Innovación en cardiología intervencionista

Dr. José R. Rumoroso

05/05/2020

Balón de valvuloplastia True Flow

La valvuloplastia aórtica con balón exige la estimulación cardiaca rápida mediante marcapasos para evitar que el globo se mueva durante el inflado y pueda causar daño en los velos o incluso en el anillo al deslizarse de forma incontrolada. Por otra parte, cuando hacemos una valvuloplastia, el inflado del balón (que dura 5 s aproximadamente) provoca la obstrucción del flujo en el tracto de salida del ventrículo izquierdo e isquemia, que en algunos enfermos puede condicionar un deterioro importante de su situación hemodinámica.

True Flow (Bard, EEUU) es un balón de valvuloplastia que permite el flujo a su través mientras está inflado. Su recubrimiento exterior está compuesto por un tejido de fibras que evita el deslizamiento del balón al abrirse sobre los velos valvulares, por lo que no se necesita estimular el corazón con marcapasos. Este tejido esta formado por poliuretano de alto peso molecular, poliéster y fibras de aramida (componente estructural del Kevlar) que posee una baja distensibilidad y alta resistencia a la rotura. El interior del balón tiene 8 globos de pequeño diámetro en el perímetro del balón principal, y deja un espacio entre ellos por donde fluye la sangre. El dispositivo mide 3,5 cm de largo y está disponible en seis tamaños, con diámetros que van de los 18 a los 26 mm. Los más pequeños son compatibles con un introductor de 11 French y el más grande con introductor de 16 French.

Este tipo de balón permite realizar la valvuloplastia durante 60 s o incluso más sin estimulación rápida, con una disminución de 1/3 de la presión media aórtica durante el inflado, lo que garantiza reducciones del 50% en el gradiente aórtico. Algo de gran utilidad cuando los enfermos tienen una disfunción grave.

Palabras clave: valvuloplastia aórtica, balón de valvuloplastia. Keywords: aortic valvuloplasty, valvuloplasty balloon.

