Con técnica de alta especialidad para reemplazo de válvula aórtica en Hospital General Regional No. 1 en IMSS Sinaloa se agiliza recuperación de los pacientes y se reduce estancia hospitalaria
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Gracias a la intervención de todo un equipo multidisciplinario altamente especializado del Hospital General Regional (HGR) No. 1 del Instituto Mexicano del Seguro Social (IMSS) en Culiacán, Sinaloa, se comenzó a aplicar la técnica conocida como Implante Percutáneo de Prótesis Aórtica o TAVI (por la siglas en inglés de Transcater Aortic Valve Implantation), informó el médico José Luis Triano Doroteo.
Procedimiento evita que se tenga que realizar una cirugía a corazón abierto en pacientes de alto riesgo
El cardiólogo intervencionista adscrito al nosocomio señaló que este procedimiento, que se realiza en unidades hospitalarias de Tercer Nivel de Atención; es mínimamente invasivo y favorece la rápida recuperación de pacientes que anteriormente sólo tenían la opción de someterse a cirugías de corazón abierto.
A los pacientes que requerían de este tipo de implantes antes sólo se les podía ofrecer la solución de una cirugía de corazón abierto. Estamos hablando de pacientes de 70, 80 o más años, en los que una cirugía era de muy alto riesgo. Este procedimiento es abismalmente diferente, pues se coloca la válvula a través de una punción y un catéter, llegamos hasta el corazón e inmediatamente esa válvula comienza a funcionar
Con este procedimiento, el médico explicó, se reducen en gran medida los tempos de estancia hospitalaria, pues al ser mínimamente invasivo. Sólo se deja al paciente un lapso de 24 horas para vigilancia de posibles arritmias en terapia intensiva posterior a la intervención; y después de ello, si así lo amerita, se puede dar de alta.
Agiliza la recuperación de los pacientes y se reduce la estancia hospitalaria
El cardiólogo intervencionista señaló que anteriormente, con las cirugías de corazón abierto, un paciente podía durar desde 24 horas hasta una semana en terapia intensiva. Y hasta 2 semanas en una cama de hospital, por lo que, la nueva técnica es muy benéfica tanto para la recuperación del paciente como para la operatividad del hospital. Esto al poder dar de alta de manera más ágil a la persona intervenida.
“Este tipo de intervenciones se realizan, por lo general, en hospitales de alta especialidad, en centros hospitalarios grandes, y poder hacerlo aquí en el HGR No. 1 del IMSS en Culiacán nos entusiasma mucho, es un gran orgullo estar haciendo este tipo de procedimientos”, señaló.
El médico especialista mencionó que para realizar este procedimiento se requiere una sala de hemodinamia. Es gracias a que el HGR No. 1 cuenta con esta infraestructura desde hace 3 años, se pueden realizar ésta y otras técnicas de alta especialidad.
Trabajo de todo un equipo multidisciplinario
Realiza IMSS Sinaloa técnica de alta especialidad para reemplazo de válvula aórtica en Hospital General Regional No. 1
Finalmente, Triano Doroteo indicó que en la intervención participa todo un equipo multidisciplinario integrado entre otros elementos humanos por:
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