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Lesiones iatrogénicas y complicaciones trombóticas tras intervenciones endovasculares de emergencia
B S Sukovatykh1, N V Bolomatov2, D V Sidorov3
1Kursk State Medical University, Kursk, Russia.
Khirurgiia
|February 20, 2026
Resumen
Las intervenciones coronarias y carotídeas percutáneas conllevan riesgos de lesión arterial y trombosis. Esta revisión detalla los factores de riesgo, la prevención y el tratamiento de estas complicaciones iatrogénicas en procedimientos endovasculares.
Área de la Ciencia:
- Medicina Cardiovascular
- Cardiología Intervencionista
- Cirugía Vascular
Sus antecedentes:
- Las intervenciones coronarias y carotídeas percutáneas son tratamientos estándar para enfermedades arteriales.
- Estos procedimientos conllevan riesgos significativos de lesiones iatrogénicas y trombosis arterial.
Objetivo del estudio:
- Revisar la literatura sobre lesiones iatrogénicas y complicaciones trombóticas tras intervenciones endovasculares.
- Analizar los factores de riesgo, causas y mecanismos de estas complicaciones en arterias coronarias y carotídeas.
- Detallar la incidencia, prevención y tratamiento de lesiones iatrogénicas y trombosis.
Principales métodos:
- Revisión exhaustiva de la literatura nacional e internacional.
- Análisis de estudios centrados en intervenciones endovasculares para arterias coronarias y carotídeas.
- Enfoque específico en perforaciones de la arteria coronaria durante intervenciones coronarias percutáneas.
Principales resultados:
- Identificó varios factores de riesgo que contribuyen a lesiones iatrogénicas y trombosis.
- Detalló los mecanismos que conducen a daño arterial y formación de coágulos.
- Presentó tasas de incidencia y discutió las estrategias actuales de prevención y tratamiento.
Conclusiones:
- Las lesiones iatrogénicas y las complicaciones trombóticas son riesgos significativos en intervenciones percutáneas.
- Las estrategias efectivas de prevención y manejo son cruciales para la seguridad del paciente.
- Los enfoques óptimos para minimizar y tratar estas complicaciones requieren un mayor refinamiento.
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