Opciones de tratamiento vía terapia endovascular neurológica con alta eficacia y evidencia para su implementación en America Latina
DOI:
https://doi.org/10.20453/rnp.v89i2.6268Palabras clave:
procedimientos endovasculares, reparación endovascular de aneurismas, trombectomía, embolización terapéuticaResumen
La terapia endovascular neurológica, o neurointervencionismo, ofrece opciones eficaces y seguras para el tratamiento de las enfermedades cerebrovasculares. Existe evidencia creciente que sustenta su utilidad en diversas condiciones; a esto se suma la aparición de dispositivos y técnicas modernas que incrementan la seguridad y efectividad de los procedimientos, siempre que se cuente con un entrenamiento especializado requerido. El objetivo de este artículo es describir las enfermedades más frecuentes que pueden ser tratadas con seguridad por neurointervencionistas, mediante la presentación de casos representativos del Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez de México.
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Moreu M, Scarica R, Pérez-García C, et al. Mechanical thrombectomy is cost-effective versus medical management alone around Europe in patients with low ASPECTS. J NeuroInterv Surg. 2023;15(7):629-33. doi:10.1136/jnis-2022-019849
Duangthongphon P, Kitkhuandee A, Munkong W, et al. Cost-effectiveness analysis of endovascular coiling and neurosurgical clipping for aneurysmal subarachnoid hemorrhage in Thailand. J NeuroInterv Surg. 2022;14(9):942-7. doi:10.1136/neurintsurg-2021-017970
Ospel JM, McDonough R, Kunz WG, et al. Is concurrent intravenous alteplase in patients undergoing endovascular treatment for large vessel occlusion stroke cost-effective even if the cost of alteplase is only US$1? J NeuroInterv Surg. 2022;14(6):568-72. doi:10.1136/neurintsurg-2021-017817
Waqas M, Gong AD, Levy BR, et al. Is Endovascular therapy for stroke cost-effective globally? A systematic review of the literature. J Stroke Cerebrovasc Dis. 2021;30(4):105557. doi:10.1016/j.jstrokecerebrovasdis.2020.105557
Martins SO, Mont’Alverne F, Rebello LC, et al. Thrombectomy for stroke in the public health care system of Brazil. N Engl J Med. 2020;382(24):2316-26. doi:10.1056/NEJMoa2000120
Cano-Nigenda V, Castellanos-Pedroza E, Manrique-Otero D, et al. Barriers to optimal acute management of stroke: perspective of a stroke center in Mexico City. Front Neurol. 2021;12:690946. doi:10.3389/fneur.2021.690946
Berkhemer OA, Fransen PSS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015;372(1):11-20. doi:10.1056/NEJMoa1411587
De la Ossa NP, Abilleira S, Jovin TG, et al. Effect of direct transportation to thrombectomy-capable center vs local stroke center on neurological outcomes in patients with suspected large-vessel occlusion stroke in nonurban areas: the RACECAT randomized clinical trial. JAMA. 2022;327(18):1782-94. doi:10.1001/jama.2022.4404
Bulwa Z, Chen M. Stroke center designations, neurointerventionalist demand, and the finances of stroke thrombectomy in the United States. Neurology. 2021;97(20 Suppl 2):S17-24. doi:10.1212/wnl.0000000000012780
Nogueira RG, Jadhav AP, Haussen DC, et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med. 2018;378(1):11-21. doi:10.1056/nejmoa1706442
Albers GW, Marks MP, Kemp S, et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med. 2018;378(8):708-18. doi:10.1056/NEJMoa1713973
Tao C, Nogueira RG, Zhu Y, et al. Trial of endovascular treatment of acute basilar-artery occlusion. N Engl J Med. 2022;387(15):1361-72. doi:10.1056/nejmoa2206317
Jovin TG, Li C, Wu L, et al. Trial of thrombectomy 6 to 24 hours after stroke due to basilar-artery occlusion. N Engl J Med. 2022;387(15):1373-84. doi:10.1056/NEJMoa2207576
Gonzalez NR, Khatri P, Albers GW, et al. Large-core ischemic stroke endovascular treatment: a science advisory from the American Heart Association. Stroke. 2025;56(2):e87-97. doi:10.1161/str.0000000000000481
Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50(12):e344-418. doi:10.1161/str.0000000000000211
Hoh BL, Ko NU, Amin-Hanjani S, et al. 2023 Guideline for the Management of Patients with Aneurysmal Subarachnoid Hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2023;54(7):e314-70. doi:10.1161/str.0000000000000436
