Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea
El 85% de los casos de hemorragia subaracnoidea no traumática (HSA) es secundaria a ruptura de un aneurisma intracraneano. Su identificación y localización temprana permiten intervenir al paciente con miras a disminuir el vasoespasmo y re-sangrado, causales de la alta morbilidad y mortalidad que tie...
- Autores:
-
Pinilla Gómez, César Alberto
Mantilla Suárez, Juan Carlos
Vargas Pérez, Oliverio
Higuera Escalante, Eduardo
Rey Serrano, Juan José
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2006
- Institución:
- Universidad Autónoma de Bucaramanga - UNAB
- Repositorio:
- Repositorio UNAB
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- spa
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- oai:repository.unab.edu.co:20.500.12749/10384
- Acceso en línea:
- http://hdl.handle.net/20.500.12749/10384
- Palabra clave:
- Ciencias de la salud
Medicina
Ciencias médicas
Ciencias biomédicas
Ciencias de la vida
Innovaciones en salud
Investigaciones
Health Sciences
Medicine
Medical Sciences
Biomedical Sciences
Life Sciences
Innovations in health
Research
Sistema nervioso
Mortalidad
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- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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|
dc.title.none.fl_str_mv |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
title |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
spellingShingle |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea Ciencias de la salud Medicina Ciencias médicas Ciencias biomédicas Ciencias de la vida Innovaciones en salud Investigaciones Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research Sistema nervioso Mortalidad |
title_short |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
title_full |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
title_fullStr |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
title_full_unstemmed |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
title_sort |
Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea |
dc.creator.fl_str_mv |
Pinilla Gómez, César Alberto Mantilla Suárez, Juan Carlos Vargas Pérez, Oliverio Higuera Escalante, Eduardo Rey Serrano, Juan José |
dc.contributor.author.spa.fl_str_mv |
Pinilla Gómez, César Alberto Mantilla Suárez, Juan Carlos Vargas Pérez, Oliverio Higuera Escalante, Eduardo Rey Serrano, Juan José |
dc.contributor.cvlac.none.fl_str_mv |
Rey Serrano, Juan José [0000265306] |
dc.contributor.cvlac.spa.fl_str_mv |
Mantilla Suárez, Juan Carlos [0001482827] Vargas Pérez, Oliverio [0001765288] |
dc.contributor.googlescholar.spa.fl_str_mv |
Rey Serrano, Juan José [es&oi=ao] |
dc.contributor.orcid.spa.fl_str_mv |
Rey Serrano, Juan José [0000-0002-6946-2444] Mantilla Suárez, Juan Carlos [0000-0001-8377-9571] |
dc.contributor.scopus.spa.fl_str_mv |
Rey Serrano, Juan José [54793298100] |
dc.contributor.researchgroup.spa.fl_str_mv |
Observatorio de Salud Pública de Santander Grupo de Investigaciones Clínicas |
dc.subject.none.fl_str_mv |
Ciencias de la salud Medicina Ciencias médicas Ciencias biomédicas Ciencias de la vida Innovaciones en salud Investigaciones |
topic |
Ciencias de la salud Medicina Ciencias médicas Ciencias biomédicas Ciencias de la vida Innovaciones en salud Investigaciones Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research Sistema nervioso Mortalidad |
dc.subject.keywords.eng.fl_str_mv |
Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research |
dc.subject.lemb.none.fl_str_mv |
Sistema nervioso Mortalidad |
description |
