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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar las complicaciones perioperatorias y a largo plazo en pacientes tratados mediante endarterectom&#237;a por estenosis carot&#237;dea en nuestro Servicio&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 97 endarterectom&#237;as realizadas por 6 neurocirujanos en 90 pacientes entre enero de 1995 y diciembre de 2003&#46; Diez de los pacientes fueron mujeres&#46; La mediana de edad fue 69 a&#241;os &#40;rango 38&#8211;86&#41;&#46; Siete pacientes se intervinieron bilateralmente&#46; Ochenta y cuatro estenosis fueron mayores del 70&#37;&#46; El n&#250;mero de cirug&#237;as anual por cirujano fue de 3 &#40;rango 0&#8211;10&#41;&#46; El seguimiento cl&#237;nico fue de 121 d&#237;as&#44; &#40;rango 8&#8211;2106&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fallecieron 4 pacientes en el postoperatorio inmediato y otros 4 presentaron d&#233;ficits neurol&#243;gicos a&#241;adidos&#44; con una morbimortalidad de 8&#8217;9&#37; de los pacientes y 8&#8217;2&#37; de las cirug&#237;as&#46; Cuatro pacientes se reintervinieron&#44; 1 por d&#233;ficit neurol&#243;gico inmediato y 3 por hematoma quir&#250;rgico&#46; Hubo afectaci&#243;n transitoria de nervio perif&#233;rico en 8 pacientes y se registraron 21 complicaciones m&#233;dicas asociadas&#46; Posteriormente 7 pacientes fallecieron &#40;6 por c&#225;ncer y 1 por cardiopat&#237;a&#41; y 5 presentaron ictus &#40;3 ipsilaterales y 2 de otra localizaci&#243;n&#41;&#46; En el &#250;ltimo control postoperatorio por imagen&#44; a los 52 &#40;0&#8211;2832&#41; d&#237;as&#44; se constataron 7 estenosis en la arteria operada&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La endarterectom&#237;a carot&#237;dea puede realizarse con razonable seguridad en centros con bajo volumen de pacientes&#44; con m&#233;todos sencillos y con resultados aceptables&#46; El conocimiento de los resultados reales obtenidos en cada centro es importante para mejorarlos&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess perioperative and long-terco morbidity in patients diagnosed of carotid stenosis sub-mitted to our Department for surgical endarterectomy&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective study of 97 endarterectomies performed by six neurosurgeons in 90 patients treated between january 1995 and december 2003&#46; Ten patients were women&#46; Average mean age was 69 years-old &#40;range 38&#8211;86&#41;&#46; Seven patients were treated bilateraly&#46; Eighty-four stenosis were greater than 70&#37;&#46; Annual number of interventions per surgeon was 3 &#40;range 0&#8211;10&#41;&#46; The median follow-up was 121 days&#44; &#40;range 8&#8211;2106&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Four patients died perioperatively and another 4 developed new neurologic d&#233;ficits&#46; The combined morbiditymortality rate was 8&#8217;9&#37; of the patients and 8&#8217;2&#37; of the surgeries&#46; Four patients needed rein-tervention&#44; because of immediate postoperative new d&#233;ficit &#40;one&#41; and surgical hematoma &#40;three&#41;&#46; Transient peripheral nerve palsy occurred in 8 patients and 21 medical complications were registered&#46; In the long term&#44; 7 patients died &#40;6 because of c&#225;ncer and 1 because of cardiopathy&#41; and 5 presented neurologic events &#40;3 ipsilateral and 2 in other locations&#41;&#46; Last postoperative image control&#44; performed on average after 52 days &#40;0&#8211;2832&#41;&#44; revealed 7 estenosis of the treated artery&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Carotid endarterectomy can be safely performed in low-volume centers with acceptable results and reasonable morbidity and mortality rates when simple techniques are used&#46; We consider crucial to eval&#250;ate self complications and results in order to improve them&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Castilla&#44; J&#46;M&#46;&#59; Delgado&#44; P&#46;&#59; Mart&#237;n&#44; V&#46;&#59; Fern&#225;ndez-Arco-nada&#44; O&#44;&#59; Mart&#237;n-Santidri&#225;n&#44; M&#46;A&#46;&#59; Rodr&#237;guez-Salazar&#46; A&#46;&#58; Morbimortalidad en la endarterectom&#237;a carot&#237;dea&#46; Neurocirug&#237;a 2005&#59; 16&#58; 93&#8211;107&#46;</p>"
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Morbimortalidad en la endarterectomía carotídea
Morbimortality in carotid endarterectomy
J.M. Castilla
, P. Delgado, V. Martín, O. Fernández-Arconada, M.A. Martín-Santidrián, A. Rodríguez-Salazar
Servicio de Neurocirugía. Hospital General Yagüe. Burgos
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      "en" => array:1 [
        "titulo" => "Morbimortality in carotid endarterectomy"
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            0 => "Endarterectom&#237;a carot&#237;dea"
            1 => "Complicaciones"
            2 => "Mortalidad"
            3 => "Control de calidad"
            4 => "Evaluaci&#243;n de riesgos"
            5 => "Selecci&#243;n de pacientes"
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          "palabras" => array:6 [
