{"id":35368,"date":"2015-12-01T16:52:05","date_gmt":"2015-12-01T15:52:05","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35368"},"modified":"2015-12-01T16:52:07","modified_gmt":"2015-12-01T15:52:07","slug":"trasplante-cardio-renal-bivalirudina","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/trasplante-cardio-renal-bivalirudina\/","title":{"rendered":"Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC)"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC)<\/strong><\/h1>\n<p style=\"text-align: justify;\">Rodr\u00edguez Mora, Felipe (1); Juvin Bouvier, Charles Eric (1); Rojas Berm\u00fadez, Camilo Augusto (1); Laviana Mart\u00ednez, Fernando (1); Guti\u00e9rrez Carretero, Encarnaci\u00f3n (1); Adsuar G\u00f3mez, Alejandro (1); Gonz\u00e1lez Calle, Antonio (1); Hern\u00e1ndez Fern\u00e1ndez, Ana Mar\u00eda (1); Borrego Dom\u00ednguez, Jos\u00e9 Miguel (1)<\/p>\n<p style=\"text-align: justify;\">Hospital Universitario Virgen del Roc\u00edo (1)<\/p>\n<p style=\"text-align: justify;\">FUNDAMENTO: La Heparina s\u00f3dica es el anticoagulante de elecci\u00f3n durante la CEC, permitiendo un control adecuado de los niveles de anticoagulaci\u00f3n y su reversi\u00f3n con Protamina. En caso de contraindicaci\u00f3n al f\u00e1rmaco, la alternativa no est\u00e1 bien establecida.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODOS: Presentamos el caso de un trasplante card\u00edaco y renal simult\u00e1neo en el que optamos por Bivalirudina como anticoagulante debido a alergias del paciente a la Heparina y sus derivados.<\/p>\n<p style=\"text-align: justify;\">Iniciamos la anticoagulaci\u00f3n con un bolo intravenoso y se mantuvo posteriormente con una perfusi\u00f3n continua, controlando los niveles de anticoagulaci\u00f3n con el ACT. A diferencia de la Heparina, no existe un ant\u00eddoto eficaz para revertir la anticoagulaci\u00f3n, por ello, se debe retirar la infusi\u00f3n del f\u00e1rmaco unos minutos antes de la salida de CEC, evitando as\u00ed sangrados excesivos al final de la intervenci\u00f3n.<\/p>\n<p style=\"text-align: justify;\">RESULTADOS: Durante el procedimiento y el post-operatorio no aparecieron eventos tromb\u00f3ticos, sangrados excesivos ni trastornos de la coagulaci\u00f3n.<\/p>\n<p style=\"text-align: justify;\">CONCLUSI\u00d3N: La Bivalirudina podr\u00eda ser una alternativa segura durante la CEC, alcanzando y manteniendo unos niveles correctos de anticoagulaci\u00f3n durante el procedimiento y evitando la necesidad de administrar otros f\u00e1rmacos para revertir su acci\u00f3n.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 37<\/strong><\/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>Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC) Rodr\u00edguez Mora, Felipe (1); Juvin Bouvier, Charles Eric (1); Rojas Berm\u00fadez, Camilo Augusto (1); Laviana Mart\u00ednez, Fernando (1); Guti\u00e9rrez Carretero, Encarnaci\u00f3n (1); Adsuar G\u00f3mez, Alejandro (1); Gonz\u00e1lez Calle, Antonio (1); Hern\u00e1ndez Fern\u00e1ndez, Ana Mar\u00eda (1); Borrego Dom\u00ednguez, Jos\u00e9 Miguel (1) Hospital &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC)\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/trasplante-cardio-renal-bivalirudina\/#more-35368\" aria-label=\"Leer m\u00e1s sobre Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC)\">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-35368","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>Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC)<\/title>\n<meta name=\"description\" content=\"Trasplante cardio-renal con bivalirudina: una alternativa a la heparina durante la circulaci\u00f3n extracorp\u00f3rea (CEC) Rodr\u00edguez Mora, Felipe (1); 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