2024-03-29T06:52:35Zhttps://repository.urosario.edu.co/oai/requestoai:repository.urosario.edu.co:10336/136902021-08-27T12:43:22Zcom_10336_925com_10336_562col_10336_12837
Enfermedad arterial periférica de miembros inferiores
Abordaje inicial desde urgencias
[Desconocido]
Universidad del Rosario
2017
masterThesis
spa
http://repository.urosario.edu.co/handle/10336/13690
https://repository.urosario.edu.co/bitstreams/0f74f53d-d0fb-4f0f-8202-04c5f734652c/download
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https://repository.urosario.edu.co/bitstreams/6cbf201f-62b2-4963-967b-2cbf709f1bda/download
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615d6cab244462ea2f78491db676870a
Enfermedad arterial periferica
Varias ramas de la medicina, Cirugía
Facultad de Medicina
https://doi.org/10.48713/10336_13690
oai:repository.urosario.edu.co:10336/401052023-07-11T03:00:56Zcom_10336_925com_10336_562col_10336_12837
Desenlaces de endarterectomía carotidea temprana en la Fundación CardioInfantil La Cardio en el periodo comprendido desde el 2018 al 2021
Barrera Carvajal, Juan Guillermo
Camacho Mackensie, Jaime
Buitrago Morales, Daniel Alejandro
Introduction: Atherosclerotic disease in the carotid artery with significant stenosis of its lumen in patients with cerebrovascular ischemic symptoms presumes new and repetitive ischemic events; therefore, optimal medical and surgical management, both open and endovascular, seeks to reduce the severity and disability it generates in these patients. The aim is to describe the sociodemographic characteristics and risk factors, as well as to specify the surgical technique and results in the mediate postoperative period in patients undergoing carotid endarterectomy after some neurological ischemic symptoms, during the period 2018-2021 in the Fundación Cardioinfantil - laCardio. Materials and methods: Observational cross-sectional study of retrospective descriptive type, which included all patients with symptomatic carotid stenosis, candidates for early carotid endarterectomy (first 14 days after the event) information on sociodemographic characteristics and clinical outcomes were obtained from the database of the vascular surgery and angiology service. Results: We evaluated 19 patients with a median age of 77 years, 57.89% were male. Risk factors included 78.95% hypertension, 63.16% dyslipidemia, 31.58% diabetes mellitus and 10.53% coronary artery disease. stroke event with a median score of 2.5 on the NIHSS scale occurred in 73.68% of patients. The intervention time after the cerebrovascular event or ischemic symptom was performed on the seventh day. No mortality was reported during hospitalization and one patient was re-intervened in the immediate postoperative period due to surgical bleeding. Conclusions: The multidisciplinary management of patients with symptomatic carotid disease, with a team of experts in clinical diagnosis, image interpretation, medical management and surgical treatment, demonstrates favorable outcomes in the immediate postoperative period when intervention is performed within 14 days after the cerebrovascular event, regardless of the NIHSS at admission.
Universidad del Rosario
bachelorThesis
spa
https://repository.urosario.edu.co/handle/10336/40105
https://repository.urosario.edu.co/bitstreams/424ef22e-eda9-44f7-a8c0-0b43833b6659/download
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b2825df9f458e9d5d96ee8b7cd74fde6
https://repository.urosario.edu.co/bitstreams/d3880541-85b0-47dd-afb2-123437896eb5/download
f8ab4c6f25bf4d7a3d026cb7f95ce85b
Attribution 4.0 International
Evento cerebrovascular
Accidente isquémico transitorio
Endarterectomía carotidea temprana
Revascularización carotidea
Escuela de Medicina y Ciencias de la Salud
https://doi.org/10.48713/10336_40105
oai:repository.urosario.edu.co:10336/88892021-06-03T00:45:58Zcom_10336_925com_10336_562col_10336_12837
Accesos vasculares para hemodiálisis, cuál es el más costo efectivo?
Molano Triviño, Alejandra Patricia
Rodriguez, Maria Nelcy
Background: end stage chronic renal disease is a serious public health problem in our country because of the big economic burden that is spent on its management. Hemodialysis is the most used treatment in our setting; vascular access and its derived complications are the most important aspect for raising attention’s costs in this group of patients. Materials and methods: an economical study was undertaken with the hemodialysis incident patients attended in RTS-Fundación Cardio Infantil agency during 2012. The costs of creation, maintenance and complication management of the vascular access via central venous catheter, native arteriovenous fistula and graft arteriovenous fistula were established. The probability of complication occurrence was calculated and a decision tree model was used to establish the behavior or each access in a five years period. The quality adjusted life years (QALYs) were established for each access and the economic ratio for each QALY was calculated also. Results: there were 36 incident hemodialysis patients in 2012, 100% started hemodialysis via central venous catheter, 16 patients change their access to a native arteriovenous fistula, 1 to a graft arteriovenous fistula and latter to CAPD, 15 patients continued with central venous catheter and 4 patients died. In 5 years 2, 36 QALY were obtained for central venous catheter patients that cost $ 24. 813. 036, 39/QALY and 2, 535 QALY for arteriovenous fistula with a ratio of $ 6. 634. 870, 64/QALY. Conclusions: the present study demonstrates that native arteriovenous fistula is a more cost-effective vascular access for hemodialysis than central venous catheters.
Universidad del Rosario
2014
masterThesis
spa
http://repository.urosario.edu.co/handle/10336/8889
https://repository.urosario.edu.co/bitstreams/8b17a89f-c79e-4e3a-b9dd-490f58c7f472/download
0e2953c0fa78e706ea6ed5283cc99d19
https://repository.urosario.edu.co/bitstreams/b213f629-d440-4d30-8af9-2ef1e661e94c/download
eec927db589d344458fd08e8d91ecd45
https://repository.urosario.edu.co/bitstreams/b3f43e14-fa72-4bd0-a833-8fbc428a25c1/download
3146aac43faac32e78323cc9ed682fab
hemodiálisis
dispositivos de acceso vascular
costo-efectividad.