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            1 => "ECST"
            2 => "EEG"
            3 => "NASCET"
            4 => "RM"
            5 => "TAC"
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          "clase" => "keyword"
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            0 => "Carotid endarterectomy"
            1 => "Complications"
            2 => "Mortality"
            3 => "Quality control"
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar las complicaciones perioperatorias y a largo plazo en pacientes tratados mediante endarterectom&#237;a por estenosis carot&#237;dea en nuestro Servicio&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 97 endarterectom&#237;as realizadas por 6 neurocirujanos en 90 pacientes entre enero de 1995 y diciembre de 2003&#46; Diez de los pacientes fueron mujeres&#46; La mediana de edad fue 69 a&#241;os &#40;rango 38&#8211;86&#41;&#46; Siete pacientes se intervinieron bilateralmente&#46; Ochenta y cuatro estenosis fueron mayores del 70&#37;&#46; El n&#250;mero de cirug&#237;as anual por cirujano fue de 3 &#40;rango 0&#8211;10&#41;&#46; El seguimiento cl&#237;nico fue de 121 d&#237;as&#44; &#40;rango 8&#8211;2106&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fallecieron 4 pacientes en el postoperatorio inmediato y otros 4 presentaron d&#233;ficits neurol&#243;gicos a&#241;adidos&#44; con una morbimortalidad de 8&#8217;9&#37; de los pacientes y 8&#8217;2&#37; de las cirug&#237;as&#46; Cuatro pacientes se reintervinieron&#44; 1 por d&#233;ficit neurol&#243;gico inmediato y 3 por hematoma quir&#250;rgico&#46; Hubo afectaci&#243;n transitoria de nervio perif&#233;rico en 8 pacientes y se registraron 21 complicaciones m&#233;dicas asociadas&#46; Posteriormente 7 pacientes fallecieron &#40;6 por c&#225;ncer y 1 por cardiopat&#237;a&#41; y 5 presentaron ictus &#40;3 ipsilaterales y 2 de otra localizaci&#243;n&#41;&#46; En el &#250;ltimo control postoperatorio por imagen&#44; a los 52 &#40;0&#8211;2832&#41; d&#237;as&#44; se constataron 7 estenosis en la arteria operada&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La endarterectom&#237;a carot&#237;dea puede realizarse con razonable seguridad en centros con bajo volumen de pacientes&#44; con m&#233;todos sencillos y con resultados aceptables&#46; El conocimiento de los resultados reales obtenidos en cada centro es importante para mejorarlos&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess perioperative and long-terco morbidity in patients diagnosed of carotid stenosis sub-mitted to our Department for surgical endarterectomy&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective study of 97 endarterectomies performed by six neurosurgeons in 90 patients treated between january 1995 and december 2003&#46; Ten patients were women&#46; Average mean age was 69 years-old &#40;range 38&#8211;86&#41;&#46; Seven patients were treated bilateraly&#46; Eighty-four stenosis were greater than 70&#37;&#46; Annual number of interventions per surgeon was 3 &#40;range 0&#8211;10&#41;&#46; The median follow-up was 121 days&#44; &#40;range 8&#8211;2106&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Four patients died perioperatively and another 4 developed new neurologic d&#233;ficits&#46; The combined morbiditymortality rate was 8&#8217;9&#37; of the patients and 8&#8217;2&#37; of the surgeries&#46; Four patients needed rein-tervention&#44; because of immediate postoperative new d&#233;ficit &#40;one&#41; and surgical hematoma &#40;three&#41;&#46; Transient peripheral nerve palsy occurred in 8 patients and 21 medical complications were registered&#46; In the long term&#44; 7 patients died &#40;6 because of c&#225;ncer and 1 because of cardiopathy&#41; and 5 presented neurologic events &#40;3 ipsilateral and 2 in other locations&#41;&#46; Last postoperative image control&#44; performed on average after 52 days &#40;0&#8211;2832&#41;&#44; revealed 7 estenosis of the treated artery&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Carotid endarterectomy can be safely performed in low-volume centers with acceptable results and reasonable morbidity and mortality rates when simple techniques are used&#46; We consider crucial to eval&#250;ate self complications and results in order to improve them&#46;</p>"
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Castilla&#44; J&#46;M&#46;&#59; Delgado&#44; P&#46;&#59; Mart&#237;n&#44; V&#46;&#59; Fern&#225;ndez-Arco-nada&#44; O&#44;&#59; Mart&#237;n-Santidri&#225;n&#44; M&#46;A&#46;&#59; Rodr&#237;guez-Salazar&#46; A&#46;&#58; Morbimortalidad en la endarterectom&#237;a carot&#237;dea&#46; Neurocirug&#237;a 2005&#59; 16&#58; 93&#8211;107&#46;</p>"
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                          "etal" => false
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                        0 => array:2 [
                          "colaboracion" => "CAVATAS investigators"
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ISSN: 11301473
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