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Fernando Monroy Melo

Katerine Andrea Cepeda Páez

Jaime Camacho Mackenzie

Carlos Eduardo Pinzón Flórez

Resumen

Introducción. Dado el incremento de los pacientes con edades superiores a los 80 años que son llevados a cirugía cada año en nuestra institución, consideramos importante conocer el comportamiento en términos de morbilidad y mortalidad tempranas de los pacientes octogenarios sometidos a endarterectomía carotídea.Objetivo. Evaluar los resultados a 30 días de pacientes octogenarios con enfermedad carotídea grave, sintomática y asintomática, sometidos a endarterectomía carotídea, comparados con una cohorte histórica de pacientes de menor edad operados desde 1995 en la Fundación Cardio Infantil. Se registraron como variables dependientes la mortalidad y el accidente cerebrovascular.Resultados. Se registraron 218 endarterectomías carotídeas, 189 (86,6%) en pacientes menores de 80 años y 30 (13,4%) en pacientes octogenarios. En pacientes octogenarios no se presentaron accidentes cerebrovasculares (0%) y la mortalidad fue de 3,3%. En el grupo de pacientes menores de 80 años se presentaron accidentes cerebrovasculares (1,7%) y muerte (1,1%). Conclusiones. Los pacientes octogenarios con adecuada funcionalidad y sin contraindicaciones claras pueden ser sometidos a endarterectomía carotídea de manera segura.

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Keywords

endarterectomía carotídea, morbilidad, accidente cerebrovascular

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Cómo citar
Monroy Melo, F., Cepeda Páez, K., Camacho Mackenzie, J., & Pinzón Flórez, C. (2011). Endarterectomía carotídea en octogenarios: comparación de desenlaces con pacientes menores de 80 años, experiencia en la Fundación Cardio Infantil. Universitas Medica, 52(2), 178-190. Recuperado a partir de https://revistas.javeriana.edu.co/index.php/vnimedica/article/view/16073
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