El 85% de los casos de hemorragia subaracnoidea no traumática (HSA) es secundaria a ruptura de un aneurisma intracraneano. Su identificación y localización temprana permiten intervenir al paciente con miras a disminuir el vasoespasmo y re-sangrado, causales de la alta morbilidad y mortalidad que tiene esta entidad. Objetivo: Evaluar la exactitud diagnóstica de la angiografía topográfica (angioTC) frente a la angiografía por sustracción digital (angioDSA). Metodología: En nueve pacientes con HSA atendidos en un servicio de radiología, se comparó la exactitud diagnóstica de la angioTC frente a angioDSA. Resultados: La capacidad de la angioTC para diagnosticar HSA tiene sensibilidad de 80,0% (IC95% 69,7-90,2 %), especificidad de 66,6% (IC95% 49,6-83,6%), valor predictivo positivo de 80% (IC95% 69,7-90,2) y valor predictivo negativo de 66,6% (IC95% 49,6-83,6%). Conclusión: La angioTC es un método de imágenes diagnósticas útil en nuestro medio para la detección de aneurismas cerebrales luego de HSA. [Pinilla CA, Mantilla JC, Vargas O, Higuera E, Rey JJ. Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea. MedUNAB 2006; 9:93-97]. |
publishDate |
2006 |
dc.date.issued.none.fl_str_mv |
2006-08-06 |
dc.date.accessioned.none.fl_str_mv |
2020-10-27T14:21:25Z |
dc.date.available.none.fl_str_mv |
2020-10-27T14:21:25Z |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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info:eu-repo/semantics/article |
dc.type.local.spa.fl_str_mv |
Artículo |
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http://purl.org/redcol/resource_type/ART |
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dc.identifier.issn.none.fl_str_mv |
2382-4603 0123-7047 |
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http://hdl.handle.net/20.500.12749/10384 |
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instname:Universidad Autónoma de Bucaramanga UNAB |
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repourl:https://repository.unab.edu.co |
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2382-4603 0123-7047 instname:Universidad Autónoma de Bucaramanga UNAB repourl:https://repository.unab.edu.co |
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http://hdl.handle.net/20.500.12749/10384 |
dc.language.iso.spa.fl_str_mv |
spa |
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https://revistas.unab.edu.co/index.php/medunab/article/view/150/135 |
dc.relation.uri.none.fl_str_mv |
https://revistas.unab.edu.co/index.php/medunab/article/view/150 |
dc.relation.references.none.fl_str_mv |
Wouter N, Schievink I. Intracraneal aneurysms. N Engl J Med 1997; 336: 28-40. Chappell E, Castro F, Good M. Comparison of computed tomo-graphic angiography with digital subtraction angiography in the diagnosis of cerebral aneurysm: a meta–analysis. Neurosurgery 2003; 52:624-31 Villablanca J, Jahan R, Lim S, Duckwiler G, Patel A, et al. Detec-tion and characterization of very small cerebral aneurysms by using 2D and 3D helical CT angiography. Am J Neuroradiol 2002; 23:1187-98 Osborn AG. Angiografía cerebral. Madrid, Marban, 2 ed, 2000: 105, 241-76 Velthuis B, Leeuwen M, Witkamp T. CT angiography: source im-ages and post processing techniques in the detection of cerebral aneurysms. Am J Roentgenol 1997; 169:1411-7. van Gijn, J, Rinkel GJE. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-78 Cloft H, Joseph G. Risk of cerebral angiography in patients with subarachnoid hemorrhage, cerebral aneurysm, and arteriove-nous malformation. Stroke 1999; 30:317-20 Dion JE, Gates PC, Fox AJ, Barnett HJ, Blom RJ. Clinical events following neuroangiography: A prospective study. Stroke 1987; 18:997-1004 Jayaraman M, Mayo-Smith W, Tung G, Haas RA, Rogg JM, Mehta NR, et al. Detection of intracranial aneurysm: multi-detector row CT angiography compared with DSA. Radiology 2004; 230:510-8. Matsumoto M, Sato N, Nakano M, Endo Y, Watanabe Y, Sasaki T, et al. Three-dimensional computerized tomography angiog-raphy-guided surgery of acutely ruptured cerebral aneurysms. J Neurosurg 