Resultados a largo plazo en la cirugía del síndrome de “robo de la subclavia”
Long-term results in the surgical treatment of subclavian steal syndrome
M. Echenique Elizondo1
Profesor titular de Cirugía. Universidad del País Vasco. Unidad Docente de Medicina. Hospital Nuestra Señora de Aránzazu. San Sebastián.
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"apellidos" => "Alcaide Matas" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "Campano Cruz" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Fernández Monge" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Garrote Nieto" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Quadros Borrajo" ] 8 => array:2 [ "nombre" => "A." "apellidos" => "Sierra García" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X0171682X?idApp=UINPBA00004N" "url" => "/0009739X/0000006900000001/v1_201307101134/S0009739X0171682X/v1_201307101134/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0009739X01716806" "issn" => "0009739X" "doi" => "10.1016/S0009-739X(01)71680-6" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "71680" "copyright" => "Asociación Española de Cirujanos" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Cir Esp. 2001;69:25-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4769 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 4193 "PDF" => 568 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Aspectos quirúrgicos de los bocios multinodulares. A propósito de una serie de 680 casos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "25" "paginaFinal" => "29" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical management of multinodular goiter: A report of 680 cases" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Deus Fombellida, I. Gil Romea, C. García Algara, M.A. Sancho, M.A. Alonso Gotor, M.J. Moreno Mirallas, M. Palacios Lázaro" "autores" => array:8 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Deus Fombellida" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Gil Romea" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "García Algara" ] 3 => array:2 [ "nombre" => "M.A." "apellidos" => "Sancho" ] 4 => array:2 [ "nombre" => "M.A." "apellidos" => "Sancho" ] 5 => array:2 [ "nombre" => "M.A." "apellidos" => "Alonso Gotor" ] 6 => array:2 [ "nombre" => "M.J." "apellidos" => "Moreno Mirallas" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Palacios Lázaro" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X01716806?idApp=UINPBA00004N" "url" => "/0009739X/0000006900000001/v1_201307101134/S0009739X01716806/v1_201307101134/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Resultados a largo plazo en la cirugía del síndrome de “robo de la subclavia”" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "30" "paginaFinal" => "32" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Echenique Elizondo" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Echenique Elizondo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Profesor titular de Cirugía. Universidad del País Vasco. Unidad Docente de Medicina. Hospital Nuestra Señora de Aránzazu. San Sebastián." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. M. Echenique Elizondo. P.º Dr. Beguiristain, 105. 20014 San Sebastián." