{"id":1989,"date":"2023-05-03T23:12:04","date_gmt":"2023-05-03T21:12:04","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1989"},"modified":"2023-05-07T09:25:23","modified_gmt":"2023-05-07T07:25:23","slug":"30-de-abril-de-2023","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2023\/05\/03\/30-de-abril-de-2023\/","title":{"rendered":"Revascularizaci\u00f3n en ictus isqu\u00e9mico extenso: Resultados de un ensayo cl\u00ednico"},"content":{"rendered":"<p class=\"has-text-align-center\">El <a rel=\"noreferrer noopener\" href=\"https:\/\/www.nejm.org\/\" target=\"_blank\">New England Journal of Medicine <\/a>ha publicado los resultados de un ensayo cl\u00ednico dirigido a establecer el papel de la trombectom\u00eda mec\u00e1nicas en ictus isqu\u00e9micos extensos.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Conducido por autores chinos el art\u00edculo cont\u00f3 con 456 pacientes con infartos de tama\u00f1o entre 70-100 ml aleatorizados en una proporci\u00f3n 1:1 para recibir tratamiento m\u00e9dico y endovascular frente a tratamiento m\u00e9dico exclusivamente.&nbsp; La puntuaci\u00f3n en la escala de Rankin a los 90 d\u00edas y el desarrollo de hemorragia cerebral en las primeras 48 horas fueron considerados para establecer las diferencias entre tratamientos.<\/p>\n\n\n\n<p class=\"has-text-align-center\">En total 231 pacientes fueron aleatorizados al grupo de tratamiento endovascular frente a 225 al grupo de tratamiento m\u00e9dico.&nbsp; Los autores observaron c\u00f3mo los pacientes a los que se hab\u00eda realizado trombectom\u00eda presentaban resultados superiores en la escala de Rankin a los 90 d\u00edas frente a aquellos tratados \u00fanicamente con terapias m\u00e9dicas. Por contra, el desarrollo de hemorragia cerebral cl\u00ednicamente significativa fue significativamente superior en los pacientes con tratamiento intervencionista (6,1% frente a 2,7%).<\/p>\n\n\n\n<p><strong>Fuente:<\/strong> <a href=\"http:\/\/Yoshimura S, Sakai N, Yamagami H, Uchida K, Beppu M, Toyoda K, Matsumaru Y, Matsumoto Y, Kimura K, Takeuchi M, Yazawa Y, Kimura N, Shigeta K, Imamura H, Suzuki I, Enomoto Y, Tokunaga S, Morita K, Sakakibara F, Kinjo N, Saito T, Ishikura R, Inoue M, Morimoto T. Endovascular Therapy for Acute Stroke with a Large Ischemic Region. N Engl J Med. 2022 Apr 7;386(14):1303-1313.\" target=\"_blank\" rel=\"noreferrer noopener\">Yoshimura S, Sakai N, Yamagami H, Uchida K, Beppu M, Toyoda K, Matsumaru Y, Matsumoto Y, Kimura K, Takeuchi M, Yazawa Y, Kimura N, Shigeta K, Imamura H, Suzuki I, Enomoto Y, Tokunaga S, Morita K, Sakakibara F, Kinjo N, Saito T, Ishikura R, Inoue M, Morimoto T. Endovascular Therapy for Acute Stroke with a Large Ischemic Region. N Engl J Med.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>El New England Journal of Medicine ha publicado los resultados de un ensayo cl\u00ednico dirigido a establecer el papel de la trombectom\u00eda mec\u00e1nicas en ictus isqu\u00e9micos extensos. Conducido por autores chinos el art\u00edculo cont\u00f3 con 456 pacientes con infartos de tama\u00f1o entre 70-100 ml aleatorizados en una proporci\u00f3n 1:1 para recibir tratamiento m\u00e9dico y endovascular&#8230;<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-1989","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-w5","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1989","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1989"}],"version-history":[{"count":4,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1989\/revisions"}],"predecessor-version":[{"id":1995,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1989\/revisions\/1995"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1989"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1989"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1989"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}