2001; 94:718-27 Korogi Y, Takahashi M, Katada K, Ogura Y, Hasuo K, Ochi M, et al. Intracranial aneurysms: detection with three- dimensional CT angiography with volume rendering – comparison with con-ventional angiographic and surgical findings. Radiology 1999; 211:497-506 Tampieri D, Leblanc R, Oleszek J, Pokrupa R, Melancon D. Three-dimensional computed tomographic angiography of cerebral aneurysms. Neurosurgery 1995; 4:749-55 Hoh B, Cheung A, Rabinov J, Pryor JC, Carter BS, Ogilvy CS. Results of a prospective protocol of computed tomographic angi-ography in place of catheter angiography as the only diagnostic and pretreatment planning study for aneurysms by combined neruovascular team. Neurosurgery 2004; 54:1329-42 Shrier D, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D. CT Angiography in the evaluation of acute stroke. Am J Neuroradiol 1997; 18:1011-20 Tomandl B, Köstner N, Schempershofe M, Huk WJ, Strauss C, Anker L, et al. CT angiography of intracranial aneurysms: a focus on post processing. Radiographics 2004; 24:637-55 Velthuis BK, Van Leeuwen MS, Witkamp TD, Ramos LM, Berkel-bach van Der Sprenkel JW, Rinkel GJ. Computerized tomog-raphy angiography in patients with subarachnoid hemorrhage: From detection to treatment without conventional angiography. J Neurosurg 1999; 91:761-7. Alberico RA, Patel M, Casey S, Jacobs B, Maguire W, Decker R. Evaluation of the circle of Willis with three-dimensional CT angiography in patients with suspected intracranial aneurysm. Am J Neuroradiol.1995; 16:1571-8 van Gelder JM. Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likehood ratios. Neurosurgery 2003; 53:597-606 White PM, Teadsale E, Wardlaw JM, Easton V. Can noninvasive imaging accurately depict intracranial aneurysm? A systematic review. Radiology 2000; 217:361-70 Ochi T, Shimizu K, Yasuhara Y, Shigesawa T, Mochizuki T, Ikezoe J. Curved planar reformatted angiography: Usefulness for the evaluation of aneurysms at the carotid siphon. Am J neuroradiol 1999; 20:1025-30 Anderson GB, Steinke DE, Petruk KC, Ashforth R, Findlay JM. Computed tomographic angiography versus digital substraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms. Neurosurgery 1999, 45:1315-22 International Study of Unruptured Intracranial Aneurysms Investi-gators. Unrupted intracranial aneurysms: Risk of rupture and risk of surgical intervention. N Engl J Med 1998; 339:1725-33 Kangasniemi M, Makela T, Koskinen S, Porras M, Poussa K, Hernesniemi J. Detection of intracranial aneurysms with two-dimensional and three-dimensional multislice helical computed tomographic angiography. Neurosurgery 2004; 54:336-41 Zouaoui A, Sahel M, Marro B, Clemenceau S, Dargent N, Bitar A, et al. Three-dimensional computed tomographic angiography in detection of cerebral aneurysm in acute subarachnoid hemor-rhage. Neurosurgery 1997; 41:125-30 Velthuis BK, Rinkel GJ, Ramos LM, Witkamp TD, Berkelbach van der Sprenkel JW, Vandertop WP, et al. Subarachnoid hem-orrhage: aneurysm detection and preoperative evaluation with CT angiography. Radiology 1998; 208: 423-30 |
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Pregrado Medicina |
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MedUNAB; Vol. 9 Núm. 2 (2006): Imágenes Diagnósticas; 93-97 |
