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  <url>
    <loc>https://www.drlabbe.org/about</loc>
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    <lastmod>2017-05-01</lastmod>
    <image:image>
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      <image:title>Curriculum abreviado</image:title>
      <image:caption>Introducción: La atención de pacientes con re- emplazo valvular cardíaco constituye una actividad importante en cardiología. Si bien el recambio val- vular representa una alternativa terapéutica e caz para el manejo de esta patología, muchos pacientes requieren de tratamiento anticoagulante oral (TACO) para lograr mayor sobrevida. tica y mitral en 5 (3,7%), y tricúspide en 1 paciente (0,7%). No hubo casos de recambio valvular pulmonar. Se instalaron 122 válvulas mecánicas (90,4%) y 13 válvulas biológicas (9,6%). El INR promedio fue 2,64 (1,11-5,47). Según válvula intervenida el INR promedio fue: mitral 2,50 (1,11-4,89), aórtica: 2,75 (1,19-5,47), mitral y aórtica: 2,65 (1,28-3,74), y tricúspide: 1,87. Del total de cirugías valvulares, 77 (57,03%) se encontraron dentro del rango terapéutico deseado: (mitral 33/60, Aórtica 43/69 mitral y aórtica 0/5, Tricúspide: 0/1). 58 pacientes (42,97%) se en- contraron fuera del rango terapéutico deseado. Conclusión: Los resultados obtenidos en nuestro centro se encuentran por debajo de las recomenda- ciones nacionales. La di cultad por obtener mejores resultados refuerza el uso de prótesis biológicas y la implementación óptima de un policlínico de trata- miento anticoagulante (TACO). Objetivos: Describir los resultados terapéuticos obtenidos en un cohorte de pacientes sometidos a re- cambio valvular, controlados en el Hospital Regional de Antofagasta. Resultados: Se identificaron 180 pacientes con reemplazo valvular de los cuales 135 cumplieron crite- rios de inclusión. Hubo 76 mujeres (56,3%), 59 hom- bres (43,7%); la edad global promedio fue 62 años (28-90), 59 años (30-90) en las mujeres y 64 (36-81) en los hombres. La válvula intervenida fue la aórtica en 69 pacientes (51,1%), mitral en 60 (44,5%), aór-</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/58eaf98159cc687c74f799ab/1493675473910-BS517TEFJPI4IU4B195O/Captura+de+pantalla+2017-05-01+a+las+18.50.42.png</image:loc>
      <image:title>Curriculum abreviado</image:title>
      <image:caption>Introducción: El balón intraaórtico de contrapulsación (BIAC) puede utilizarse como soporte circulatorio en pacientes cuyo tratamiento definitivo no está en el hospital de ingreso y es necesario hacer un traslado pensando en el mejor resultado final para el paciente. No existen reportes nacionales de este tipo de traslado Presentación del caso: Paciente mujer de 62 años con múltiples antecedentes mórbidos fue trasladada desde Tocopilla al Hospital Regional de Antofagasta (HRA), consultando por cuadro de disnea progresiva y dolor en hemiabdomen superior de 72 horas de evolución. Se planteó un síndrome coronario agudo y se solicitó coronariografía que reveló una estenosis de la arteria descendente anterior en su 1/3 medio en un 80%. Se realizó una angioplastía con Stent DES. Al llegar a UCI destaca soplo pansistólico en foco mitral solicitándose ecocardiograma Doppler Color que mostró una comunicación interventricular (CIV) (Figura 1). Se instaló un balón de contrapulsación intra aórtico (Figura 2) y se plani có el traslado aéreo al Hospital Gustavo Fricke (HGF) que se efectuó sin incidentes (Figura 3). Tres días después se cerró la CIV manteniendo el balón de contrapulsación intra aórtico. Un ecocardiograma de control mostró una CIV residual de 0,7 mm y la evolución clínica posterior fue satisfactoria. Al 13er día post operación se constató una infección de la herida operatoria. Se trató con an- tibióticoterapia y aseo quirúrgico en 4 oportunidades, evolucionando satisfactoriamente. Se trasladó de regreso al Hospital de Antofagasta sin complicaciones y finalmente se dio de alta.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/58eaf98159cc687c74f799ab/1493674827574-9OYDTHUWGL3KOF299FA0/Captura+de+pantalla+2017-05-01+a+las+18.34.10.png</image:loc>
      <image:title>Curriculum abreviado</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/58eaf98159cc687c74f799ab/1493675844923-05EK1K9ZXJLXF66ENJ16/Captura+de+pantalla+2017-05-01+a+las+18.56.22.png</image:loc>
      <image:title>Curriculum abreviado</image:title>
      <image:caption>Resumen: El traslado aéreo con ECMO es una forma segura y e caz de trasladar pacientes para obtener mejores opciones terapéuticas. Este caso clínico ilustra la factibilidad, de este modo de apoyo al tratamiento de pacientes críticos, en este caso de una valvulopatía con indicación quirúrgica.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Curriculum abreviado</image:title>
    </image:image>
    <image:image>
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      <image:title>Curriculum abreviado</image:title>
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  </url>
  <url>
    <loc>https://www.drlabbe.org/inicio</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-11-06</lastmod>
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      <image:title>Destacado</image:title>
      <image:caption>Implante de Válvulas Sin suturas, Con Mínimo Acceso</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/58eaf98159cc687c74f799ab/1491797285632-3SXLT931DSM2CEZ72KBN/image-asset.jpeg</image:loc>
      <image:title>Destacado</image:title>
      <image:caption>Cirugia Coronaria Minima Invasiva</image:caption>
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    <image:image>
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      <image:title>Destacado</image:title>
      <image:caption>MINI ESTERNOTOMIA</image:caption>
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    <image:image>
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      <image:title>Destacado</image:title>
      <image:caption>Aprovecha tu tiempo Un correcto diagnóstico significa un mejor tratamiento.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Destacado</image:title>
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      <image:title>Destacado</image:title>
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    <priority>0.75</priority>
    <lastmod>2021-10-26</lastmod>
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      <image:title>Blog</image:title>
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    <loc>https://www.drlabbe.org/blog/ff6jjzybart5wdpxsnsj2bxlf9z7tk</loc>
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    <lastmod>2021-10-26</lastmod>
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      <image:title>Blog - Estadía Coruña octubre 2021</image:title>
