{"id":3305,"date":"2025-02-23T10:12:47","date_gmt":"2025-02-23T09:12:47","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3305"},"modified":"2025-02-23T10:12:47","modified_gmt":"2025-02-23T09:12:47","slug":"trombectomia-mecanica-en-ictus-isquemicos-de-vaso-mediano-y-pequeno-resultados-de-dos-ensayos-clinicos","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2025\/02\/23\/trombectomia-mecanica-en-ictus-isquemicos-de-vaso-mediano-y-pequeno-resultados-de-dos-ensayos-clinicos\/","title":{"rendered":"Trombectom\u00eda mec\u00e1nica en ictus isqu\u00e9micos de vaso mediano y peque\u00f1o:\u00a0Resultados de dos ensayos cl\u00ednicos"},"content":{"rendered":"<p class=\"has-text-align-center\">En <a href=\"https:\/\/www.nejm.org\/\">New England Journal of Medicine<\/a> ha publicado de forma simult\u00e1nea los resultados de dos ensayos cl\u00ednicos dirigidos a evaluar la efectividad de la trombectom\u00eda mec\u00e1nica en ictus isqu\u00e9micos que afectaran a arterias de mediano y peque\u00f1o calibre.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Ambos trabajos contaron con m\u00e1s de 500 participantes aleatorizados en dos grupos uno de los cu\u00e1les recibi\u00f3 tratamiento invasivo mediante trombectom\u00eda mec\u00e1nica mientras que en el grupo control se llev\u00f3 a cabo el tratamiento m\u00e9dico est\u00e1ndar. Los resultados se determinaron por la puntuaci\u00f3n en la escala de GOS a los 90 d\u00edas. Del mismo modo se contabilizaron los fallecimientos y las transformaciones hemorr\u00e1gicas.<\/p>\n\n\n\n<p class=\"has-text-align-center\">Ninguno de los trabajos encontraron diferencias significativas entre ambos grupos en el resultado cl\u00ednico obtenido por la medici\u00f3n de la escala GOS, as\u00ed como en la tasa de transformaciones hemorr\u00e1gicas ni en la mortalidad.<\/p>\n\n\n\n<p><strong>Fuentes:<\/strong> <\/p>\n\n\n\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2411668\">Goyal M, Ospel JM, Ganesh A, Dowlatshahi D, Volders D, M\u00f6hlenbruch MA, Jumaa MA, Nimjee SM, Booth TC, Buck BH, Kennedy J, Shankar JJ, Dorn F, Zhang L, Hametner C, Nardai S, Zafar A, Diprose W, Vatanpour S, Stebner A, Bosshart S, Singh N, Sebastian I, Uchida K, Ryckborst KJ, Fahed R, Hu SX, Vollherbst DF, Zaidi SF, Lee VH, Lynch J, Rempel JL, Teal R, Trivedi A, Bode FJ, Ogungbemi A, Pham M, Orosz P, Abdalkader M, Taschner C, Tarpley J, Poli S, Singh RJ, De Leacy R, Lopez G, Sahlas D, Chen M, Burns P, Schaafsma JD, Marigold R, Reich A, Amole A, Field TS, Swartz RH, Settecase F, Lenzs\u00e9r G, Ortega-Gutierrez S, Asdaghi N, Lobotesis K, Siddiqui AH, Berrouschot J, Mokin M, Ebersole K, Schneider H, Yoo AJ, Mandzia J, Klostranec J, Jadun C, Patankar T, Sauvageau E, Lenthall R, Peeling L, Huynh T, Budzik R, Lee SK, Makalanda L, Levitt MR, Perry RJ, Hlaing T, Jahromi BS, Singh P, Demchuk AM, Hill MD; ESCAPE-MeVO Investigators. Endovascular Treatment of Stroke Due to Medium-Vessel Occlusion. N Engl J Med. 2025 Feb 5.\u00a0<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2408954\">Psychogios M, Brehm A, Ribo M, Rizzo F, Strbian D, R\u00e4ty S, Arenillas JF, Mart\u00ednez-Gald\u00e1mez M, Hajdu SD, Michel P, Gralla J, Piechowiak EI, Kaiser DPO, Puetz V, Van den Bergh F, De Raedt S, Bellante F, Dusart A, Hellstern V, Khanafer A, Parrilla G, Morales A, Kirschke JS, Wunderlich S, Fiehler J, Thomalla G, Lemmens R, Peluso JP, Bolognese M, von Hessling A, van Es A, Kruyt ND, Coutinho JM, Casta\u00f1o C, Minnerup J, van Zwam W, Dhondt E, Nolte CH, Machi P, Loehr C, Mattle HP, Buhk JH, Kaesmacher J, Dobrocky T, Papanagiotou P, Alonso A, Holtmannspoetter M, Zini A, Renieri L, Keil F, van den Wijngaard I, K\u00e4gi G, Terce\u00f1o M, Wiesmann M, Amaro S, Rommers N, Balmer L, Fragata I, Katan M, Leker RR, Saver JL, Staals J, Fischer U; DISTAL Investigators. Endovascular Treatment for Stroke Due to Occlusion of Medium or Distal Vessels. N Engl J Med. 2025 Feb 5.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>En New England Journal of Medicine ha publicado de forma simult\u00e1nea los resultados de dos ensayos cl\u00ednicos dirigidos a evaluar la efectividad de la trombectom\u00eda mec\u00e1nica en ictus isqu\u00e9micos que afectaran a arterias de mediano y peque\u00f1o calibre. Ambos trabajos contaron con m\u00e1s de 500 participantes aleatorizados en dos grupos uno de los cu\u00e1les recibi\u00f3&#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-3305","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-Rj","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3305","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=3305"}],"version-history":[{"count":3,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3305\/revisions"}],"predecessor-version":[{"id":3308,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3305\/revisions\/3308"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3305"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3305"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}