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J Neurosurg October 23, 2015 GABRIEL HERNANDO SÁNCHEZ GÓMEZ

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J Neurosurg October 23, 2015

GABRIEL HERNANDO SÁNCHEZ GÓMEZ

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Page 3: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

Vasoespasmo Isquemia tardía Infarto cerebral

Page 4: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

Angiografía

•Invasivo

•Contraste

•Radiación

Angiotac

•Contraste

•Radiación

Usados cuando hay cambios clínicos, no

prevención

Page 5: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

Doppler transcraneal

•No invasivo

•Seguro

•A la cabecera del paciente

•Predicción de Vasoespasmo sintomático

Page 6: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

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Page 8: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

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Page 12: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

Page 13: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

17 estudios

2780 pacientes

Page 14: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

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Page 18: GABRIEL HERNANDO SÁNCHEZ GÓMEZ J … · Authors & Year Grosset et al., 1992 Vora et al., 1999 Rätsep & Asser, 2001 Suarez et al., 2002 Mascia et al., 2003 Rabinstein et al., 2004

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