Estudio analítico retrospectivo sobre el reparo endovascular de aneurismas aórticos abdominales en la ciudad de Manizales (Caldas, Colombia) entre 2015 y 2021.

dc.contributorSepúlveda Gallego, Luz Elena
dc.contributorGómez Vera, Carlos Eduardo
dc.contributorANESTESIA Y EDUCACIÓN - CIRUGÍA GENERAL
dc.contributorCarlos Eduardo Gómez Vera
dc.creatorTorres España, Nicolás Felipe
dc.date2021-06-04T14:31:01Z
dc.date2021-06-04T14:31:01Z
dc.date2021-06-02
dc.date.accessioned2023-09-06T18:17:52Z
dc.date.available2023-09-06T18:17:52Z
dc.identifierhttps://repositorio.ucaldas.edu.co/handle/ucaldas/16705
dc.identifierUniversidad de Caldas
dc.identifierRepositorio institucional Universidad de Caldas
dc.identifierhttps://repositorio.ucaldas.edu.co
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8694950
dc.descriptionIlustraciones
dc.descriptionspa: Los aneurismas aórticos abdominales corresponden a un proceso degenerativo de la pared aórtica que condicionan su debilidad, su presentación varía según el individuo, la mayoría de los casos se diagnostican de forma incidental y su ruptura condiciona la principal urgencia en su presentación. Desde el inicio de su tratamiento el manejo consistió en cirugía abierta, pero en las últimas décadas la terapia endovascular ha ganado un papel representativo, lo cual ha motivado este estudio, con el fin de mostrar las características de nuestra población, los resultados de la intervención en nuestro medio y relacionar las condiciones locales con las complicaciones postquirúrgicas más frecuentes. Se efectuó un estudio analítico retrospectivo, el cual incluye la primera serie de casos de tratamiento endovascular de los aneurismas aórticos en la ciudad de Manizales (Caldas, Colombia) en un periodo comprendido entre los años 2015 y el 2021, buscando describir la población estudiada, la relación de los antecedentes prequirúrgicos con las complicaciones posoperatorias, la estancia hospitalaria y la mortalidad. El análisis realizado mostró que nuestra población tiene un promedio de edad de 73 años (+/-8.3), en donde el sexo predominante fue el femenino (72%), siendo el aneurisma fusiforme el tipo más frecuente (63.3%) y con un diámetro promedio de 70 mm (+/- 17.3 mm). En relación a los antecedentes, el de mayor frecuencia fue la hipertensión arterial (86%), encontrándose una asociación entre la presencia de enfermedad pulmonar obstructiva crónica (EPOC) e hipertensión arterial (HTA) con las complicaciones. También se encontró relación entre los valores de creatinina prequirúrgicos y postquirúrgicos, con las complicaciones en todos los periodos de tiempo analizados. Las complicaciones tempranas son de carácter leve en la mayoría de los casos (30.6%), a diferencia de las tardías que son principalmente graves (12.5%), asociadas a una mortalidad del 10.2% y una estancia hospitalaria promedio de 10.8 días con una mediana de 5.0 días. Se concluye que la población analizada tiene una alta carga de morbilidad, en la cual factores como la función renal, los antecedentes prequirúrgicos (principalmente EPOC y HTA) se asocian con una mayor morbilidad postquirúrgica y mortalidad, además que nuestra serie tiene diferencias importantes con los resultados obtenidos en centros de experiencia en tratamiento endovascular de aneurismas aórticos, pero con unos resultados generales aceptables y superiores a la cirugía abierta, lo que permite tomarlo como una opción adecuada para el tratamiento de los individuos que padecen esta condición en nuestra población.
dc.descriptioneng: Background: in recent decades endovascular therapy in abdominal aortic aneurysms (EVAR) has gained a representative role in elective and emergency scenarios, motivating to know the behavior of this procedure in our population. Methodology: retrospective analytical study, which includes the first 50 cases of EVAR in the city of Manizales (Caldas, Colombia) in a period between 2015 and 2021, describing the studied population, the relationship of the pre-surgical history with the postoperative complications, hospital stay and mortality. Results: average age of 73 years (+/- 8.3), the predominant sex was female (72%), fusiform aneurysm the most frequent type (63.3%) and with an average diameter of 70 mm (+/- 17.3 mm). Regarding the history, the most frequent was arterial hypertension (86%), finding an association between the presence of chronic obstructive pulmonary disease (COPD) and arterial hypertension (HT) with complications. A relationship was found between preoperative and postoperative creatinine values, with complications in all time periods analyzed. Early complications are mild in most cases (30.6%), unlike late complications, which are mainly severe (12.5%), associated with a mortality of 10.2% and an average hospital stay of 10.8 days with a median 5.0 days. Conclusions: the analyzed population has a high burden of morbidity, in which factors such as renal function, pre-surgical history (mainly COPD and HT) are associated with higher postoperative morbidity and mortality.
dc.description1. Introducción / 2. Metodología / 3. Resultados / 4. Discusión / 5. Conclusiones / 6. Bibliografía / 7. Tablas de resultados
dc.descriptionEspecialización
dc.descriptionEspecialista en Cirugía General
dc.descriptionCIRUGÍA GENERAL
dc.formatapplication/pdf
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dc.languageeng
dc.languagespa
dc.publisherFacultad de Ciencias para la Salud
dc.publisherManizales
dc.publisherEspecialización en Cirugía General
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dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectaneurisma aórtico
dc.subjectprocedimientos endovasculares
dc.subjectcomplicaciones postquirúrgicas
dc.subjectmortalidad
dc.subjectreparo endovascular de aneurismas aórticos abdominales
dc.subjectCiencias médicas
dc.subjectSistema cardiovascular
dc.titleEstudio analítico retrospectivo sobre el reparo endovascular de aneurismas aórticos abdominales en la ciudad de Manizales (Caldas, Colombia) entre 2015 y 2021.
dc.typeTrabajo de grado - Especialización
dc.typehttp://purl.org/coar/resource_type/c_18cf
dc.typeText
dc.typeinfo:eu-repo/semantics/other
dc.typeinfo:eu-repo/semantics/publishedVersion


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