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Pinilla Gómez, César Alberto70c8752b-d620-452d-ab72-60da8a746928Mantilla Suárez, Juan Carlos1f6385d5-b3dd-4f9d-aa17-842bf37faf97Vargas Pérez, Oliveriof95967d7-8b72-4824-9bea-88f98aa140b0Higuera Escalante, Eduardod11003fc-15f5-41c5-b21e-5331da2122a0Rey Serrano, Juan José27567a60-4ea7-4d04-ba57-a6fbf34337d6Rey Serrano, Juan José [0000265306]Mantilla Suárez, Juan Carlos [0001482827]Vargas Pérez, Oliverio [0001765288]Rey Serrano, Juan José [es&oi=ao]Rey Serrano, Juan José [0000-0002-6946-2444]Mantilla Suárez, Juan Carlos [0000-0001-8377-9571]Rey Serrano, Juan José [54793298100]Observatorio de Salud Pública de SantanderGrupo de Investigaciones Clínicas2020-10-27T14:21:25Z2020-10-27T14:21:25Z2006-08-062382-46030123-7047http://hdl.handle.net/20.500.12749/10384instname:Universidad Autónoma de Bucaramanga UNABrepourl:https://repository.unab.edu.coEl 85% de los casos de hemorragia subaracnoidea no traumática (HSA) es secundaria a ruptura de un aneurisma intracraneano. Su identificación y localización temprana permiten intervenir al paciente con miras a disminuir el vasoespasmo y re-sangrado, causales de la alta morbilidad y mortalidad que tiene esta entidad. Objetivo: Evaluar la exactitud diagnóstica de la angiografía topográfica (angioTC) frente a la angiografía por sustracción digital (angioDSA). Metodología: En nueve pacientes con HSA atendidos en un servicio de radiología, se comparó la exactitud diagnóstica de la angioTC frente a angioDSA. Resultados: La capacidad de la angioTC para diagnosticar HSA tiene sensibilidad de 80,0% (IC95% 69,7-90,2 %), especificidad de 66,6% (IC95% 49,6-83,6%), valor predictivo positivo de 80% (IC95% 69,7-90,2) y valor predictivo negativo de 66,6% (IC95% 49,6-83,6%). Conclusión: La angioTC es un método de imágenes diagnósticas útil en nuestro medio para la detección de aneurismas cerebrales luego de HSA. [Pinilla CA, Mantilla JC, Vargas O, Higuera E, Rey JJ. Angiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoidea. MedUNAB 2006; 9:93-97].application/pdfspaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludPregrado Medicinahttps://revistas.unab.edu.co/index.php/medunab/article/view/150/135https://revistas.unab.edu.co/index.php/medunab/article/view/150Wouter N, Schievink I. Intracraneal aneurysms. N Engl J Med 1997; 336: 28-40.Chappell E, Castro F, Good M. Comparison of computed tomo-graphic angiography with digital subtraction angiography in the diagnosis of cerebral aneurysm: a meta–analysis. Neurosurgery 2003; 52:624-31Villablanca J, Jahan R, Lim S, Duckwiler G, Patel A, et al. Detec-tion and characterization of very small cerebral aneurysms by using 2D and 3D helical CT angiography. Am J Neuroradiol 2002; 23:1187-98Osborn AG. Angiografía cerebral. Madrid, Marban, 2 ed, 2000: 105, 241-76Velthuis B, Leeuwen M, Witkamp T. CT angiography: source im-ages and post processing techniques in the detection of cerebral aneurysms. Am J Roentgenol 1997; 169:1411-7.van Gijn, J, Rinkel GJE. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-78Cloft H, Joseph G. Risk of cerebral angiography in patients with subarachnoid hemorrhage, cerebral aneurysm, and arteriove-nous malformation. Stroke 1999; 30:317-20Dion JE, Gates PC, Fox AJ, Barnett HJ, Blom RJ. Clinical events following neuroangiography: A prospective study. Stroke 1987; 18:997-1004Jayaraman M, Mayo-Smith W, Tung G, Haas RA, Rogg JM, Mehta NR, et al. Detection of intracranial aneurysm: multi-detector row CT angiography compared with DSA. Radiology 2004; 230:510-8.Matsumoto M, Sato N, Nakano M, Endo Y, Watanabe Y, Sasaki T, et al. Three-dimensional computerized tomography angiog-raphy-guided surgery of acutely ruptured cerebral aneurysms. J Neurosurg 2001; 94:718-27Korogi Y, Takahashi M, Katada K, Ogura Y, Hasuo K, Ochi M, et al. Intracranial aneurysms: detection with three- dimensional CT angiography with volume rendering – comparison with con-ventional angiographic and surgical findings. Radiology 1999; 211:497-506Tampieri D, Leblanc R, Oleszek J, Pokrupa R, Melancon D. Three-dimensional computed tomographic angiography of cerebral aneurysms. Neurosurgery 1995; 4:749-55Hoh B, Cheung A, Rabinov J, Pryor JC, Carter BS, Ogilvy CS. Results of a prospective protocol of computed tomographic angi-ography in place of catheter angiography as the only diagnostic and pretreatment