{"id":357,"date":"2020-05-11T21:05:00","date_gmt":"2020-05-11T19:05:00","guid":{"rendered":"http:\/\/neurocirugiavargas.com\/?p=357"},"modified":"2020-05-10T23:11:28","modified_gmt":"2020-05-10T21:11:28","slug":"stent-vs-tratamiento-medico-intensivo-en-las-estenosis-arteriales-intracraneales-sintomaticas","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2020\/05\/11\/stent-vs-tratamiento-medico-intensivo-en-las-estenosis-arteriales-intracraneales-sintomaticas\/","title":{"rendered":"Stent vs tratamiento m\u00e9dico intensivo en las estenosis arteriales intracraneales sintom\u00e1ticas"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">Llevado a cabo por un grupo de cient\u00edficos de la Universidad de Oxford ha sido publicado este mes en la revista <em>Lancet Neurology<\/em> un estudio prospectivo en el que se realiz\u00f3 un seguimiento a pacientes que hab\u00edan sufrido accidentes cerebrovasculares transitorios (AIT) as\u00ed como accidentes cerebrovasculares menores. Este trabajo trata de establecer la incidencia de estenosis en las arterias cerebrales intracraneales en este grupo de pacientes as\u00ed como el riesgo de repetici\u00f3n de estos eventos.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">La incidencia de estenosis en arterias cerebrales intracraneales se situ\u00f3 en el 17,6% en estos pacientes. Todos ellos recibieron el mejor tratamiento m\u00e9dico posible basado en antiagregaci\u00f3n (doble durante el primer mes seguida de mantenimiento con monoterapia), estatinas a altas dosis, control de tensi\u00f3n arterial con cifras menores a 130\/80 mmHg, as\u00ed como supresi\u00f3n tab\u00e1quica y dieta. Durante un seguimiento de 2,8 a\u00f1os un 14,9% de los pacientes desarroll\u00f3 nuevos episodios de accidente cerebrovascular.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Este riesgo de repetici\u00f3n del accidente cerebrovascular fue superponible al descrito en dos ensayos cl\u00ednicos previos, SAMMPRIS y VISSIT, publicados respectivamente en 2011 y 2015. Los hallazgos del presente trabajo apoyan, adem\u00e1s, las conclusiones de dichos ensayos cl\u00ednicos en los que el tratamiento m\u00e9dico intensivo mostr\u00f3 superioridad frente al tratamiento endovascular con stent en este grupo de pacientes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>F<\/strong><strong>uente:<\/strong><a href=\"https:\/\/www.thelancet.com\/pdfs\/journals\/laneur\/PIIS1474-4422(20)30079-X.pdf\">Hurford R<sup>1<\/sup>, Wolters FJ<sup>1<\/sup>, Li L<sup>1<\/sup>, Lau KK<sup>1<\/sup>, K\u00fcker W<sup>1<\/sup>, Rothwell PM<sup>2<\/sup>; Oxford Vascular Study Phenotyped Cohort. Prevalence, predictors, and prognosis of symptomatic intracranial stenosis in patients with transient ischaemic attack or minor stroke: a population-based cohort study. Lancet Neurol. 2020 May;19(5):413-421<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Llevado a cabo por un grupo de cient\u00edficos de la Universidad de Oxford ha sido publicado este mes en la revista Lancet Neurology un estudio prospectivo en el que se realiz\u00f3 un seguimiento a pacientes que hab\u00edan sufrido accidentes cerebrovasculares transitorios (AIT) as\u00ed como accidentes cerebrovasculares menores. Este trabajo trata de establecer la incidencia de&#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,"jetpack_seo_schema_type":"","_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,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","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":[706700514,706700517],"tags":[1041974,2502785,699533403,57768764],"class_list":["post-357","post","type-post","status-publish","format-standard","hentry","category-neurocirugia","category-zerotohero","tag-ictus","tag-neurocirugia","tag-patologia-vascular-cerebral","tag-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-5L","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/357","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=357"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/357\/revisions"}],"predecessor-version":[{"id":359,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/357\/revisions\/359"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}