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      <image:title>Blog - Estadía Coruña octubre 2021</image:title>
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    <loc>https://www.drlabbe.org/blog/kkpez8eggkj6cyddctjljwntd9m4z3</loc>
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    <priority>0.5</priority>
    <lastmod>2019-07-25</lastmod>
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      <image:title>Blog - Reparación Valvular Aortica</image:title>
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      <image:title>Blog - Reparación Valvular Aortica</image:title>
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      <image:title>Blog - Reparación Valvular Aortica</image:title>
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    <lastmod>2019-06-27</lastmod>
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      <image:title>Blog - Disección de Arco y Aorta Descendente</image:title>
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      <image:title>Blog - Disección de Arco y Aorta Descendente</image:title>
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      <image:title>Blog - Disección de Arco y Aorta Descendente</image:title>
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      <image:title>Blog - Disección de Arco y Aorta Descendente</image:title>
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      <image:title>Blog - Disección de Arco y Aorta Descendente</image:title>
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  <url>
    <loc>https://www.drlabbe.org/blog/adzmwnpepsnc46grlfma6sjpa6ftbe</loc>
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    <lastmod>2019-05-18</lastmod>
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      <image:title>Blog - Nuevo curso de aorta</image:title>
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  <url>
    <loc>https://www.drlabbe.org/blog/4egkmdtfxsdbjsjglbw5r3smxf5kpd</loc>
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    <lastmod>2019-07-25</lastmod>
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      <image:title>Blog - Disección aortica aguda.</image:title>
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      <image:title>Blog - Disección aortica aguda.</image:title>
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      <image:title>Blog - Disección aortica aguda.</image:title>
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  <url>
    <loc>https://www.drlabbe.org/blog/e6webkfgnhggg4k3mpgg334xrem33a</loc>
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    <lastmod>2019-04-04</lastmod>
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  <url>
    <loc>https://www.drlabbe.org/blog/tt25x98ew2dt9drfj7yny3zye3tf3e</loc>
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    <lastmod>2019-07-25</lastmod>
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      <image:title>Blog - Manejo de aneurisma de aorta ascendente e insuficiencia aortica severa</image:title>
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      <image:title>Blog - Manejo de aneurisma de aorta ascendente e insuficiencia aortica severa</image:title>
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      <image:title>Blog - Manejo de aneurisma de aorta ascendente e insuficiencia aortica severa</image:title>
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      <image:title>Blog - Manejo de aneurisma de aorta ascendente e insuficiencia aortica severa</image:title>
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  <url>
    <loc>https://www.drlabbe.org/blog/cma52r3n42mmj3jrjd2n85p77rjgxm</loc>
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    <lastmod>2019-03-28</lastmod>
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  <url>
    <loc>https://www.drlabbe.org/blog/6t3smj25n8lr9kxp9x5rwc9dpb8ezl</loc>
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    <lastmod>2019-03-10</lastmod>
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  <url>
    <loc>https://www.drlabbe.org/blog/rks26jj39m7tk5kzz9xzthhg6x3gsz</loc>
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    <lastmod>2019-02-21</lastmod>
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    <loc>https://www.drlabbe.org/blog/ycysgez7gsbyzfjnb9h5llcjtsy2s6</loc>
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    <lastmod>2019-03-10</lastmod>
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      <image:title>Blog - Curso en Antofagasta Marzo.</image:title>
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    <loc>https://www.drlabbe.org/blog/2zn59aa6ky5jxzh65yjtfg4xgs2cfl</loc>
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    <lastmod>2019-01-18</lastmod>
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      <image:title>Blog - Aneurisma Gigante de Arco Aortico</image:title>
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    <loc>https://www.drlabbe.org/blog/lpgj8c3y8gpej6h79fr7tfad4n5s4s</loc>
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    <priority>0.5</priority>
    <lastmod>2018-12-11</lastmod>
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      <image:title>Blog - Manejo de Aneurisma aorta ascendente más Insuficiencia Aortica severa</image:title>
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      <image:title>Blog - Manejo de Aneurisma aorta ascendente más Insuficiencia Aortica severa</image:title>
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      <image:title>Blog - Manejo de Aneurisma aorta ascendente más Insuficiencia Aortica severa</image:title>
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      <image:title>Blog - Manejo de Aneurisma aorta ascendente más Insuficiencia Aortica severa</image:title>
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    <lastmod>2018-12-22</lastmod>
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      <image:title>Blog - Filtro de Cava</image:title>
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  <url>
    <loc>https://www.drlabbe.org/blog/geshj9fmzhygwbpbjxyhj5cm84jkdl</loc>
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    <priority>0.5</priority>
    <lastmod>2018-11-17</lastmod>
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      <image:title>Blog - Manejo endovascular de úlcera aortica.</image:title>
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      <image:title>Blog - Manejo endovascular de úlcera aortica.</image:title>
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      <image:title>Blog - Manejo endovascular de úlcera aortica.</image:title>
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      <image:title>Blog - Manejo endovascular de úlcera aortica.</image:title>
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