Alternativa a la aortopexia en el tratamiento de la traqueomalacia grave
An Alternative To Aortopexy In The Treatment Of Severe Tracheomalacia
R. Sánchez Martín, J.A. Matute Cárdenas
, G. Barrientos Fernández, R. Romero Ruiz, M.A. García-Casillas, J. Vázquez Estévez
Autor para correspondencia
jamatute@teleline.es
Correspondencia: Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Doctor Castelo, 49. 28009 Madrid.
Correspondencia: Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Doctor Castelo, 49. 28009 Madrid.
Unidad de Cirugía Cardiotorácica. Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Madrid
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Vázquez Estévez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Sánchez Martín" ] 1 => array:4 [ "nombre" => "J.A." "apellidos" => "Matute Cárdenas" "email" => array:1 [ 0 => "jamatute@teleline.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Barrientos Fernández" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Romero Ruiz" ] 4 => array:2 [ "nombre" => "M.A." "apellidos" => "García-Casillas" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Vázquez Estévez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Cirugía Cardiotorácica. Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Doctor Castelo, 49. 28009 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "An Alternative To Aortopexy In The Treatment Of Severe Tracheomalacia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-11-30" "fechaAceptado" => "2000-05-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186435" "palabras" => array:3 [ 0 => "Traqueomalacia" 1 => "Prótesis de Palmaz" 2 => "Atresia de esófago" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186434" "palabras" => array:3 [ 0 => "Tracheomalacia" 1 => "Palmaz stent" 2 => "Esophageal atresia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento clásico de la forma severa es la aortopexia. En la década de los ochenta comenzó a utilizarse para el tratamiento de la traqueomalacia recidivante o residual la implantación de prótesis intraluminales expandibles tipo Palmaz, diseñadas inicialmente para su uso en estenosis vasculares. Presentamos el caso clínico de un paciente con traqueomalacia grave, intervenido previamente de atresia de esófago con fístula traqueoesofágica distal, en el que debido a una cardiopatía congénita compleja acompañante se contraindicó la aortopexia, por lo que fue tratado de su malacia traqueal mediante la implantación de una prótesis tipo Palmaz. El empleo de este tipo de prótesis supone una alternativa eficaz a la cirugía convencional, debiendo hacer siempre una valoración individualizada en cada caso.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The classic treatment of severe tracheomalacia is aortopexy. In the 1980s endoscopic insertion of the Palmaz stent, originally designed for use in the treatment of vascular stenosis, began to be used in the treatment of relapsing or residual tracheomalacia. We present a patient with severe tracheomalacia who had previously undergone surgery for esophageal atresia with distal tracheoesophageal fistula in which aortopexy was contraindicated due to a complex congenital heart disease. Treatment consisted of endoscopic insertion of a Palmaz stent. This stent provides an effective alternative to conventional surgery, although each case should be individually evaluated.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Catena" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Thoracic Cardiovasc Surg" "fecha" => "1995" "volumen" => "110" "paginaInicial" => "1145" "paginaFinal" => "1148" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchial tree: expandable metallic stents used in experimental and clinical applications" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.J. Wallace" 1 => "C. Charnsangauej" 2 => "K. Ogawa" 3 => "C.H. Carrasco" 4 => "K.C. Wrigth" 5 => "R. McKenna" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.158.2.3941857" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1986" "volumen" => "158" "paginaInicial" => "309" "paginaFinal" => "312" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3941857" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005300000003/v1_201307051516/S169540330077456X/v1_201307051516/es/main.assets" "Apartado" => array:4 [ "identificador" => "14441" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Notas clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005300000003/v1_201307051516/S169540330077456X/v1_201307051516/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330077456X?idApp=UINPBA00005H" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 14 | 9 | 23 |