Enfermedades
Facultad de Medicina
https://doi.org/10.48713/10336_8889
oai:repository.urosario.edu.co:10336/340062022-11-02T12:11:33Zcom_10336_925com_10336_562col_10336_12837
Endovascular repair of a spontaneous popliteal arteriovenous fistula associated with a venous aneurysm
Barrera Carvajal, Juan Guillermo
Gallo-Bernal, Sebastian
Popliteal arteriovenous fistulae (PAF) are anomalous communications between the arterial and venous systems of the lower extremity. They are usually secondary to trauma and are rarely associated with additional vascular defects. The coexistence of a PAF and a venous aneurysm is rare and usually occurs in patients with connective tissue disorders. Evidence regarding the management of this type of anomaly is scarce. However, both open and endovascular approaches seem feasible alternatives for treating this condition. Here, we describe a spontaneous popliteal arteriovenous fistula associated with a venous aneurysm in a 42-year-old male patient who presented with a popliteal mass. Satisfactory endovascular closure of the fistula and exclusion of the venous aneurysm were achieved using an Amplatzer Vascular Plug II.
Universidad del Rosario
bachelorThesis
spa
https://repository.urosario.edu.co/handle/10336/34006
https://repository.urosario.edu.co/bitstreams/d5c3886d-7c8b-4114-9639-c60e28fc958b/download
fab9d9ed61d64f6ac005dee3306ae77e
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Atribución-NoComercial-CompartirIgual 2.5 Colombia
Venous aneurysm
Spontaneous arteriovenous fistula
Endovascular management
Popliteal vessels
Ciencias médicas, Medicina
Escuela de Medicina y Ciencias de la Salud
https://doi.org/10.48713/10336_34006
oai:repository.urosario.edu.co:10336/128892021-06-03T00:46:15Zcom_10336_925com_10336_562col_10336_12837
Complicaciones en accesos vasculares femorales durante el implante de dispositivos de alto perfil (TAVR, EVAR, TEVAR, FEVAR)
López Quezada, Edgar Gabriel
Universidad del Rosario
2017
masterThesis
spa
http://repository.urosario.edu.co/handle/10336/12889
https://repository.urosario.edu.co/bitstreams/8b2b7ea1-e57b-4b19-9815-ba865bfedb4e/download
1e8bc072252c71fb74691d76e28a740e
https://repository.urosario.edu.co/bitstreams/84757a7c-e6e9-4f81-bb28-45b8bfbac6ff/download
615d6cab244462ea2f78491db676870a
https://repository.urosario.edu.co/bitstreams/b73693e5-af99-4c40-a093-eebf69065ed3/download
f543d158ee9c292811ce56262b6a10d5
Accesos vasculares
Fisiología humana
Facultad de Medicina
https://doi.org/10.48713/10336_12889
oai:repository.urosario.edu.co:10336/255762021-03-01T14:22:53Zcom_10336_925com_10336_562col_10336_12837
Isquemia crónica amenazante de miembros inferiores: intervenciones y desenlaces
Intervenciones para el manejo de la isquemia crítica de miembros inferiores en un centro de alta complejidad
Barrera Carvajal, Juan Guillermo
Camacho Mackenzie, Jaime
Cabrales Arevalo, Jaime Ramon
Molano González, Nicolás
Background: Critical lower limb ischemia is defined as a clinical syndrome of ischemic pain at rest and loss of tissue, associated with ulcers that are difficult to heal, and/or gangrene. There are currently multiple interventions in vascular surgery that can improve prognosis. We pretended to describe the clinical outcomes in patients with critical lower limb ischemia undergoing lower limb revascularization in a highly complex institution, during the period 2018-2019. Methods: A cross-sectional study was performed, in which we included all patients with chronic lower limb ischemia who were electively brought to lower limb revascularization from January 2018 to December 2019. A convenience sample was selected, and their medical records were reviewed. Sociodemographic, imaging and clinical data are presented as results in a database of the vascular surgery and angiology service. Results: 87 patients were evaluated, with an average age of 70 years ± 11 years. The technique was endovascular in 48 patients and an open technique in 37 patients. Among the most frequent complications were the need for amputation 20. 6% and wound infection 18. 3%. The factors associated with complications were the presence of DM, greater severity of the disease and a history of AMI. Conclusions: The data analysis showed similar outcomes in the management with both techniques. The rate of amputation and infection of the operative site did not differ between the types of management performed. A significant association was evidenced in patients with diabetes and / or 3 or more comorbidities with death.
Universidad del Rosario
masterThesis
spa
https://repository.urosario.edu.co/handle/10336/25576
https://repository.urosario.edu.co/bitstreams/81f44a02-fddc-4917-b922-45cb9f8dc0c3/download
c405cdb8fa589f1d333bf85814f87684
https://repository.urosario.edu.co/bitstreams/f780dbf9-3013-4048-a4d1-c501ec3c791e/download
fab9d9ed61d64f6ac005dee3306ae77e
https://repository.urosario.edu.co/bitstreams/f2c32aa4-1bbb-4400-9d0a-b0028cc3076e/download
5211e9b092e97135fa857266528831e0
Atribución-SinDerivadas 2.5 Colombia
Isquemia
Angioplastia
Estent
Isquemia crónica amenazante
Varias ramas de la medicina, Cirugía
Facultad de Medicina
https://doi.org/10.48713/10336_25576