Cierre de defectos interauriculares en adultos en forma ambulatoria. una palabra de alerta?
3
&20(17$5,2 (',725,$/ 6HFFLyQ 0pGLFD GH ,QWHUYHQFLRQHV HQ &DUGLRSDWtDV &RQJpQLWDV ,QVWLWXWR 'DQWH 3D]]DQHVH GH &DUGLRORJLD 6mR 3DXOR %UDVLO 6HUYLFLR GH +HPRGLQDPLD 3HGLiWULFD +RVSLWDO GH 1LxRV GH &yUGRED &yUGRED $UJHQWLQD &RUUHVSRQGHQFLD 'U &DUORV $& 3HGUD $Y 'U 'DQWH 3D]]DQHVH DQGDU &(3 6mR 3DXOR 63 %UDVLO 7HO )D[ &RUUHR HOHFWUyQLFR FDFSHGUD#XROFRPEU 5HFLELGR $FHSWDGR &,(55( '( '()(&726 ,17(5$85,&8/$5(6 (1 $'8/726 (1 )250$ $0%8/$725,$ 81$ 3$/$%5$ '( $/(57$" 75$16&$7+(7(5 &/2685( 2)$75,$/ 6(37$/ '()(&76 ,1 $'8/76 21 $1 2873$7,(17 %$6,6 $ :25' 2) &$87,21 &DUORV $& 3HGUD 0' 3K' $OHMDQGUR 5 3HLURQH 0' (Q HVWD HGLFLyQ GH OD 5HYLVWD &RORPELDQD GH &DUGLRORJtD 9LOODORERV \ FRODERUDGRUHV UHSRUWDQ ORV UHVXOWDGRV GHO FLHUUH GH GHIHFWRV GHO WDELTXH LQWHUDXULFXODU GH SDFLHQWHV SHUWHQHFLHQWHV D XQ +RVSLWDO 8QLYHUVLWDULR GXUDQWH XQ SHUtRGR GH VHLV DxRV HQ GRQGH VH LQGLFD TXH HO GHIHFWR LQWHUDXULFXODU WLSR RVWLXP VHFXQGXP &,$ HVWXYR SUHVHQWH HQ GH ORV FDVRV \ HO IRUDPHQ RYDO SHUPHDEOH )23 HQ ORV UHVWDQWHV \ TXH HO GLVSRVLWLYR PiV XWLOL]DGR IXH HO $PSODW]HU 6HSWDO 2FFOXGHU 6H SUHFLVD DGHPiV TXH KXER p[LWR HQ HO LPSODQWH HQ SDFLHQWHV \ OD FDXVD GH IDOOD IXH XQ GLiPHWUR GLVWHQGLGR GH PiV GH PP GHELGR D ERUGHV OD[RV 1R KXER FRPSOLFDFLRQHV VLJQLILFDWLYDV \ WRGRV ORV SDFLHQWHV H[FHSWR XQR SUHVHQWDEDQ FLHUUH FRPSOHWR GH ORV GHIHFWRV HQ HO VHJXLPLHQWR HFRFDUGLRJUiILFR GH SRU OR PHQRV XQ PHV +XER DVt PLVPR PHMRUtD VLJQLILFDWLYD GH ORV VtQWRPDV GHVSXpV GHO SURFHGLPLHQWR HQ HVSHFLDO GH OD SUHVHQFLD GH GLVQHD \ SDOSLWDFLRQHV 'DGRV HVWRV UHVXOWDGRV TXH VH FRUURERUDQ FRQ ORV SUHYLDPHQWH SXEOLFDGRV HQ OD OLWHUDWXUD \ UDWLILFDQ OD VHJXULGDG \ HIHFWLYLGDG GHO PpWRGR ORV DXWRUHV PHUHFHQ IHOLFLWDFLRQHV 6LQ HPEDUJR OODPDQ OD DWHQFLyQ YDULRV DVSHFWRV HQWUH HOORV OD HVWUDWHJLD DGRSWDGD HQ UHIHUHQFLD D TXH HQ HO GH ORV FDVRV HO SURFHGLPLHQWR VH UHDOL]y EDMR DQHVWHVLD ORFDO \ GH IRUPD DPEXODWRULD FRQ DOWD KRVSLWDODULD GHVSXpV GH FXDWUR KRUDV GHO LPSODQWH 'H LJXDO IRUPD QR HVWi FODUR TXp WLSR GH PRQLWRUHR HFRFDUGLRJUiILFR VH XWLOL]y GXUDQWH HO SURFHGLPLHQWR R VL QR VH XWLOL]y HVWH PpWRGR /RV FDVRV VH VHOHFFLRQDURQ SUHYLDPHQWH FRQ HO XVR GH OD HFRFDUGLRJUDItD WUDQVWRUiFLFD (O GLiPHWUR GH OD FRPXQLFDFLyQ LQWHUDXULFXODU HQ HVWH ~OWLPR PpWRGR WXYR XQD YDULDFLyQ HQWUH \ PP FRQ XQD PHGLD GH PP TXH GHILQHQ XQD SREODFLyQ FRQ GHIHFWRV UHODWLYDPHQWH SHTXHxRV 3RU RWUD SDUWH HO WDPDxR GHO GLVSRVLWLYR XWLOL]DGR RVFLOy HQWUH PP FRQ XQ SURPHGLR GH PP TXH HV XQ WDPDxR PD\RU D TXH HO GLiPHWUR QDWLYR GHO GHIHFWR $GHPiV QR HVWi FODUR VL ORV GLiPHWURV GH ORV GLVSRVLWLYRV XWLOL]DGRV VH UHILHUHQ D OD WRWDOLGDG GH ORV GLVSRVLWLYRV LQFOX\HQGR &,$ \ )23 R VyOR ORV GH &,$ &RPR ELHQ VH VDEH HO WDPDxR GH ORV GLVSRVLWLYRV GH &,$ VH GHILQH SRU HO GLiPHWUR GH VX FLQWXUD FHQWUDO PLHQWUDV TXH HO WDPDxR GHO GLVSRVLWLYR GH )23 SRU HO GLiPHWUR GHO GLVFR PD\RU TXH HV HO GHUHFKR 'LFKDV SUiFWLFDV PHUHFHQ DOJXQRV FRPHQWDULRV \ SDODEUDV GH DOHUWD $XQTXH HV XQD FRPSOLFDFLyQ UDUD FRQ XQD LQFLGHQFLD GH FHUFD GHO OD HURVLyQ FDUGtDFD GHVSXpV GHO FLHUUH SHUFXWiQHR GH XQD &,$ HV SRWHQFLDOPHQWH IDWDO $SUR[LPDGDPHQWH HQ HO GH ORV FDVRV WDO FRP SOLFDFLyQ RFXUUH GHQWUR GH ODV SULPHUDV KRUDV GHO LPSODQWH \ VH VRVSHFKD GHELGR D OD DSDULFLyQ GH GRORU SUHFRUGLDO GLVQHD H LQVWDELOLGDG KHPRGLQiPLFD 6X DSDULFLyQ HVWi OLJDGD FRQ PD\RU IUHFXHQFLD D SDFLHQWHV DGXOWRV \ SUREDEOHPHQWH HVWi UHODFLRQDGD FRQ HO LPSODQWH GH GLVSRVLWLYRV GH WDPDxR VREUHGLPHQVLRQDGR JHQHUDOPHQWH PD\RU DO GHO GLiPHWUR GHO GHIHFWR QDWLYR \ WDO YH] &,$ ORFDOL]DGDV PiV DOWDV HQ HO WDELTXH /D HURVLyQ RFXUUH HQ RUGHQ GHFUHFLHQWH GH IUHFXHQFLD HQ HO WHFKR GH OD DXUtFXOD L]TXLHUGD VHJXLGR SRU HO WHFKR GH OD DXUtFXOD GHUHFKD \ ILQDOPHQWH GHWUiV GH OD UDt] DyUWLFD /D PD\RUtD GH ORV SDFLHQWHV QHFHVLWD FLUXJtD SDUD GUHQDMH GHO SHULFDUGLR \ UHPRFLyQ GHO GLVSRVLWLYR $ SHVDU GH VHU PHQRV IUHFXHQWH WDO FRPSOL FDFLyQ WDPELpQ RFXUUH GHVSXpV GHO FLHUUH SHUFXWiQHR GHO )23 8Q SDQHO GH H[SHUWRV FRQYRFDGRV SRU OD FRPSDxtD $*$ IDEULFDQWH GH ORV GLVSRVLWLYRV $PSODW]HU HQ DTXHOOD pSRFD HYDOXy HVRV KDOOD]JRV \ SURSXVR XQD OLVWD GH UHFRPHQGDFLRQHV SDUD WUDWDU GH HYLWDU GLFKD FRPSOLFDFLyQ /DV PiV LPSRUWDQWHV VRQ
-
Upload
alejandro-r -
Category
Documents
-
view
212 -
download
0
Transcript of Cierre de defectos interauriculares en adultos en forma ambulatoria. una palabra de alerta?