Fargen KM, Soriano-Baron HE, Rushing JT, et al. A survey of intracranial aneurysm treatment practices among United States physicians. J N Surg. 2018;10(1):44-9. doi:10.1136/neurintsurg-2016-012808
Yaghi S, de Havenon A, Rostanski S, et al. Carotid stenosis and recurrent ischemic stroke: a post-hoc analysis of the POINT trial. Stroke. 2021;52(7):2414-7. doi:10.1161/strokeaha.121.034089
Heck D, Jost A. Carotid stenosis, stroke, and carotid artery revascularization. Prog Cardiovasc Dis. 2021;65:49-54. doi:10.1016/j.pcad.2021.03.005
Messas E, Goudot G, Halliday A, et al. Management of carotid stenosis for primary and secondary prevention of stroke: state-of-the-art 2020: a critical review. Eur Heart J Suppl. 2020;22(Suppl M):M35-42. doi:10.1093/eurheartj/suaa162
Chapot R, Stracke P, Velasco A, et al. The pressure cooker technique for the treatment of brain AVMs. J Neuroradiol. 2014;41(1):87-91. doi:10.1016/j.neurad.2013.10.001
Vollherbst DF, Chapot R, Bendszus M, et al. Glue, Onyx, Squid or PHIL? Liquid embolic agents for the embolization of cerebral arteriovenous malformations and dural arteriovenous fistulas. Clin Neuroradiol. 2022;32(1):25-38. doi:10.1007/s00062-021-01066-6
Chen CJ, Ding D, Derdeyn CP, et al. Brain arteriovenous malformations: a review of natural history, pathobiology, and interventions. Neurology. 2020;95(20):917-27. doi:10.1212/wnl.0000000000010968
Soldozy S, Norat P, Yağmurlu K, et al. Arteriovenous malformation presenting with epilepsy: a multimodal approach to diagnosis and treatment. Neurosurg Focus. 2020;48(4):E17. doi:10.3171/2020.1.focus19899
Ducruet AF, Crowley RW, McDougall CG, et al. Endovascular management of spinal arteriovenous malformations. J Neurointerv Surg. 2013;5(6):605-11. doi:10.1136/neurintsurg-2012-010487
Serulle Y, Miller TR, Gandhi D. Dural arteriovenous fistulae: imaging and management. Neuroimag Clin N Am. 2016;26(2):247-58. doi:10.1016/j.nic.2015.12.003
Alkhaibary A, Alnefaie N, Alharbi A, et al. Intracranial dural arteriovenous fistula: a comprehensive review of the history, management, and future prospective. Acta Neurol Belg. 2023;123(2):359-66. doi:10.1007/s13760-022-02133-6
Zamponi JO, Trivelato FP, Rezende MT, et al. Transarterial treatment of cranial dural arteriovenous fistulas: the role of transarterial and transvenous balloon-assisted embolization. Am J Neuroradiol. 2020;41(11):2100-6. doi:10.3174/ajnr.a6777
Ahmad S. Endovascular embolization of highly vascular head and neck tumors. Interdiscip Neurosurg. 2020;19:100386. doi:10.1016/j.inat.2018.10.016
Liu J, Ni W, Zuo Q, et al. Middle meningeal artery embolization for nonacute subdural hematoma. N Engl J Med. 2024;391(20):1901-12. doi:10.1056/NEJMoa2401201
Davies JM, Knopman J, Mokin M, et al. Adjunctive middle meningeal artery embolization for subdural hematoma. N Engl J Med. 2024;391(20):1890-900. doi:10.1056/NEJMoa2313472
Fiorella D, Monteith SJ, Hanel R, et al. Embolization of the middle meningeal artery for chronic subdural hematoma. N Engl J Med. 2025;392(9):855-64. doi:10.1056/nejmoa2409845
Reyes-Carmona J, Salazar-Olmedo D, Vargas-Román A. Tumor de glomus yugulotimpánico, a propósito de un caso. Acta Méd Costarric [Internet]. 2020;62(1):43-6. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022020000100043&lng=en&nrm=iso&tlng=es
Jumah F, AbuRmilah A, Raju B, et al. Does preoperative embolization improve outcomes of meningioma resection? A systematic review and meta-analysis. Neurosurg Rev. 2021;44:3151-63. doi:10.1007/s10143-021-01519-z
Starke RM, Snelling B, Al-Mufti F, et al. Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee. J Neurointerv Surg. 2020;12(8):733-41. doi:10.1136/neurintsurg-2019-015573
Maeda Y, Mitsuhara T, Kume S, et al. Assessment of intraoperative spinal angiography via the popliteal artery for spinal vascular diseases. World Neurosurg. 2023;169:1-8. doi:10.1016/j.wneu.2022.10.040
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Derechos de autor 2026 Charles Huamaní, Alonso Gutiérrez-Romero, Diego López-Mena, Arturo Miguel Rosales-Amaya, Yolanda Aburto-Murrieta
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
