Asociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascular

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dc.contributor.advisorVargas Pérez, Oliverio
dc.contributor.advisorUribe Capputi, Juan Carlos
dc.contributor.apolounabVargas Pérez, Oliverio [oliverio-vargas-pérez]spa
dc.contributor.authorRosales Rueda, Sergio Andrés
dc.contributor.cvlacVargas Pérez, Oliverio [0001765288]spa
dc.contributor.orcidVargas Pérez, Oliverio [0000-0003-3389-711X]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialBucaramanga (Santander, Colombia)spa
dc.coverage.temporal2018-2023spa
dc.date.accessioned2024-02-21T16:46:34Z
dc.date.available2024-02-21T16:46:34Z
dc.date.issued2024-02-01
dc.degree.nameEspecialistas en Radiología e Imágenes Diagnósticasspa
dc.description.abstractLa prevalencia de la enfermedad renal crónica (ERC) ha venido en aumento a nivel mundial por lo que la población en hemodiálisis de mantenimiento también se está expandiendo. Las FAV son el acceso vascular “estándar de oro” para el tratamiento de hemodiálisis crónica debido a los menores riesgos de complicaciones asociadas con el uso a largo plazo en comparación con los injertos arteriovenosos. El estado funcional de la fístula arteriovenosa afecta directamente la eficiencia de la diálisis y la calidad de vida de los pacientes urémicos. Hasta 50 % de las fístulas pierden la permeabilidad durante el curso del tratamiento, y en la actualidad lla Angioplastia transluminal percutánea (ATP) se ha recomendado como tratamiento de primera línea para la estenosis y la oclusión del acceso vascular porque es segura, eficaz y mínimamente invasiva en comparación con la revisión quirúrgica En consecuencia, determinamos las tasas de permeabilidad postintervención y los factores que contribuyen al fracaso de la fístula después de la intervención para establecer la permeabilidad secundaria en pacientes con enfermedad renal crónica avanzada que presentaban síntomas de disfunción de la misma.spa
dc.description.abstractenglishThe prevalence of chronic kidney disease (CKD) has been increasing worldwide, so the population on maintenance hemodialysis is also expanding. AVFs are the “gold standard” vascular access for chronic hemodialysis treatment due to the lower risks of complications associated with long-term use compared to arteriovenous grafts. The functional status of the arteriovenous fistula directly affects the efficiency of dialysis and the quality of life of uremic patients. Up to 50% of fistulas lose patency during the course of treatment, and percutaneous transluminal angioplasty (PTA) has now been recommended as a first-line treatment for vascular access stenosis and occlusion because it is safe, effective, and minimally invasive compared to surgical revision Accordingly, we determined postintervention patency rates and factors contributing to fistula failure after intervention to establish secondary patency in patients with advanced chronic kidney disease who presented with symptoms of fistula dysfunction.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1. INTRODUCCIÓN 5 2. DESCRIPCIÓN DEL PROBLEMA 7 2.1 JUSTIFICACIÓN 7 3. MARCO TEÓRICO 9 3.1 CONTEXTO ENFERMEDAD RENAL CRÓNICA 9 3.2 ANATOMÍA Y FISIOLOGÍA DE FAV 9 3.3 FRACASO PRIMARIO DE LA FÍSTULA ARTERIOVENOSA 11 3.4 PREDICTORES DE FALLA PRIMARIA 12 3.5 PREVENCIÓN DE LA FALLA PRIMARIA DE LA FÍSTULA 13 3.6 MANEJO DE FALLA PRIMARIA 14 3.7 ESTENOSIS DEL ACCESO ARTERIOVENOSO ( VENA PERIFÉRICA) 15 3.8 TROMBOSIS DE ACCESO ARTERIOVENOSO 17 4. ESTADO DEL ARTE 21 5. OBJETIVOS 23 6. METODOLOGÍA 24 7. ALMACENAMIENTO ELECTRÓNICO DE LA INFORMACIÓN 26 8. DISPOSICIONES VIGENTES. 27 8.1 CONSIDERACIONES ÉTICAS. 27 8.2 PROTECCIÓN DE DATOS PERSONALES. 28 9. RECURSOS HUMANOS, MATERIALES Y FINANCIEROS 29 RECURSOS HUMANOS: 29 RECURSOS MATERIALES: 29 RECURSOS FINANCIEROS: 29 10. RESULTADOS 30 10.1 CARACTERÍSTICAS GENERALES DE LOS PACIENTES ESTUDIADOS 30 10.2 CARACTERÍSTICAS CLÍNICAS 30 10.3 CARACTERÍSTICAS RELACIONADAS CON LAS FISTULAS ARTERIOVENOSAS 31 10.4 RELACIONADAS CON LA INTERVENCIÓN 33 10.5 ANÁLISIS BIVARIADO 34 11. DISCUSIÓN 43 12. CONCLUSIÓN 47 13. BIBLIOGRAFÍA 48 ANEXOS 53 ANEXO 1. Tabla 1. Variables del estudio 53spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/23569
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Radiología e Imágenes Diagnósticasspa
dc.publisher.programidERAD-272
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dc.relation.uriapolohttps://apolo.unab.edu.co/en/persons/oliverio-vargas-p%C3%A9rezspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsRadiologyspa
dc.subject.keywordsDiagnostic imagingspa
dc.subject.keywordsArteriovenous fistulaspa
dc.subject.keywordsChronic kidney diseasespa
dc.subject.keywordsPercutaneous transluminal angioplastyspa
dc.subject.keywordsEndovascular treatmentspa
dc.subject.keywordsRenal diseasesspa
dc.subject.keywordsBlood vesselsspa
dc.subject.keywordsArteriovenous anastomosisspa
dc.subject.lembCiencias médicasspa
dc.subject.lembRadiologíaspa
dc.subject.lembDiagnóstico para imágenesspa
dc.subject.lembEnfermedades renalesspa
dc.subject.lembVasos sanguíneosspa
dc.subject.lembAnastomosis arteriovenosaspa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalFistula arteriovenosaspa
dc.subject.proposalEnfermedad renal crónicaspa
dc.subject.proposalAngioplastia transluminal percutaneaspa
dc.subject.proposalTratamiento endovascularspa
dc.titleAsociación entre el tiempo de uso de fistula arteriovenosa en pacientes con enfermedad renal crónica y la tasa de éxito en el manejo endovascularspa
dc.title.translatedAssociation between the time of arteriovenous fistula use in patients with chronic kidney disease and the success rate of endovascular managementspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM

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