| 2024 Octubre | 126 | 67 | 193 |
| 2024 Septiembre | 105 | 55 | 160 |
| 2024 Agosto | 110 | 90 | 200 |
| 2024 Julio | 86 | 63 | 149 |
| 2024 Junio | 98 | 73 | 171 |
| 2024 Mayo | 114 | 67 | 181 |
| 2024 Abril | 70 | 61 | 131 |
| 2024 Marzo | 64 | 64 | 128 |
| 2024 Febrero | 70 | 57 | 127 |
| 2024 Enero | 107 | 60 | 167 |
| 2023 Diciembre | 99 | 57 | 156 |
| 2023 Noviembre | 105 | 63 | 168 |
| 2023 Octubre | 140 | 53 | 193 |
| 2023 Septiembre | 88 | 44 | 132 |
| 2023 Agosto | 68 | 36 | 104 |
| 2023 Julio | 90 | 65 | 155 |
| 2023 Junio | 96 | 66 | 162 |
| 2023 Mayo | 105 | 51 | 156 |
| 2023 Abril | 89 | 38 | 127 |
| 2023 Marzo | 82 | 71 | 153 |
| 2023 Febrero | 64 | 42 | 106 |
| 2023 Enero | 69 | 44 | 113 |
| 2022 Diciembre | 62 | 49 | 111 |
| 2022 Noviembre | 107 | 64 | 171 |
| 2022 Octubre | 75 | 68 | 143 |
| 2022 Septiembre | 132 | 50 | 182 |
| 2022 Agosto | 96 | 76 | 172 |
| 2022 Julio | 66 | 56 | 122 |
| 2022 Junio | 77 | 42 | 119 |
| 2022 Mayo | 69 | 53 | 122 |
| 2022 Abril | 73 | 62 | 135 |
| 2022 Marzo | 79 | 64 | 143 |
| 2022 Febrero | 77 | 51 | 128 |
| 2022 Enero | 103 | 99 | 202 |
| 2021 Diciembre | 73 | 70 | 143 |
| 2021 Noviembre | 87 | 96 | 183 |
| 2021 Octubre | 79 | 83 | 162 |
| 2021 Septiembre | 62 | 72 | 134 |
| 2021 Agosto | 81 | 65 | 146 |
| 2021 Julio | 62 | 52 | 114 |
| 2021 Junio | 78 | 64 | 142 |
| 2021 Mayo | 78 | 64 | 142 |
| 2021 Abril | 111 | 106 | 217 |
| 2021 Marzo | 133 | 80 | 213 |
| 2021 Febrero | 119 | 59 | 178 |
| 2021 Enero | 71 | 50 | 121 |
| 2020 Diciembre | 83 | 54 | 137 |
| 2020 Noviembre | 76 | 49 | 125 |
| 2020 Octubre | 46 | 34 | 80 |
| 2020 Septiembre | 50 | 52 | 102 |
| 2020 Agosto | 59 | 56 | 115 |
| 2020 Julio | 61 | 45 | 106 |
| 2020 Junio | 65 | 32 | 97 |
| 2020 Mayo | 71 | 48 | 119 |
| 2020 Abril | 38 | 26 | 64 |
| 2020 Marzo | 57 | 24 | 81 |
| 2020 Febrero | 39 | 29 | 68 |
| 2020 Enero | 83 | 29 | 112 |
| 2019 Diciembre | 46 | 26 | 72 |
| 2019 Noviembre | 75 | 45 | 120 |
| 2019 Octubre | 77 | 45 | 122 |
| 2019 Septiembre | 54 | 53 | 107 |
| 2019 Agosto | 35 | 31 | 66 |
| 2019 Julio | 48 | 46 | 94 |
| 2019 Junio | 59 | 42 | 101 |
| 2019 Mayo | 61 | 60 | 121 |
| 2019 Abril | 53 | 55 | 108 |
| 2019 Marzo | 9 | 19 | 28 |
| 2019 Febrero | 21 | 15 | 36 |
| 2019 Enero | 15 | 22 | 37 |
| 2018 Diciembre | 9 | 16 | 25 |
| 2018 Noviembre | 21 | 12 | 33 |
| 2018 Octubre | 26 | 10 | 36 |
| 2018 Septiembre | 11 | 6 | 17 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 3 | 0 | 3 |
| 2018 Mayo | 4 | 0 | 4 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 14 | 0 | 14 |
| 2018 Febrero | 3 | 0 | 3 |
| 2018 Enero | 9 | 0 | 9 |
| 2017 Diciembre | 6 | 0 | 6 |
| 2017 Noviembre | 7 | 0 | 7 |
| 2017 Octubre | 11 | 0 | 11 |
| 2017 Septiembre | 8 | 0 | 8 |
| 2017 Agosto | 15 | 0 | 15 |
| 2017 Julio | 15 | 1 | 16 |
| 2017 Junio | 12 | 46 | 58 |
| 2017 Mayo | 17 | 35 | 52 |
| 2017 Abril | 11 | 26 | 37 |
| 2017 Marzo | 21 | 49 | 70 |
| 2017 Febrero | 6 | 37 | 43 |
| 2017 Enero | 15 | 27 | 42 |
| 2016 Diciembre | 27 | 24 | 51 |
| 2016 Noviembre | 33 | 40 | 73 |
| 2016 Octubre | 40 | 32 | 72 |
| 2016 Septiembre | 39 | 36 | 75 |
| 2016 Agosto | 51 | 44 | 95 |
| 2016 Julio | 26 | 39 | 65 |
| 2016 Marzo | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Octubre | 2 | 0 | 2 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 23 | 0 | 23 |
| 2015 Mayo | 27 | 0 | 27 |
| 2015 Abril | 20 | 0 | 20 |
| 2015 Marzo | 18 | 0 | 18 |
| 2015 Febrero | 17 | 0 | 17 |
| 2015 Enero | 31 | 0 | 31 |
| 2014 Diciembre | 26 | 1 | 27 |
| 2014 Noviembre | 18 | 0 | 18 |
| 2014 Octubre | 14 | 0 | 14 |
| 2014 Septiembre | 19 | 1 | 20 |
| 2014 Agosto | 16 | 1 | 17 |
| 2014 Julio | 22 | 2 | 24 |
| 2014 Junio | 29 | 4 | 33 |
| 2014 Mayo | 34 | 1 | 35 |
| 2014 Abril | 20 | 2 | 22 |
| 2014 Marzo | 23 | 16 | 39 |
| 2014 Febrero | 22 | 10 | 32 |
| 2014 Enero | 27 | 13 | 40 |
| 2013 Diciembre | 20 | 16 | 36 |
| 2013 Noviembre | 46 | 9 | 55 |
| 2013 Octubre | 76 | 16 | 92 |
| 2013 Septiembre | 49 | 11 | 60 |
| 2013 Agosto | 28 | 17 | 45 |
| 2013 Julio | 10 | 4 | 14 |
| 2013 Junio | 7 | 7 | 14 |
| 2013 Mayo | 11 | 3 | 14 |
| 2013 Abril | 8 | 2 | 10 |
| 2013 Marzo | 11 | 3 | 14 |
| 2013 Febrero | 25 | 4 | 29 |
| 2013 Enero | 20 | 3 | 23 |
| 2012 Diciembre | 14 | 1 | 15 |
| 2012 Noviembre | 21 | 3 | 24 |
| 2012 Octubre | 7 | 2 | 9 |
| 2012 Septiembre | 10 | 1 | 11 |
| 2012 Agosto | 3 | 0 | 3 |
| 2000 Agosto | 3275 | 0 | 3275 |
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