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Long-term results in the surgical treatment of subclavian steal syndrome" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2000-05-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec196919" "palabras" => array:3 [ 0 => "Subclavia" 1 => "Robo" 2 => "Cirugía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec196918" "palabras" => array:3 [ 0 => "Subclavian" 1 => "Steal" 2 => "Surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El fenómeno de “robo de la subclavia” (FRS) es una entidad de diagnóstico ultrasonográfico frecuente. Sin embargo, el síndrome clínico de “robo de la subclavia” (SRS) es excepcional.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos 5 pacientes intervenidos de SRS y su seguimiento a 9, 10, 12 y 15 años. Se realizaron 4 bypass carótida-subclavia (BPCS) y una transposición carótidasubclavia (TCS).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El BPCS con politetrafluoroetileno (PTFE) ha demostrado su permeabilidad al cabo de este tiempo. Un caso con TCS falleció de accidente cerebrovascular a los 6 meses de la intervención.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El BPCS es la técnica de elección en el tratamiento del SRS sintomático, en pacientes seleccionados, a la espera de los resultados a largo plazo ofrecido por las actuales técnicas endovasculares.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction.</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The phenomenon of subclavian steal is a common ultrasonographic finding. However, clinically evident subclavian steal syndrome (SSS) is rare.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We present five patients who were treated surgically for SSS and their follow-up at 9 (+), 10, 12 and 15 years. Four patients underwent carotid-subclavian bypass and the fifth underwent carotid-subclavian transposition.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The permeability of the bypasses has been confirmed over the years. The patient who underwent carotid-subclavian transposition died of an acute cerebrovascular disease 6 months after surgery.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Carotid-subclavian bypass is the technique of choice in the treatment of symptomatic SSS in selected patients, although long-term results with present endovascular techniques have yet to be analyzed.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 2 | 5 | 7 |
| 2024 Septiembre | 11 | 13 | 24 |
| 2024 Agosto | 15 | 22 | 37 |
| 2024 Julio | 14 | 7 | 21 |
| 2024 Junio | 15 | 20 | 35 |
| 2024 Mayo | 14 | 6 | 20 |
| 2024 Abril | 15 | 12 | 27 |
| 2024 Marzo | 34 | 13 | 47 |
| 2024 Febrero | 32 | 7 | 39 |
| 2024 Enero | 16 | 13 | 29 |
| 2023 Diciembre | 28 | 40 | 68 |
| 2023 Noviembre | 29 | 36 | 65 |
| 2023 Octubre | 38 | 25 | 63 |
| 2023 Septiembre | 15 | 2 | 17 |
| 2023 Agosto | 19 | 11 | 30 |
| 2023 Julio | 23 | 30 | 53 |
| 2023 Junio | 8 | 2 | 10 |
| 2023 Mayo | 11 | 3 | 14 |
| 2023 Abril | 9 | 2 | 11 |
| 2023 Marzo | 4 | 1 | 5 |
| 2023 Febrero | 13 | 11 | 24 |
| 2023 Enero | 10 | 0 | 10 |
| 2022 Diciembre | 11 | 17 | 28 |
| 2022 Noviembre | 40 | 21 | 61 |
| 2022 Octubre | 20 | 21 | 41 |
| 2022 Septiembre | 15 | 46 | 61 |
| 2022 Agosto | 25 | 33 | 58 |
| 2022 Julio | 36 | 17 | 53 |
| 2022 Junio | 37 | 13 | 50 |
| 2022 Mayo | 23 | 16 | 39 |
