{"id":2987,"date":"2024-12-07T18:42:36","date_gmt":"2024-12-07T17:42:36","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=2987"},"modified":"2024-12-07T18:42:36","modified_gmt":"2024-12-07T17:42:36","slug":"embolizacion-de-la-arteria-meningea-media-como-tratamiento-adyuvante-en-los-hematomas-subdurales-cronicos","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2024\/12\/07\/embolizacion-de-la-arteria-meningea-media-como-tratamiento-adyuvante-en-los-hematomas-subdurales-cronicos\/","title":{"rendered":"Embolizaci\u00f3n de la arteria meningea media como tratamiento adyuvante en\u00a0los hematomas subdurales cr\u00f3nicos"},"content":{"rendered":"

La revista New England Journal of Medicine<\/a> acaba de publicar dos ensayos cl\u00ednicos, que eval\u00faan el papel del tratamiennto endovascular de los hematomas subdurales cr\u00f3nicos mediante la embolizaci\u00f3n de la arteria meningea como terapia conjunta con la cirug\u00eda para disminuir el riesgo de recurrencia.<\/p>\n\n\n\n

Los trabajos contaron con 310 y 400 pacientes que fueron randomizados en una proporci\u00f3n 1:1, en un grupo control \u00a0donde recib\u00edan \u00fanicamente cirug\u00eda para evacuaci\u00f3n y lavado del hematoma y en un grupo de tratamiento en el que se llevaba a cabo adem\u00e1s la embolizaci\u00f3n de la arteria meningea media.<\/p>\n\n\n\n

En ambos trabajos se observaron reducciones significativas de la recurrencia de los hematomas en el grupo de tratamiento (16% vs 36% en un trabajo y 4,1% vs 11,3% en el otro), sin que se apreciara un aumento significativo en la aparici\u00f3n de efectos adversos derivada del tratamiento endovascular.<\/p>\n\n\n\n

Fuentes: Davies JM, Knopman J, Mokin M, Hassan AE, Harbaugh RE, Khalessi A, Fiehler J, Gross BA, Grandhi R, Tarpley J, Sivakumar W, Bain M, Crowley RW, Link TW, Fraser JF, Levitt MR, Chen PR, Hanel RA, Bernard JD, Jumaa M, Youssef P, Cress MC, Chaudry MI, Shakir HJ, Lesley WS, Billingsley J, Jones J, Koch MJ, Paul AR, Mack WJ, Osbun JW, Dlouhy K, Grossberg JA, Kellner CP, Sahlein DH, Santarelli J, Schirmer CM, Singer J, Liu JJ, Majjhoo AQ, Wolfe T, Patel NV, Roark C, Siddiqui AH; EMBOLISE Investigators. Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma. N Engl J Med. 2024 Nov 21;391(20):1890-1900.\u00a0<\/a><\/p>\n\n\n\n

Fiorella D, Monteith SJ, Hanel R, Atchie B, Boo S, McTaggart RA, Zauner A, Tjoumakaris S, Barbier C, Benitez R, Spelle L, Pierot L, Hirsch JA, Froehler M, Arthur AS; STEM Investigators. Embolization of the Middle Meningeal Artery for Chronic Subdural Hematoma. N Engl J Med. 2024 Nov 20.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"

La revista New England Journal of Medicine acaba de publicar dos ensayos cl\u00ednicos, que eval\u00faan el papel del tratamiennto endovascular de los hematomas subdurales cr\u00f3nicos mediante la embolizaci\u00f3n de la arteria meningea como terapia conjunta con la cirug\u00eda para disminuir el riesgo de recurrencia. Los trabajos contaron con 310 y 400 pacientes que fueron randomizados…<\/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-2987","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-Mb","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2987","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=2987"}],"version-history":[{"count":4,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2987\/revisions"}],"predecessor-version":[{"id":2991,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2987\/revisions\/2991"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=2987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=2987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=2987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}