Endarterectomía vs injerto endovascular en pacientes con estenosis de la arteria carótida interna
DOI:
https://doi.org/10.55204/scc.v2i2.e58Palabras clave:
Arteria Carótida Interna, Endarterectomía, Estenosis Carotídea, Procedimientos EndovascularesResumen
Introducción: La estenosis de la arteria carótida interna es una afección médica que conlleva un riesgo significativo de eventos cerebrovasculares graves. El objetivo se centra en analizar la eficacia y seguridad de la endarterectomía vs injerto endovascular en pacientes con estenosis de la arteria carótida interna.
Desarrollo: Se llevó a cabo una revisión bibliográfica utilizando términos clave MeSH y DeCS en bases de datos médicas relevantes como PubMed, Scopus, Web of Science y Elsevier. Se diseñarán estrategias de búsqueda para identificar estudios primarios y revisiones sistemáticas que aborden la comparación de ambas técnicas, evaluando su seguridad y eficacia. Los resultados se presentaron de manera clara y concisa utilizando tablas.
Conclusiones: Esta revisión resalta que la endarterectomía carotídea continúa siendo un tratamiento eficaz y seguro en comparación del injerto endovascular. El CAS es menos invasivo y puede ser preferible en pacientes con alto riesgo quirúrgico o en aquellos que tienen anatomías carotídeas complejas. La CEA mostró mejor seguridad perioperatoria si se realiza en un tiempo óptimo, en la intervención temprana. La selección de la intervención debe basarse en una valoración cuidadosa de la anatomía, estado general de salud y las comorbilidades.
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Derechos de autor 2023 José Miguel Ávila Guzman, Aleifel Antonio Esqueda Jiménez
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