Tratamiento con endoprótesis y espirales de un pseudoaneurisma asociado a una estenosis en la arteria carótida interna
Internal carotid artery pseudoaneurysm and stenosis. Treatment with stents and coils
E. Górriz-Gómez
Unidad de Radiología Vascular Intervencionista. Hospital Universitario Nuestra Señora del Pino. Las Palmas de Gran Canaria
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C.H.U.S" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Neurorradiología Intervencionista. Hospital Universitario Virgen del Rocio. Sevilla" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Facultad de Medicina. Departmento de Radiología. C/ San Francisco n° 1. 15704 Santiago de Compostela." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Internal carotid artery pseudoaneurysm and stenosis. Treatment with stents and coils" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-02-02" "fechaAceptado" => "2005-02-11" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159111" "palabras" => array:4 [ 0 => "Endoprótesis" 1 => "Arteria carótida" 2 => "Pseudoaneurisma" 3 => "Embolización" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159109" "palabras" => array:9 [ 0 => "ATP" 1 => "CAVATAS II" 2 => "CREST" 3 => "EVA IIIs" 4 => "GDC" 5 => "RM" 6 => "SPACE" 7 => "TC" 8 => "UI" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159110" "palabras" => array:4 [ 0 => "Stent" 1 => "Carotid artery" 2 => "Pseudoaneurysm" 3 => "Embolization" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Propósito</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comunicar nuestra experiencia en el tratamiento de un paciente con un pseudoaneurisma asociado a una estenosis post-disección en la arteria carótida interna cervical.</p> <span class="elsevierStyleSectionTitle">Caso clínico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Paciente de 45 años valorado en el servicio de urgencias por hemiparesia izquierda. Entre sus antecedentes destacaba ser fumador importante, hipertensión arterial, hipercolesterolemia, peritonitis a los 18 años e infarto de miocardio hace un año. Tras la realización de TC y RM, en una angiografía cerebral se diagnosticó una oclusión de la arteria carótida interna derecha, presentando en la izquierda una estenosis asociada a un pseudoaneurisma. Mediante abordaje femoral común derecho, se realizó un implante de una endoprótesis metálica en la zona estenótica; a través de la malla de la misma, se excluyó el pseudoaneurisma con espirales metálicos.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Este caso muestra la posibilidad de recuperar la luz de una zona estenótica de la arteria carótida interna con una endoprótesis metálica no cubierta y simultáneamente embolización a su través de una zona pseudoaneurismática sin riesgo de migración.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To describe the endovascular management of a patient with postdisection internal carotid pseudoaneurysm and stenosis.</p> <span class="elsevierStyleSectionTitle">Case report</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 45-year-old man presented with left hemyparesia; angiography showed right internal carotid artery occlusion, left carotid stenosis and pseudoaneurysm. A metallic uncovered stent was implanted by means of a femoral approach. Coils were delivered throught the uncovered stent and the pseudoaneurysm was excluded.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The internal carotid percutaneous implantation of a carotid uncovered stent, and embolization throught stent in a patient with stenosis and pseudoaneurysm, appears to be a safe procedure without risk of coils migration.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Górriz-Gómez, E.; Carreira J.M.; González- García, A.; Mayol- Deyá, A.: Tratamiento con endoprótesis y espirales de un pseudoaneurisma asociado a una estenosis en la arteria carótida interna. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 5 | 1 | 6 |
| 2018 Febrero | 7 | 2 | 9 |
| 2018 Enero | 14 | 7 | 21 |
| 2017 Diciembre | 14 | 4 | 18 |
| 2017 Noviembre | 48 | 26 | 74 |
| 2017 Octubre | 7 | 6 | 13 |
| 2017 Septiembre | 7 | 12 | 19 |
| 2017 Agosto | 11 | 4 | 15 |
| 2017 Julio | 9 | 4 | 13 |
| 2017 Junio | 22 | 8 | 30 |
| 2017 Mayo | 14 | 7 | 21 |
| 2017 Abril | 13 | 5 | 18 |
| 2017 Marzo | 14 | 7 | 21 |
| 2017 Febrero | 6 | 6 | 12 |
| 2017 Enero | 7 | 2 | 9 |
| 2016 Diciembre | 20 | 14 | 34 |
| 2016 Noviembre | 17 | 6 | 23 |
| 2016 Octubre | 24 | 16 | 40 |
| 2016 Septiembre | 20 | 8 | 28 |
| 2016 Agosto | 28 | 18 | 46 |
| 2016 Julio | 21 | 14 | 35 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 5 | 6 |
| 2015 Junio | 10 | 6 | 16 |
| 2015 Mayo | 19 | 8 | 27 |
| 2015 Abril | 12 | 12 | 24 |
| 2015 Marzo | 11 | 7 | 18 |
| 2015 Febrero | 14 | 12 | 26 |
| 2015 Enero | 15 | 14 | 29 |
| 2014 Diciembre | 13 | 11 | 24 |
| 2014 Noviembre | 14 | 11 | 25 |
| 2014 Octubre | 16 | 17 | 33 |
| 2014 Septiembre | 11 | 21 | 32 |
| 2014 Agosto | 18 | 19 | 37 |
| 2014 Julio | 14 | 13 | 27 |
| 2014 Junio | 17 | 25 | 42 |
| 2014 Mayo | 12 | 17 | 29 |
| 2014 Abril | 14 | 15 | 29 |
| 2014 Marzo | 14 | 18 | 32 |
| 2014 Febrero | 16 | 26 | 42 |
| 2014 Enero | 14 | 19 | 33 |
| 2013 Diciembre | 11 | 16 | 27 |
| 2013 Noviembre | 24 | 14 | 38 |
| 2013 Octubre | 14 | 23 | 37 |
| 2013 Septiembre | 14 | 18 | 32 |
| 2013 Agosto | 25 | 27 | 52 |
| 2013 Julio | 19 | 17 | 36 |
| 2013 Junio | 17 | 33 | 50 |
| 2013 Mayo | 8 | 13 | 21 |
| 2013 Abril | 11 | 12 | 23 |
| 2013 Marzo | 9 | 13 | 22 |
| 2013 Febrero | 10 | 10 | 20 |
| 2013 Enero | 14 | 6 | 20 |
| 2012 Diciembre | 11 | 13 | 24 |
| 2012 Noviembre | 1 | 6 | 7 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2012 Enero | 6 | 0 | 6 |
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