{"id":2442,"date":"2010-11-29T15:33:19","date_gmt":"2010-11-29T15:33:19","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuroienp\/"},"modified":"2025-05-14T19:08:28","modified_gmt":"2025-05-14T19:08:28","slug":"neuroienp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neuroienp\/","title":{"rendered":"Indicaciones y Recomendaciones para Procedimientos Neurointervencionistas Endovasculares"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"long_text\">Las<\/span><span class=\"long_text\">\u00a0intervenciones<\/span><span class=\"long_text\">\u00a0cerebrovasculares<\/span><span class=\"long_text\">\u00a0endovasculares<\/span><span class=\"long_text\">\u00a0<\/span><span class=\"long_text\">intracraneales tratan enfermedades cerebrovasculares mediante el uso de t\u00e9cnicas m\u00ednimamente invasivas intravasculares.<br \/>\n<\/span><br \/>\n<!--more--><br \/>\n<strong>Indicaciones y recomendaciones para los procedimientos endovasculares<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 20.3693%;\"><\/td>\n<td style=\"width: 37.9543%;\"><strong><span class=\"long_text\">Indicaciones<\/span><\/strong><\/td>\n<td style=\"width: 41.6765%;\"><strong><span class=\"long_text\">Recomendaciones<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\" colspan=\"3\"><strong><span class=\"long_text\">Aneurisma cerebral<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">Ruptura con HSA<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Si es factible de tratamiento endovascular de acuerdo a especialista endovascular<\/span><\/td>\n<td style=\"width: 41.6765%;\">Debe ser considerado para oclusi\u00f3n\u00a0endovascular<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">No roto<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Si es factible de tratamiento endovascular de acuerdo a especialista endovascular<\/span><\/td>\n<td style=\"width: 41.6765%;\"><span class=\"short_text\">Razonable considerar <\/span><span class=\"short_text\">oclusi\u00f3n\u00a0<\/span><span class=\"short_text\">endovascular\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\" colspan=\"3\"><strong><span class=\"long_text\">Aterosclerosis intracraneal<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">Estenosis sintom\u00e1tica<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Para estenosis ateroscler\u00f3tica sintom\u00e1tica &gt; 70% que no responden al tratamiento m\u00e9dico<\/span><\/td>\n<td style=\"width: 41.6765%;\"><span class=\"long_text\">Puede ser razonable considerar <\/span><span class=\"long_text\">revascularizaci\u00f3n <\/span><span class=\"long_text\">endovascular con angioplastia o colocaci\u00f3n de stent<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\" colspan=\"3\"><strong>\u00a0<span class=\"long_text\">Accidente cerebrovascular isqu\u00e9mico agudo<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">Tromb\u00f3lisis i<\/span><span class=\"long_text\">ntra-arterial<br \/>\n<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Para pacientes con s\u00edndrome cerebrovascular mayor de &lt;6 horas de duraci\u00f3n y no elegibles para\u00a0<\/span><span class=\"long_text\">tromb\u00f3lisis<\/span><span class=\"long_text\">\u00a0por v\u00eda intravenosa<br \/>\n<\/span><\/td>\n<td style=\"width: 41.6765%;\"><span class=\"long_text\">Razonable considerar <\/span><span class=\"long_text\">tromb\u00f3lisis<\/span><span class=\"long_text\">\u00a0intra-arterial\u00a0en pacientes seleccionados<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\">Disrupci\u00f3n <span class=\"long_text\">Mec\u00e1nica<\/span><\/td>\n<td style=\"width: 37.9543%;\">Para pacientes con s\u00edndrome cerebrovascular mayor de\u00a0&lt;8\u00a0horas de duraci\u00f3n y no elegibles o en quienes fall\u00f3 la\u00a0tromb\u00f3lisis intravenosa<\/td>\n<td style=\"width: 41.6765%;\"><span class=\"long_text\">Puede ser razonable realizar disrupci\u00f3n mec\u00e1nicapara restablecer el flujo sangu\u00edneo cerebral enpacientes seleccionados<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\" colspan=\"3\"><strong><span class=\"long_text\">MAV cerebral<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">MAV pial<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Para pacientes con hemorragia atribuibles a MAV, el tratamiento endovascular en combinaci\u00f3n con otras terapias como cirug\u00eda oradiocirug\u00eda<\/span><\/td>\n<td style=\"width: 41.6765%;\"><span class=\"long_text\">Puede ser considerado como un\u00a0\u00a0tratamiento adyuvante o paliativo <\/span><span class=\"long_text\">preoperatorio<\/span><span class=\"long_text\"> en un intento por prevenir hemorragia recurrente<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 20.3693%;\"><span class=\"long_text\">F\u00edstula AV dural<\/span><\/td>\n<td style=\"width: 37.9543%;\"><span class=\"long_text\">Para pacientes con s\u00edntomas neurol\u00f3gicos o hemorragia atribuibles a MAV, el <\/span><span class=\"long_text\">tratamiento\u00a0<\/span><span class=\"long_text\">endovascular\u00a0solo puede ser curativo o puede ser utilizado\u00a0en combinaci\u00f3n con otras terapias, tales como\u00a0cirug\u00eda o radiocirug\u00eda<\/span><\/td>\n<td style=\"width: 41.6765%;\"><span class=\"long_text\">Puede ser considerado como un tratamiento adyuvante o paliativo <\/span><span class=\"long_text\">preoperatorio<\/span><span class=\"long_text\"> en un intento por prevenir\u00a0<\/span><span class=\"long_text\">accidente cerebrovascular o hemorragia<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"long_text\">HSA indica hemorragia subaracnoidea; MAV, malformaci\u00f3n arteriovenosa.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Meyers PM, Schumacher HC, Higashida RT, Barnwell SL, Creager MA, Gupta R, McDougall CG, Pandey DK, Sacks D, Wechsler LR; American Heart Association. Indications for the performance of intracranial endovascular neurointerventional procedures: a scientific statement from the American Heart Association Council on Cardiovascular Radiology and Intervention, Stroke Council, Council on Cardiovascular Surgery and Anesthesia, Interdisciplinary Council on Peripheral Vascular Disease, and Interdisciplinary Council on Quality of Care and Outcomes Research. Circulation. 2009 Apr 28;119(16):2235-49 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19349327\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Qureshi AI, Abou-Chebl A, Jovin TG. Qualification requirements for performing neurointerventional procedures: a Report of the Practice Guidelines Committee of the American Society of Neuroimaging and the Society of Vascular and Interventional Neurology. J Neuroimaging. 2008 Oct;18(4):433-47. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18315594\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Nov 29, 2010<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las\u00a0intervenciones\u00a0cerebrovasculares\u00a0endovasculares\u00a0intracraneales tratan enfermedades cerebrovasculares mediante el uso de t\u00e9cnicas m\u00ednimamente invasivas intravasculares.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[1273,74,73,62,1272,1271,1270,1269,200,382],"class_list":["post-2442","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-endovascular","tag-indicaciones","tag-indications","tag-intracranial","tag-neurointervencional","tag-neurointerventional","tag-procedimiento","tag-procedures","tag-recomendaciones","tag-recommendations"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2442"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2442\/revisions"}],"predecessor-version":[{"id":9346,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2442\/revisions\/9346"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}