Caracterización de ateromatosis de aorta ascendente utilizando ecografía epiaortica en pacientes llevados a cirugía cardiaca bajo circulación extracorpórea

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dc.contributor.advisorVíctor Daniel, Meneses
dc.contributor.authorDaniel, Navarro Giraldo
dc.date.accessioned2024-09-12T02:40:30Z
dc.date.available2024-09-12T02:40:30Z
dc.date.issued2024-07
dc.description.abstractLa cirugía cardiovascular se asocia a eventos cerebrovasculares en el perioperatorio (ECVP) siendo importante causa de morbilidad y mortalidad. Es de vital importancia identificar y evaluar el grado de aterosclerosis aortica, la ecografía epiaórtica intraoperatoria ha demostrado ser un método altamente sensible, seguro y económico para evaluar el grado de aterosclerosis aortica y prevenir ECVP. Materiales y métodos: Se realizó estudio observacional, se realizó ecografía epiaórtica previa técnica de canulación arterial en cirugía cardiaca bajo circulación extracorpórea entre agosto y septiembre 2023, variables cualitativas se reportaron en términos de frecuencias absolutas y relativas y las cuantitativas se reportaron como medias o medianas con sus respectivas medidas de dispersión según la distribución de los datos. La prueba de distribución utilizada fue la inspección gráfica del histograma y la prueba de Shapiro Wilk con una p>0.05 para asumir una distribución normal. Se utilizó STATA 18 para el análisis de los datos. Resultados: Se incluyeron 20 pacientes en el análisis. El tipo de procedimiento más frecuente que requirió circulación extracorpórea fue la revascularización miocárdica en 11 pacientes, y a 3 se les realizó más de 1 procedimiento en el mismo tiempo quirúrgico. La evaluación ecográfica de la raíz aórtica encontró un Katz de al menos II en el 80% de los casos. No hubo pacientes con ateromatosis grado V. Conclusiones: De los 20 pacientes, se cambia de conducta en el 4% de los casos, y se registra por lo menos aterosclerosis de raíz aortica grado II en el 80% de los pacientes registrados. Palabras clave: Circulación extracorpórea, eventos cerebrovasculares, epiaórtica, aterosclerosis, cirugía cardiovascular
dc.description.abstractenglishCardiovascular surgery is associated with perioperative cerebrovascular events (PCVE), being an important cause of morbidity and mortality, it is of vital importance to identify and evaluate the degree of aortic atherosclerosis. Intraoperative epiaortic ultrasound has proven to be highly sensitive, safe and non-costly method to evaluate the degree of aortic atherosclerosis, therefore preventing PVCE. Materials and methods: An observational study was carried out, epiaortic ultrasound was preformed prior to arterial cannulation technique in cardiac surgery under extracorporeal circulation between august and September 2023, qualitative variables were reported in terms of absolute and relative frequencies, quantitative variables were reported as means or medians with their respective dispersion measures according to the distribution of the data. The distribution test used was graphical inspection of the histogram and the Shapiro Wilk test with p>0.05 to assume a normal distribution. STATA 18 was used for data analysis. Results: 20 patients were included in the analysis. The most common type of procedure that required extracorporeal circulation coronary artery bypass graft (CABG) in 11 patients, 3 had more than 1 procedure in the same surgical time, Ultrasound evaluation of the aortic root found a KATZ classification of at least II in 80% of cases. There were no patients with grade V atherosclerosis. Conclusions: Of the 20 patients, there was a change in conduct in 4% of cases, and a KATZ classification of at least II was registered in the aortic root of 80% of patients registered. Keywords: Extracorporeal circulation, cerebrovascular events, epiaortic, atherosclerosis, cardiovascular surgery
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Anestesia Cardiovascular y Torácicaspa
dc.description.sponsorshipClinica Shaio
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12984
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Anestesia Cardiovascular y Torácicaspa
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dc.rightsAttribution 4.0 Internationalen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCirculación extracorpórea
dc.subjectEventos cerebrovasculares
dc.subjectEpiaortica
dc.subjectAterosclerosis
dc.subjectCirugia cardiovascular
dc.subject.keywordsExtracorporeal circulation
dc.subject.keywordsCerebrovascular events
dc.subject.keywordsEpiaortic
dc.subject.keywordsAtherosclerosis
dc.subject.keywordsCardiovascular suergery
dc.subject.nlmWG 460
dc.titleCaracterización de ateromatosis de aorta ascendente utilizando ecografía epiaortica en pacientes llevados a cirugía cardiaca bajo circulación extracorpórea
dc.title.translatedCharacterization of atheromatosis of the ascending aorta using epiaortic ultrasound in patients undergoing cardiac surgery under extracorporeal circulation
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

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