| 2022 Abril | 21 | 22 | 43 |
| 2022 Marzo | 8 | 16 | 24 |
| 2022 Febrero | 11 | 14 | 25 |
| 2022 Enero | 7 | 11 | 18 |
| 2021 Diciembre | 7 | 13 | 20 |
| 2021 Noviembre | 18 | 36 | 54 |
| 2021 Octubre | 9 | 11 | 20 |
| 2021 Septiembre | 13 | 10 | 23 |
| 2021 Agosto | 18 | 4 | 22 |
| 2021 Julio | 18 | 10 | 28 |
| 2021 Junio | 21 | 15 | 36 |
| 2021 Mayo | 10 | 6 | 16 |
| 2021 Abril | 15 | 29 | 44 |
| 2021 Marzo | 12 | 11 | 23 |
| 2021 Febrero | 23 | 7 | 30 |
| 2021 Enero | 9 | 16 | 25 |
| 2020 Diciembre | 10 | 12 | 22 |
| 2020 Noviembre | 8 | 5 | 13 |
| 2020 Octubre | 19 | 14 | 33 |
| 2020 Septiembre | 14 | 10 | 24 |
| 2020 Agosto | 16 | 17 | 33 |
| 2020 Julio | 12 | 2 | 14 |
| 2020 Junio | 8 | 6 | 14 |
| 2020 Mayo | 5 | 10 | 15 |
| 2020 Abril | 10 | 8 | 18 |
| 2020 Marzo | 8 | 10 | 18 |
| 2020 Febrero | 7 | 5 | 12 |
| 2020 Enero | 15 | 14 | 29 |
| 2019 Diciembre | 25 | 27 | 52 |
| 2019 Noviembre | 6 | 3 | 9 |
| 2019 Octubre | 5 | 9 | 14 |
| 2019 Septiembre | 14 | 16 | 30 |
| 2019 Agosto | 4 | 11 | 15 |
| 2019 Julio | 6 | 5 | 11 |
| 2019 Junio | 30 | 30 | 60 |
| 2019 Mayo | 102 | 107 | 209 |
| 2019 Abril | 27 | 22 | 49 |
| 2019 Marzo | 5 | 9 | 14 |
| 2019 Febrero | 6 | 6 | 12 |
| 2019 Enero | 7 | 3 | 10 |
| 2018 Diciembre | 5 | 5 | 10 |
| 2018 Noviembre | 5 | 1 | 6 |
| 2018 Octubre | 21 | 7 | 28 |
| 2018 Septiembre | 15 | 6 | 21 |
| 2018 Agosto | 0 | 6 | 6 |
| 2018 Julio | 6 | 4 | 10 |
| 2018 Junio | 2 | 5 | 7 |
| 2018 Mayo | 4 | 10 | 14 |
| 2018 Abril | 6 | 2 | 8 |
| 2018 Marzo | 6 | 2 | 8 |
| 2018 Febrero | 1 | 4 | 5 |
| 2018 Enero | 6 | 0 | 6 |
| 2017 Diciembre | 6 | 2 | 8 |
| 2017 Noviembre | 3 | 6 | 9 |
| 2017 Octubre | 7 | 2 | 9 |
| 2017 Septiembre | 6 | 8 | 14 |
| 2017 Agosto | 7 | 0 | 7 |
| 2017 Julio | 9 | 7 | 16 |
| 2017 Junio | 8 | 7 | 15 |
| 2017 Mayo | 9 | 10 | 19 |
| 2017 Abril | 12 | 9 | 21 |
| 2017 Marzo | 21 | 5 | 26 |
| 2017 Febrero | 13 | 3 | 16 |
| 2017 Enero | 2 | 4 | 6 |
| 2016 Diciembre | 17 | 7 | 24 |
| 2016 Noviembre | 12 | 3 | 15 |
| 2016 Octubre | 31 | 6 | 37 |
| 2016 Septiembre | 35 | 3 | 38 |
| 2016 Agosto | 18 | 1 | 19 |
| 2016 Julio | 12 | 6 | 18 |
| 2016 Junio | 22 | 17 | 39 |
| 2016 Mayo | 24 | 8 | 32 |
| 2016 Abril | 18 | 10 | 28 |
| 2016 Marzo | 25 | 12 | 37 |
| 2016 Febrero | 13 | 11 | 24 |
| 2016 Enero | 18 | 10 | 28 |
| 2015 Diciembre | 15 | 14 | 29 |
| 2015 Noviembre | 19 | 9 | 28 |
| 2015 Octubre | 29 | 7 | 36 |
| 2015 Septiembre | 20 | 12 | 32 |
| 2015 Agosto | 7 | 5 | 12 |
| 2015 Julio | 17 | 9 | 26 |
| 2015 Junio | 5 | 8 | 13 |
| 2015 Mayo | 25 | 5 | 30 |
| 2015 Abril | 17 | 9 | 26 |
| 2015 Marzo | 19 | 7 | 26 |
| 2015 Febrero | 12 | 7 | 19 |
| 2015 Enero | 23 | 3 | 26 |
| 2014 Diciembre | 45 | 3 | 48 |
| 2014 Noviembre | 33 | 3 | 36 |
| 2014 Octubre | 29 | 5 | 34 |
| 2014 Septiembre | 36 | 2 | 38 |
| 2014 Agosto | 41 | 4 | 45 |
| 2014 Julio | 45 | 3 | 48 |
| 2014 Junio | 18 | 3 | 21 |
| 2014 Mayo | 11 | 2 | 13 |
| 2014 Abril | 14 | 4 | 18 |
| 2014 Marzo | 19 | 2 | 21 |
| 2014 Febrero | 8 | 2 | 10 |
| 2014 Enero | 8 | 5 | 13 |
| 2013 Diciembre | 12 | 4 | 16 |
| 2013 Noviembre | 11 | 3 | 14 |
| 2013 Octubre | 5 | 4 | 9 |
| 2013 Septiembre | 12 | 3 | 15 |
| 2013 Agosto | 7 | 5 | 12 |
| 2013 Julio | 3 | 2 | 5 |
| 2001 Enero | 2096 | 0 | 2096 |
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