{"id":35273,"date":"2015-12-01T10:01:15","date_gmt":"2015-12-01T09:01:15","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35273"},"modified":"2015-12-01T10:02:29","modified_gmt":"2015-12-01T09:02:29","slug":"leaks-periprotesicos","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/","title":{"rendered":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos<\/strong><\/h1>\n<p style=\"text-align: justify;\">Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2); Gonz\u00e1lez Vargas, Teresa (2); Ramos Guti\u00e9rrez, Ana (2); Gomera Mart\u00ednez, Francisco (2); Esteban Molina, Mar\u00eda (2); Castro Vera, Pablo (2); Lara Torrano, Juan (2); Jim\u00e9nez Garc\u00eda, Pedro (1); Maldonado Ostios, Jes\u00fas (1); Abdallah Abdallah, Abdulreda (2)<\/p>\n<p style=\"text-align: justify;\">Universidad De Granada. Facultad De Medicina (1); Hospital Universitario Virgen De Las Nieves (2)<\/p>\n<p style=\"text-align: justify;\">INTRODUCCI\u00d3N: Los leaks paravalvulares prot\u00e9sicos (LPP), que generan insuficiencia mitral significativa, acontecen en un 2-5% de los casos. El tratamiento de los mismos est\u00e1 indicado cuando ocasionan s\u00edntomas de IC, hem\u00f3lisis severa o disfunci\u00f3n ventricular progresiva. La reoperaci\u00f3n es el gold est\u00e1ndar en su manejo, pero en muchas ocasiones se asocia a una elevada morbi-mortalidad; En los pacientes de alto riesgo, el intervencionismo percut\u00e1neo y los procedimientos h\u00edbridos nos ofrecen una alternativa.<\/p>\n<p style=\"text-align: justify;\">MATERIAL Y M\u00c9TODOS: Desde enero a Julio de 2015 se han intervenido 4 pacientes de alto riesgo, diagnosticados de LPP severo, mediante abordaje h\u00edbrido transapical (dispositivo Occlutech PLD Occluder). En todos los casos se descart\u00f3 el tratamiento quir\u00fargico convencional, habi\u00e9ndose intentado en 3 de ellos el cierre percut\u00e1neo transfemoral, sin obtener un resultado \u00f3ptimo. Presentamos la descripci\u00f3n t\u00e9cnica-video del procedimiento de abordaje transapical de cierre de leaks paravalvulares prot\u00e9sicos (LPP).<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: El abordaje transapical consigui\u00f3 cerrar el Leak en todos los casos, con buenos resultados cl\u00ednicos y ecocardiogr\u00e1ficos.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: El cierre de leaks paravalvulares prot\u00e9sicos (LPP) por v\u00eda transapical es una alternativa eficaz y segura a la cirug\u00eda convencional, sobre todo en aquellos pacientes con m\u00faltiples comorbilidades y varias intervenciones previas; siendo especialmente atractiva cuando los intentos por v\u00eda percut\u00e1nea sean infructuosos o imposibles.<\/p>\n<p style=\"text-align: justify;\">COMUNICACIONES V\u00cdDEO. V\u00cdDEO &#8211; 2<\/p>\n<p style=\"text-align: justify;\">XIII CONGRESO DE LA SOCIEDAD ANDALUZA DE CIRUG\u00cdA CARDIOVASCULAR (SACCV). Granada, 24, 25 y 26 de Septiembre de 2015<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2); Gonz\u00e1lez Vargas, Teresa (2); Ramos Guti\u00e9rrez, Ana (2); Gomera Mart\u00ednez, Francisco (2); Esteban Molina, Mar\u00eda (2); Castro Vera, Pablo (2); Lara Torrano, Juan (2); Jim\u00e9nez Garc\u00eda, Pedro (1); Maldonado Ostios, Jes\u00fas (1); Abdallah Abdallah, Abdulreda &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#more-35273\" aria-label=\"Leer m\u00e1s sobre Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-35273","post","type-post","status-publish","format-standard","hentry","category-cirugia-cardiovascular","no-featured-image-padding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos<\/title>\n<meta name=\"description\" content=\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2);\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Redacci\u00f3n Revista\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"ScholarlyArticle\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\"},\"author\":{\"name\":\"Redacci\u00f3n Revista\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e\"},\"headline\":\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos\",\"datePublished\":\"2015-12-01T09:01:15+00:00\",\"dateModified\":\"2015-12-01T09:02:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\"},\"wordCount\":332,\"publisher\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\"},\"articleSection\":[\"Cirug\u00eda Cardiovascular\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"ItemPage\"],\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\",\"name\":\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos\",\"isPartOf\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website\"},\"datePublished\":\"2015-12-01T09:01:15+00:00\",\"dateModified\":\"2015-12-01T09:02:29+00:00\",\"description\":\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2);\",\"breadcrumb\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cirug\u00eda