%0 Journal Article
%T Angiograf¨ªa cerebral y muerte encef¨¢lica
%A Angel J Lacerda Gallardo
%A Sergio Vega Basulto
%A Hubiel L¨®pez Delgado
%J Revista Cubana de Cirug¨ªa
%D 1997
%I Editorial Ciencias M¨¦dicas
%X Este trabajo se realiz¨® como parte de un protocolo de estudio, el cual fue aplicado a 57 pacientes atendidos por el servicio de Neurocirug¨ªa del Hospital Clinicoquir¨²rgico "Manuel Ascunce Domenech" de Camag¨¹ey, durante el per¨ªodo comprendido entre enero de 1993 y diciembre de 1994. Se realizaron estudios angiogr¨¢ficos a 50 pacientes (87,72 %), de los que se obtuvieron 55 angiogramas cerebrales. En 49 ex¨¢menes (89 %), se observ¨® ausencia de flujo sangu¨ªneo cerebral con distintos tipos de patrones vasculares, en la arteria car¨®tida interna extra e intracraneal, lo cual confirma su utilidad en el diagn¨®stico de la muerte encef¨¢lica (ME). En 3 pacientes, con craniectom¨ªas osteocl¨¢sticas de m¨¢s de 5 cm, no se demostr¨® ausencia de flujo sangu¨ªneo cerebral, a pesar del estado cl¨ªnico de ME. No aparecieron complicaciones durante este proceder, gracias a la cuidadosa t¨¦cnica utilizada. Los patrones vasculares demostrados sugieren realizar un estudio m¨¢s detallado donde se compare esta imagen con el par¨¢metro presi¨®n intracraneal (PIC) elevada This work was carried out as a part of a study protocol which was applied to 57 patients treated at the Neurosurgical Servicie of "Manuel Ascunce Domenech" Clinicosurgical Hospital, Camag¨¹ey during January, 1993 and December, 1994. Angiographic studies were performed to 50 patients (87.72 %) from which 55 cerebral angiograms were obtained. In 49 examinations (89 %) absenece of brain blood flow was observed with different types of vascular patterns in the extra and intracraneal inner carotid artery proving its usefulness for the diagnosis of brain death. In 3 patients with osteoclastic cranioctomies greater than 5 cm, the absence of cerebral blood flow was not proved despite the clinical status of brain death. No complications were observed during the procedure thanks to the so careful technique that was used. Vascular patterns evidenced suggest that it is necessary to perform a more detailed study to compare this imagen with the parameter of increased intracranial pressure
%K INFECCIONES DEL TRACTO RESPIRATO-RIO
%K TRASPLANTE DE RI ON
%K BRONCOS-COPIA
%K ASPERGILLUS FUMIGATUS
%K CANDIDA ALBICANS
%K TUBERCULOSIS MENINGEA
%K PNEUMOCYSTIS CARI-NII
%K RESPIRATORY TRACT INFECTIONS
%K KIDNEY TRANSPLANTATION
%K BRONCHOSCOPY
%K ASPERGILLUS FUMIGATUS
%K CANDIDA ALBICANS
%K TUBERCULOSIS
%K MENINGEAL
%K PNEUMOCYSTIS CARINII
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74931997000200002