planning study for aneurysms by combined neruovascular team. Neurosurgery 2004; 54:1329-42Shrier D, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D. CT Angiography in the evaluation of acute stroke. Am J Neuroradiol 1997; 18:1011-20Tomandl B, Köstner N, Schempershofe M, Huk WJ, Strauss C, Anker L, et al. CT angiography of intracranial aneurysms: a focus on post processing. Radiographics 2004; 24:637-55Velthuis BK, Van Leeuwen MS, Witkamp TD, Ramos LM, Berkel-bach van Der Sprenkel JW, Rinkel GJ. Computerized tomog-raphy angiography in patients with subarachnoid hemorrhage: From detection to treatment without conventional angiography. J Neurosurg 1999; 91:761-7.Alberico RA, Patel M, Casey S, Jacobs B, Maguire W, Decker R. Evaluation of the circle of Willis with three-dimensional CT angiography in patients with suspected intracranial aneurysm. Am J Neuroradiol.1995; 16:1571-8van Gelder JM. Computed tomographic angiography for detecting cerebral aneurysms: implications of aneurysm size distribution for the sensitivity, specificity, and likehood ratios. Neurosurgery 2003; 53:597-606White PM, Teadsale E, Wardlaw JM, Easton V. Can noninvasive imaging accurately depict intracranial aneurysm? A systematic review. Radiology 2000; 217:361-70Ochi T, Shimizu K, Yasuhara Y, Shigesawa T, Mochizuki T, Ikezoe J. Curved planar reformatted angiography: Usefulness for the evaluation of aneurysms at the carotid siphon. Am J neuroradiol 1999; 20:1025-30Anderson GB, Steinke DE, Petruk KC, Ashforth R, Findlay JM. Computed tomographic angiography versus digital substraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms. Neurosurgery 1999, 45:1315-22International Study of Unruptured Intracranial Aneurysms Investi-gators. Unrupted intracranial aneurysms: Risk of rupture and risk of surgical intervention. N Engl J Med 1998; 339:1725-33Kangasniemi M, Makela T, Koskinen S, Porras M, Poussa K, Hernesniemi J. Detection of intracranial aneurysms with two-dimensional and three-dimensional multislice helical computed tomographic angiography. Neurosurgery 2004; 54:336-41Zouaoui A, Sahel M, Marro B, Clemenceau S, Dargent N, Bitar A, et al. Three-dimensional computed tomographic angiography in detection of cerebral aneurysm in acute subarachnoid hemor-rhage. Neurosurgery 1997; 41:125-30Velthuis BK, Rinkel GJ, Ramos LM, Witkamp TD, Berkelbach van der Sprenkel JW, Vandertop WP, et al. Subarachnoid hem-orrhage: aneurysm detection and preoperative evaluation with CT angiography. Radiology 1998; 208: 423-30http://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2MedUNAB; Vol. 9 Núm. 2 (2006): Imágenes Diagnósticas; 93-97Ciencias de la saludMedicinaCiencias médicasCiencias biomédicasCiencias de la vidaInnovaciones en saludInvestigacionesHealth SciencesMedicineMedical SciencesBiomedical SciencesLife SciencesInnovations in healthResearchSistema nerviosoMortalidadAngiografía cerebral por tomografía en el diagnóstico de aneurismas cerebrales en pacientes con hemorragia subaracnoideainfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/redcol/resource_type/ARTORIGINAL2006_Angiografía_cerebral_por_tomografía.pdf2006_Angiografía_cerebral_por_tomografía.pdfArticuloapplication/pdf1442095https://repository.unab.edu.co/bitstream/20.500.12749/10384/1/2006_Angiograf%c3%ada_cerebral_por_tomograf%c3%ada.pdfe8a2130934b8fbfef74e82385cbc082eMD51open accessTHUMBNAIL2006_Angiografía_cerebral_por_tomografía.pdf.jpg2006_Angiografía_cerebral_por_tomografía.pdf.jpgIM Thumbnailimage/jpeg9043https://repository.unab.edu.co/bitstream/20.500.12749/10384/2/2006_Angiograf%c3%ada_cerebral_por_tomograf%c3%ada.pdf.jpg35ef5475d027c5bdbc7d10acf0d09163MD52open access20.500.12749/10384oai:repository.unab.edu.co:20.500.12749/103842024-01-19 14:09:56.463open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co |