Cardiovascular\",\"item\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/publicaciones\/cirugia-cardiovascular\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\",\"name\":\"Revista Electr\u00f3nica de PortalesMedicos.com\",\"description\":\"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud\",\"publisher\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\"},\"alternateName\":\"Revista de PortalesMedicos\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization\",\"name\":\"Revista Electr\u00f3nica de Portales Medicos.com\",\"alternateName\":\"Revista de PortalesMedicos\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg\",\"contentUrl\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg\",\"width\":199,\"height\":65,\"caption\":\"Revista Electr\u00f3nica de Portales Medicos.com\"},\"image\":{\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e\",\"name\":\"Redacci\u00f3n Revista\",\"sameAs\":[\"https:\/\/x.com\/portalesmedicos\"],\"url\":\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/author\/pmedadmin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos","description":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2);","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/","twitter_misc":{"Escrito por":"Redacci\u00f3n Revista","Tiempo de lectura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"ScholarlyArticle","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#article","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/"},"author":{"name":"Redacci\u00f3n Revista","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e"},"headline":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos","datePublished":"2015-12-01T09:01:15+00:00","dateModified":"2015-12-01T09:02:29+00:00","mainEntityOfPage":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/"},"wordCount":332,"publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"articleSection":["Cirug\u00eda Cardiovascular"],"inLanguage":"es"},{"@type":["WebPage","ItemPage"],"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/","name":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos","isPartOf":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website"},"datePublished":"2015-12-01T09:01:15+00:00","dateModified":"2015-12-01T09:02:29+00:00","description":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos Garrido Jim\u00e9nez, Jos\u00e9 Manuel (2); Berruti Boronat, Elisa (2);","breadcrumb":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/leaks-periprotesicos\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/"},{"@type":"ListItem","position":2,"name":"Cirug\u00eda Cardiovascular","item":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/publicaciones\/cirugia-cardiovascular\/"},{"@type":"ListItem","position":3,"name":"Abordaje h\u00edbrido transapical para el cierre m\u00ednimamente invasivo de leaks periprot\u00e9sicos"}]},{"@type":"WebSite","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#website","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","name":"Revista Electr\u00f3nica de PortalesMedicos.com","description":"ISSN 1886-8924 - Publicaci\u00f3n de art\u00edculos, casos cl\u00ednicos, etc. de Medicina, Enfermer\u00eda y Ciencias de la Salud","publisher":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization"},"alternateName":"Revista de PortalesMedicos","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#organization","name":"Revista Electr\u00f3nica de Portales Medicos.com","alternateName":"Revista de PortalesMedicos","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/","url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","contentUrl":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/logorevista_negro.jpg","width":199,"height":65,"caption":"Revista Electr\u00f3nica de Portales Medicos.com"},"image":{"@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/#\/schema\/person\/aff35293bfdd1e8bb11bc1d216ac2c6e","name":"Redacci\u00f3n Revista","sameAs":["https:\/\/x.com\/portalesmedicos"],"url":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/author\/pmedadmin\/"}]}},"views":985,"_links":{"self":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/comments?post=35273"}],"version-history":[{"count":0,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/posts\/35273\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/media?parent=35273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/categories?post=35273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-json\/wp\/v2\/tags?post=35273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}