Síndrome post-implantación: respuesta inflamatoria secundaria a reparación de aneurisma de aorta abdominal
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Palabras clave

aneurisma de la aorta
sindrome de respuesta inflamatoria sistémica
reacción de cuerpo extraño

Cómo citar

1.
Méndez-Zamora AM, López-Montealegre C, Castro-Durán C, Rodríguez-Rojas V. Síndrome post-implantación: respuesta inflamatoria secundaria a reparación de aneurisma de aorta abdominal. RT [Internet]. 29jul.2020 [citado 3ago.2020];14(2):98-08. Available from: https://revistaterapeutica.net/index.php/RT/article/view/106

Resumen

La reparación de un aneurisma de aorta puede iniciar una respuesta inflamatoria sistémica con expresiones clínicas y bioquímicas conocidas como el síndrome post implantación (SPI).  A la fecha, no se han logrado alcanzar criterios diagnósticos universales, sin embargo, en los últimos años se ha visto una nueva tendencia a homogeneizar el diagnóstico mediante la asociación directa con los criterios del síndrome de respuesta inflamatoria sistémica (SRIS) utilizando la presentación mínima dos criterios: leucocitosis y fiebre. Su fisiopatología ha evolucionado hacia una consolidación más fuerte alrededor de dos principales promotores: el trombo y el material de la prótesis utilizada. Por otro lado, las repercusiones a corto y largo plazo aún son sometidas a mucho debate y se ha visto un aumento de evidencia que respalda una prolongación en la hospitalización. Esta falta de claridad respecto a efectos adversos a corto y largo plazo genera una incógnita respecto al beneficio del tratamiento y el seguimiento más cercano en pacientes que desarrollen SPI. No obstante, ante la sospecha del mismo y debido a la ausencia de guías en el tema, se contrastan dos estudios novedosos que utilizan antiinflamatorios esteroideos y no esteroides y se exponen las nuevas sugerencias y hallazgos de los casos en donde se desee un seguimiento más cercano.   

https://doi.org/10.33967/rt.v14i2.106
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