array:22 [ "pii" => "S1130147305704139" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70413-9" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70413" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:93-107" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1709 "formatos" => array:3 [ "EPUB" => 19 "HTML" => 860 "PDF" => 830 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147305704140" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70414-0" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70414" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 2005;16:107" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1359 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 819 "PDF" => 524 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Comentario al trabajo: <span class="elsevierStyleItalic">Morbimortalidad en endarterectomía carotídea</span> de J.M. Castilla y cois" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "107" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Cabezudo Artero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Cabezudo Artero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704140?idApp=UINPBA00004B" "url" => "/11301473/0000001600000002/v1_201305151236/S1130147305704140/v1_201305151236/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Morbimortalidad en la endarterectomía carotídea" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "93" "paginaFinal" => "107" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Castilla, P. Delgado, V. Martín, O. Fernández-Arconada, M.A. Martín-Santidrián, A. Rodríguez-Salazar" "autores" => array:6 [ 0 => array:3 [ "nombre" => "J.M." "apellidos" => "Castilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Delgado" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Martín" ] 3 => array:2 [ "nombre" => "O." "apellidos" => "Fernández-Arconada" ] 4 => array:2 [ "nombre" => "M.A." "apellidos" => "Martín-Santidrián" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Rodríguez-Salazar" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital General Yagüe. Burgos" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Neurocirugía. Hospital “General Yagüe”. Avda. del Cid 96. 09005 Burgos." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Morbimortality in carotid endarterectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-05-27" "fechaAceptado" => "2004-08-18" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158786" "palabras" => array:6 [ 0 => "Endarterectomía carotídea" 1 => "Complicaciones" 2 => "Mortalidad" 3 => "Control de calidad" 4 => "Evaluación de riesgos" 5 => "Selección de pacientes" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec158785" "palabras" => array:6 [ 0 => "CASANOVA" 1 => "ECST" 2 => "EEG" 3 => "NASCET" 4 => "RM" 5 => "TAC" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158787" "palabras" => array:6 [ 0 => "Carotid endarterectomy" 1 => "Complications" 2 => "Mortality" 3 => "Quality control" 4 => "Risk assessment" 5 => "Patient selection" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "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 endarterectomía por estenosis carotídea en nuestro Servicio.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 97 endarterectomías realizadas por 6 neurocirujanos en 90 pacientes entre enero de 1995 y diciembre de 2003. Diez de los pacientes fueron mujeres. La mediana de edad fue 69 años (rango 38–86). Siete pacientes se intervinieron bilateralmente. Ochenta y cuatro estenosis fueron mayores del 70%. El número de cirugías anual por cirujano fue de 3 (rango 0–10). El seguimiento clínico fue de 121 días, (rango 8–2106).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fallecieron 4 pacientes en el postoperatorio inmediato y otros 4 presentaron déficits neurológicos añadidos, con una morbimortalidad de 8’9% de los pacientes y 8’2% de las cirugías. Cuatro pacientes se reintervinieron, 1 por déficit neurológico inmediato y 3 por hematoma quirúrgico. Hubo afectación transitoria de nervio periférico en 8 pacientes y se registraron 21 complicaciones médicas asociadas. Posteriormente 7 pacientes fallecieron (6 por cáncer y 1 por cardiopatía) y 5 presentaron ictus (3 ipsilaterales y 2 de otra localización). En el último control postoperatorio por imagen, a los 52 (0–2832) días, se constataron 7 estenosis en la arteria operada.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La endarterectomía carotídea puede realizarse con razonable seguridad en centros con bajo volumen de pacientes, con métodos sencillos y con resultados aceptables. El conocimiento de los resultados reales obtenidos en cada centro es importante para mejorarlos.</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.</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. Ten patients were women. Average mean age was 69 years-old (range 38–86). Seven patients were treated bilateraly. Eighty-four stenosis were greater than 70%. Annual number of interventions per surgeon was 3 (range 0–10). The median follow-up was 121 days, (range 8–2106).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Four patients died perioperatively and another 4 developed new neurologic déficits. The combined morbiditymortality rate was 8’9% of the patients and 8’2% of the surgeries. Four patients needed rein-tervention, because of immediate postoperative new déficit (one) and surgical hematoma (three). Transient peripheral nerve palsy occurred in 8 patients and 21 medical complications were registered. In the long term, 7 patients died (6 because of cáncer and 1 because of cardiopathy) and 5 presented neurologic events (3 ipsilateral and 2 in other locations). Last postoperative image control, performed on average after 52 days (0–2832), revealed 7 estenosis of the treated artery.</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. We consider crucial to evalúate self complications and results in order to improve them.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Castilla, J.M.; Delgado, P.; Martín, V.; Fernández-Arco-nada, O,; Martín-Santidrián, M.A.; Rodríguez-Salazar. A.: Morbimortalidad en la endarterectomía carotídea. 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