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SELECT a.id,a.asset_id,a.title,a.alias,a.introtext,a.fulltext,a.state,a.catid,a.created,a.created_by,a.created_by_alias,CASE WHEN a.modified = '0000-00-00 00:00:00' THEN a.created ELSE a.modified END as modified,a.modified_by,a.checked_out,a.checked_out_time,a.publish_up,a.publish_down,a.images,a.urls,a.attribs,a.version,a.ordering,a.metakey,a.metadesc,a.access,a.hits,a.metadata,a.featured,a.language,`fp`.`featured_up`,`fp`.`featured_down`,`c`.`title` AS `category_title`,`c`.`alias` AS `category_alias`,`c`.`access` AS `category_access`,`c`.`language` AS `category_language`,`c`.`lft` AS `category_lft`,`c`.`lft` AS `category_ordering`,`u`.`name` AS `author`,`parent`.`title` AS `parent_title`,`parent`.`id` AS `parent_id`,`parent`.`path` AS `parent_route`,`parent`.`alias` AS `parent_alias`,`parent`.`language` AS `parent_language`,ROUND(v.rating_sum / v.rating_count, 0) AS rating,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_users` AS `u` ON `u`.`id` = `a`.`created_by` LEFT JOIN `yzfp0_categories` AS `parent` ON `parent`.`id` = `c`.`parent_id` LEFT JOIN `yzfp0_content_rating` AS `v` ON `v`.`content_id` = `a`.`id` WHERE `a`.`id` = 2237 AND `c`.`published` > 0 AND (`a`.`state` = 1 AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= '2025-10-09 02:24:56') AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` = '0000-00-00 00:00:00' OR `a`.`publish_down` > '2025-10-09 02:24:56'))364μs5.3KB/libraries/regularlabs/src/Article.php:101Copy
SELECT c.id FROM yzfp0_content AS c LEFT JOIN yzfp0_contentitem_tag_map AS tm ON c.id = tm.content_item_id WHERE tm.tag_id IS NULL AND c.language = 'es-ES' AND c.created > (SELECT created FROM yzfp0_content WHERE id = 360) ORDER BY c.created ASC LIMIT 136.97ms536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:168Copy
SELECT c.id FROM yzfp0_content AS c LEFT JOIN yzfp0_contentitem_tag_map AS tm ON c.id = tm.content_item_id WHERE tm.tag_id IS NULL AND c.language = 'es-ES' AND c.created < (SELECT created FROM yzfp0_content WHERE id = 360) ORDER BY c.created DESC LIMIT 114.46ms536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:168Copy
SELECT `catid`,`alias`,`language` FROM `yzfp0_content` WHERE `id` = '359'141μs656B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:227Copy
SELECT `alias` FROM `yzfp0_categories` WHERE `id` = '20'155μs536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:239Copy
SELECT `catid`,`alias`,`language` FROM `yzfp0_content` WHERE `id` = '361'125μs656B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:227Copy
SELECT `alias` FROM `yzfp0_categories` WHERE `id` = '20'147μs536B/plugins/content/dms3articlenavigation/dms3articlenavigation.php:239Copy
SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`480μs3.97KBParams/libraries/src/Categories/Categories.php:375Copy
SELECT r.* FROM yzfp0_rereplacer AS r WHERE r.published = 1 AND (r.area = 'component' OR r.params LIKE '%\"use_xml\":\"1\"%') ORDER BY r.ordering, r.id380μs1.48KB/plugins/system/rereplacer/src/Items.php:97Copy
SELECT `language`,`id` FROM `yzfp0_menu` WHERE `home` = '1' AND `published` = 1 AND `client_id` = 0373μs624B/libraries/src/Language/Multilanguage.php:123Copy
SELECT `alias`,`catid` FROM yzfp0_content WHERE `id` = :key138μs1.37KBParams/libraries/src/Component/Router/Rules/PreprocessRules.php:123Copy
SELECT `c2`.`language`,CONCAT_WS(':', `c2`.`id`, `c2`.`alias`) AS `id`,CONCAT_WS(':', `ca`.`id`, `ca`.`alias`) AS `catid` FROM `yzfp0_content` AS `c` INNER JOIN `yzfp0_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `yzfp0_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `yzfp0_content` AS `c2` ON `a2`.`id` = `c2`.`id` INNER JOIN `yzfp0_categories` AS `ca` ON `c2`.`catid` = `ca`.`id` AND `ca`.`extension` = :extension2 WHERE `c`.`id` = :id AND c2.access IN (1,5) AND c2.language != 'es-ES' AND (c2.publish_up IS NULL OR c2.publish_up <= '2025-10-09 02:24:56') AND (c2.publish_down IS NULL OR c2.publish_down >= '2025-10-09 02:24:56') AND c2.state = 1368μs1.48KBParams/libraries/src/Language/Associations.php:145Copy
SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `yzfp0_categories` AS `s` INNER JOIN `yzfp0_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray3,:preparedArray4)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1,:preparedArray2) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`412μs3.97KBParams/libraries/src/Categories/Categories.php:375Copy
SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `yzfp0_modules` AS `m` LEFT JOIN `yzfp0_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `yzfp0_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1,:preparedArray2)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray3,:preparedArray4) ORDER BY `m`.`position`,`m`.`ordering`2.09ms211.84KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
SELECT `a`.`menutype`,`a`.`title` FROM `yzfp0_menu_types` AS `a` WHERE `a`.`client_id` = 0182μs1KB/libraries/gantry5/src/classes/Gantry/Framework/Menu.php:138Copy
SELECT m.id, m.alias, m.path AS route, m.level, m.parent_id FROM yzfp0_menu AS m WHERE m.menutype = 'menu-es-new' AND m.parent_id > 0 AND m.client_id = 0 AND m.published >= 0 ORDER BY m.lft477μs1.61KB/libraries/gantry5/src/classes/Gantry/Framework/Menu.php:791Copy
SHOW FULL COLUMNS FROM `yzfp0_content`479μs1.77KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:539Copy
SELECT field.name,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[786] RegularLabs.Plugin.System.ArticlesAnywhere.DataGroups.Field.getFieldNames\n[781] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_fields` AS `field` WHERE field.context = 'com_content.article'363μs17.81KB/plugins/system/articlesanywhere/src/Database.php:125Copy
SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[838] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[888] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 360 LIMIT 1199μs704B/plugins/system/articlesanywhere/src/Database.php:125Copy
SELECT category.id,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[280] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getUnpublishedCategoryIds\n[728] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_categories` AS `category` LEFT JOIN `yzfp0_categories` AS `parent` ON `category`.`parent_id` = `parent`.`id` WHERE `category`.`extension` = 'com_content' AND (`category`.`published` IN (0,-1,-2) OR `parent`.`published` IN (0,-1,-2)) GROUP BY category.id303μs592B/plugins/system/articlesanywhere/src/Database.php:125Copy
SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[900] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getArticleIdsByFilters\n[346] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE ((`article`.`state` = 1 AND (`article`.`publish_up` IS NULL OR `article`.`publish_up` <= '2025-10-09 02:24:56') AND (`article`.`publish_down` IS NULL OR `article`.`publish_down` = '0000-00-00 00:00:00' OR `article`.`publish_down` > '2025-10-09 02:24:56')) AND `article`.`access` IN (1,5) AND `article`.`language` IN ('es-ES','*')) AND `article`.`id` = 360 AND `article`.`catid` != 121 ORDER BY FIELD(article.id, 360)174μs592B/plugins/system/articlesanywhere/src/Database.php:125Copy
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SELECT `alias`,`catid` FROM yzfp0_content WHERE `id` = :key200μs1.37KBParams/libraries/src/Component/Router/Rules/PreprocessRules.php:123Copy
SELECT `article`.`id` AS `article.id`,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[838] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[888] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 360 LIMIT 1162μs592B/plugins/system/articlesanywhere/src/Database.php:125Copy
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SELECT cat.id AS id FROM yzfp0_categories AS cat LEFT JOIN yzfp0_categories AS parent ON cat.lft BETWEEN parent.lft AND parent.rgt WHERE parent.extension = 'com_content' AND parent.published != 1 AND cat.published < 1 GROUP BY cat.id330μs536B/libraries/gantry5/src/classes/Gantry/Joomla/Category/CategoryFinder.php:205Copy
SELECT a.id FROM yzfp0_categories AS a WHERE `a`.`id` IN (20) AND `a`.`extension` = 'com_content' AND `a`.`id` NOT IN (121) AND `a`.`access` IN (1,5) AND `a`.`published` IN (1) AND `a`.`language` IN ('es-ES','*')167μs11.52KB/libraries/gantry5/src/classes/Gantry/Joomla/Object/Finder.php:203Copy
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SELECT a.* FROM yzfp0_categories AS a WHERE id IN (20) ORDER BY lft225μs3KB/libraries/gantry5/src/classes/Gantry/Joomla/Object/AbstractObject.php:548Copy
SELECT COUNT(*) FROM yzfp0_content AS a INNER JOIN yzfp0_categories AS c ON c.id = a.catid WHERE `a`.`catid` NOT IN (121) AND ((a.publish_up IN ('0000-00-00 00:00:00', '1000-01-01 00:00:00') OR a.publish_up IS NULL) OR a.publish_up <= '2025-10-09 02:24:56') AND ((a.publish_down IN ('0000-00-00 00:00:00', '1000-01-01 00:00:00') OR a.publish_down IS NULL) OR a.publish_down >= '2025-10-09 02:24:56') AND a.state >= 1 AND `a`.`access` IN (1,5) AND `c`.`access` IN (1,5) AND `a`.`state` IN (1) AND `a`.`language` IN ('es-ES','*') AND `a`.`catid` IN (20) ORDER BY a.`publish_up` DESC524μs536B/libraries/gantry5/src/classes/Gantry/Joomla/Object/Finder.php:222Copy
SELECT a.id FROM yzfp0_content AS a INNER JOIN yzfp0_categories AS c ON c.id = a.catid WHERE `a`.`catid` NOT IN (121) AND ((a.publish_up IN ('0000-00-00 00:00:00', '1000-01-01 00:00:00') OR a.publish_up IS NULL) OR a.publish_up <= '2025-10-09 02:24:56') AND ((a.publish_down IN ('0000-00-00 00:00:00', '1000-01-01 00:00:00') OR a.publish_down IS NULL) OR a.publish_down >= '2025-10-09 02:24:56') AND a.state >= 1 AND `a`.`access` IN (1,5) AND `c`.`access` IN (1,5) AND `a`.`state` IN (1) AND `a`.`language` IN ('es-ES','*') AND `a`.`catid` IN (20) ORDER BY a.`publish_up` DESC LIMIT 8409μs648B/libraries/gantry5/src/classes/Gantry/Joomla/Object/Finder.php:203Copy
SELECT a.* FROM yzfp0_content AS a WHERE id IN (2637,2603,2604,1319,1285,1284,1247,1246) ORDER BY id247μs35.2KB/libraries/gantry5/src/classes/Gantry/Joomla/Object/AbstractObject.php:548Copy
SELECT `article`.`id` AS `article.id`,`article`.`catid` AS `article.catid`,`article`.`language` AS `article.language`,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/balon-de-valvuloplastia-true-flow\n[902] RegularLabs.Plugin.System.ArticlesAnywhere.Articles.getValuesByArticleIds\n[888] RegularLabs.Plugin.System.ArticlesAnywhere.Database.getResults\n[103] RegularLabs.Plugin.System.ArticlesAnywhere.Helpers.DB.__callStatic' as 'query_comment' FROM `yzfp0_content` AS `article` WHERE `article`.`id` = 360 ORDER BY `article`.`publish_up` IS NULL, CAST(`article`.`publish_up` AS CHAR(1)) = '', CAST(`article`.`publish_up` AS CHAR(10)) = '0000-00-00', CAST(`article`.`publish_up` AS SIGNED INTEGER) = 0, CAST(`article`.`publish_up` AS SIGNED INTEGER) DESC, `article`.`publish_up` DESC LIMIT 1214μs704B/plugins/system/articlesanywhere/src/Database.php:125Copy
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infoplg_system_j2xml - plgSystemJ2xml::__construct
infoplg_system_basicauth - plgSystemBasicauth::__construct
infoplg_system_basicauth - PHP_SAPI: fpm-fcgi
infoplg_system_basicauth - authorization:
infoplg_system_basicauth - plgSystemBasicauth::onAfterRoute
infoplg_system_j2xml - plgSystemJ2xml::onAfterDispatch
infoplg_system_basicauth - plgSystemBasicauth::onBeforeRender

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