in the same sesión in congenital cardiopathies. J Cardiovasc Dis Res. 2010 Oct;1(4):181-90. PubMed OMID: 21264182; PubMed Central PMCID: PMC3023895.

Li SJ, Zhang H, Sheng XD, Yan J, Deng XC, Chen WD, Hu SS. Intraoperative Hybrid Cardiac Surgery for Neonatale and Young Children with Congenital Heart DIsease: 5Years of Experience . Ann Thorac Cardiovasc Surg. 2010 Dec; 16(6):406-9. PubMed PMID: 21263421.

Keleş T, Bayram NA, Durmaz T, Bozkurt E. Late stent thrombosis after paclitacxel-eluting stent placement in a patient with essential thrombocytosis. Turk Kardyol Dern Ars. 2010 Dec;38(8):562-4. PubMed PMID: 21248457.

Stone GW, Machara A, Lansky AJ, de Bruyne B, Cristea E, Mintz GS, Mehran R, McPherson J, Farhat N, Marso SP, Parise H, Templin B, White R, Zhang Z, Serruys PW; PROSPECT Investigators. A prospective natural-history study of coronary atherosclerosis. N Engl J Med. 2011 Jan 20;364(3):226-35. PubMed PMID: 21247313.

Yuan SM, Jing H. Areppraisal of saphenous vein grafting. Ann Saudi Med. 2011 Jan-Feb;31(1):62-71. PubMed PMID: 21245602.

Finkelstein A, Schwartzenberg S, Bar L, Levy Y, Halkin A, Herz I, Bazan S, Massachi R, Banal S, Keren G, George J. Comparative efficacy analysis of an aspiration device before primary angioplasty in patients with acute myocardial infarction: a single-center experience. Isr Med Assoc J. 2010 Nov;12(11):692-6. PubMed PMID: 21243871.

Furtado AD, Bhat SP, Peer SM, Cgikkatur R. Infected pseudoaneurysm involving a drugeluting stent. Interact Cardiovasc Thorac Surg. 2011 Jan 12. [Epub ahead of print] PubMed PMID: 21228044.

Peruzzi M, Frati G, Rose D, Chirichilli I, Santo C, Ricci M. Spontanous pneumopericardium after coronary angioplasty. Tex Heart Inst J. 2010;37(6):728-9. PubMed PMID: 21224959; PubMed Central PMCID: PMC3014132.

Cakar MA, Güdüz H, Kocayiğit I, Binak DF, Vatan MB, Tamer A. Acute coronary síndrome due to diclofenac pottasium induced anaphylaxis: two Kounis síndrome variants in the same patient. Anadolu Kardiyol Derg. 2011 Feb;11(1):88-9. doi:10.5152/akd.2011.017.Epub 2011 Jan 11. PubMed PMID: 21220239.

Know YS, Jang JS, Lee CW, Kim DK, Kim U, Seol SH, Kim DI, Jo YW, Jin HY, Seo JS, Yang TH, Kim Dk, Kim DS. Comparison of Plaque Composition in Diabetic and Non-Diabetic Patients with Coronary Artery Disease Using Multislice CT Angiography. Korean Circ J. 2010 Nov;40(11):581-6. Epub 2010 Nov 30. PubMed PMID: 21217935; PubMed Central PMCID: PMC3008829.

Karabay KO, Uysal E, Bağirtan B, Vural M. A case of twin circumflex arteries associated arteries associated with acute myocardial infarction. Turk Kardiol Dern Ars. 2010 Oct;38(7):496-8. PubMed PMID: 21206205.

Guihua L, Wang L, Sanqing J, Ren W, Lin Z, Daokuo Y, Rongjing D. Influence of valsartan-eluting stent on neointima formation. J Cardiovasc Dis Res. 2010 Jan;1(1):19-22. PubMed PMID: 21206205.

Braun A, Dofiles L, Rousselle S, Guerrero L, Gunther J, Yednock T, Stricker-Krongrad A, Messersmith E. Effects of an alpha-4 integrin inhibitor on restenosis in a new porcine model combinig endoyjelial denudation and stsn placement. PLoS One. 2010 Dec 13;5(12):e 14314. PubMed PMID: 21179441; PubMed Central PMCID: PMC3001476.

Hong YJ, Jeong MH, Choi YH, Ma EH, Ko JS, Lee MG, Park KH, Sim DS, Yoon NS, Youn HJ, Kim KH, PrakWH, Sim DA, Yoon NS, Youn Hj, Kim KH, Park HW, Kim JH, Ahn Y, Cho JG, Park JC, Kang JC. Usual dose of simvastatin does not inhibit plaque progression and lumen loss at the peristent reference segments after baer-metal stent implantion: a serial intravascular ultrasound analysis. Korean J Intern Med. 2010 Dec;25(4):356-63. Epub 2010 Nov 27. PubMed PMID: 21179272; PubMed Central PMCID: PMC2997963.

Kim BK, Hong MK. Effect os stain on the reference segments after bare-metal stent implantation. Koean J Intern Med. 2010 Dec;25(4):353-5. Epub 2010 Nov 27. PubMed PMID: 21179271.


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Copyright (c) 2017 Ricardo Quizhpe, Janneth Bermeo, María Augusta Córdova, Ender Salto, Ana Méndez, María Fernanda González

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