{"id":35404,"date":"2015-12-01T18:26:26","date_gmt":"2015-12-01T17:26:26","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=35404"},"modified":"2015-12-01T18:26:28","modified_gmt":"2015-12-01T17:26:28","slug":"implantacion-de-dai-via-femoral","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/implantacion-de-dai-via-femoral\/","title":{"rendered":"Implantaci\u00f3n de DAI v\u00eda femoral"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Implantaci\u00f3n de DAI v\u00eda femoral. <\/strong><\/h1>\n<ul style=\"text-align: justify;\">\n<li>Tur\u00e9gano Cisneros, Jos\u00e9 Mar\u00eda<\/li>\n<li>Herv\u00e1s Sotomayor, Daniela<\/li>\n<li>Valencia N\u00fa\u00f1ez, Diana<\/li>\n<li>Pern\u00eda Ore\u00f1a, Isabel<\/li>\n<li>Arias Dachary, Javier<\/li>\n<li>Fern\u00e1ndez Carbonell, Azahara<\/li>\n<li>Alados Arboleda, Pedro J<\/li>\n<li>Merino, Carlos<\/li>\n<li>Moya, Javier<\/li>\n<li>Casares Mediavilla, Jaime<\/li>\n<li>Mu\u00f1oz Carvajal, Ignacio<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Hospital Universitario Reina Sof\u00eda C\u00f3rdoba (1).<\/p>\n<p style=\"text-align: justify;\">JUSTIFICACI\u00d3N O FUNDAMENTO: Var\u00f3n, 47 a\u00f1os, cardiopat\u00eda isqu\u00e9mica revascularizada con stent en DA, linfoma de Hodgkin tratado con quimioterapia y radioterapia y antecedente de trombosis de vena cava superior. Actualmente en programa de pretrasplante por miocardiopat\u00eda dilatada de origen isqu\u00e9mico con disfunci\u00f3n severa, presenta parada cardiorrespiratoria por fibrilaci\u00f3n ventricular por lo que ingresa en UCI a la espera de implantaci\u00f3n de desfibrilador autom\u00e1tico implantable (DAI).<\/p>\n<p style=\"text-align: justify;\">TAC tor\u00e1cico al 9\u00ba d\u00eda de ingreso donde se observa un afilamiento de la vena cava superior distal en su entrada a la aur\u00edcula derecha, compatible con trombosis cr\u00f3nica.<\/p>\n<p style=\"text-align: justify;\">Las im\u00e1genes obtenidas en el TAC llevan a la decisi\u00f3n de implantaci\u00f3n de desfibrilador autom\u00e1tico implantable (DAI) a trav\u00e9s de la vena femoral.<\/p>\n<p style=\"text-align: justify;\">M\u00c9TODO: Intervenci\u00f3n quir\u00fargica bajo anestesia general. Disecci\u00f3n y punci\u00f3n tipo Seldinger de vena femoral. Se utiliza introductor de 75cm y se introduce cable hasta \u00e1pex del ventr\u00edculo derecho.<\/p>\n<p style=\"text-align: justify;\">CONCLUSIONES: La decisi\u00f3n de utilizar una v\u00eda alternativa a la habitual para la implantaci\u00f3n de un desfibrilador autom\u00e1tico implantable (DAI) resulta eficaz y proporciona unos resultados igual de aceptables permitiendo su implantaci\u00f3n en pacientes con alg\u00fan tipo de comorbilidad.<\/p>\n<p style=\"text-align: justify;\"><strong>COMUNICACIONES POSTER. P \u2013 53<\/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>Implantaci\u00f3n de DAI v\u00eda femoral. Tur\u00e9gano Cisneros, Jos\u00e9 Mar\u00eda Herv\u00e1s Sotomayor, Daniela Valencia N\u00fa\u00f1ez, Diana Pern\u00eda Ore\u00f1a, Isabel Arias Dachary, Javier Fern\u00e1ndez Carbonell, Azahara Alados Arboleda, Pedro J Merino, Carlos Moya, Javier Casares Mediavilla, Jaime Mu\u00f1oz Carvajal, Ignacio Hospital Universitario Reina Sof\u00eda C\u00f3rdoba (1). JUSTIFICACI\u00d3N O FUNDAMENTO: Var\u00f3n, 47 a\u00f1os, cardiopat\u00eda isqu\u00e9mica revascularizada con stent &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Implantaci\u00f3n de DAI v\u00eda femoral\" class=\"read-more button\" href=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/implantacion-de-dai-via-femoral\/#more-35404\" aria-label=\"Leer m\u00e1s sobre Implantaci\u00f3n de DAI v\u00eda femoral\">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-35404","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>Implantaci\u00f3n de DAI v\u00eda femoral<\/title>\n<meta name=\"description\" content=\"Implantaci\u00f3n de DAI v\u00eda femoral. 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