Innovación en cardiología intervencionista

Dr. José R. Rumoroso

06/02/2020

Guía de angioplastia Sion Black preformada

El procedimiento BASILICA (Bioprosthetic Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction) es el rasgado intencionado del velo valvular izquierdo de las bioprótesis degeneradas en posición aórtica cuando existe riesgo de oclusión coronaria al implantar una válvula percutánea valve-in-valve.

Para localizar el lugar por donde se atraviesa el velo valvular se usan catéteres guía tipo Amplatz izquierdo (AL) en diversas curvas o Extra Back Up (EBU), en ocasiones telescopados con un catéter de arteria mamaria en su interior. El catéter guía Paquidermo1 tiene una curva que reproduce la forma de los catéteres Amplatz izquierdo y de arteria mamaria juntos.

Paquidermo, que en breve tendrán marca CE, ahorrarán tiempo en la intervención de forma significativa, reduciendo la manipulación y mejorando la eficacia del procedimiento.

BIBLIGORAFÍA

1.. JC Lisko, VC Babaliaros, RJ Lederman, et al. Pachyderm-Shape Gudiding Catheters to Simplify BASILICA Leaflet Traversal. Cardiovasc Revasc Med 2019; 20: 782-785.

Palabras clave: implante de válvula aórtica percutánea, BASILICA, prótesis aórtica degenerada, válcula en válvula. Keywords Percutaneous aortic valve implantation, BASILICA, degenerated aortic prosthesis, valve in valve.

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SELECT `id`,`home`,`template`,`s`.`params`,`inheritable`,`parent` FROM `yzfp0_template_styles` AS `s` LEFT JOIN `yzfp0_extensions` AS `e` ON `e`.`element` = `s`.`template` AND `e`.`type` = 'template' AND `e`.`client_id` = `s`.`client_id` WHERE `s`.`client_id` = 0 AND `e`.`enabled` = 1253μs1.23KB/administrator/components/com_templates/src/Model/StyleModel.php:718Copy
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SELECT `id`,`name`,`rules`,`parent_id` FROM `yzfp0_assets` WHERE `name` IN (:preparedArray1,:preparedArray2,:preparedArray3,:preparedArray4,:preparedArray5,:preparedArray6,:preparedArray7,:preparedArray8,:preparedArray9,:preparedArray10,:preparedArray11,:preparedArray12,:preparedArray13,:preparedArray14,:preparedArray15,:preparedArray16,:preparedArray17,:preparedArray18,:preparedArray19,:preparedArray20,:preparedArray21,:preparedArray22,:preparedArray23,:preparedArray24,:preparedArray25,:preparedArray26,:preparedArray27,:preparedArray28,:preparedArray29,:preparedArray30,:preparedArray31,:preparedArray32,:preparedArray33,:preparedArray34,:preparedArray35,:preparedArray36,:preparedArray37,:preparedArray38,:preparedArray39,:preparedArray40,:preparedArray41,:preparedArray42,:preparedArray43,:preparedArray44,:preparedArray45)424μs7.81KBParams/libraries/src/Access/Access.php:357Copy
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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`,`a`.`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`,`fp`.`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`, 1) AS `rating`,`v`.`rating_count` AS `rating_count` FROM `yzfp0_content` AS `a` INNER JOIN `yzfp0_categories` AS `c` ON `c`.`id` = `a`.`catid` LEFT JOIN `yzfp0_content_frontpage` AS `fp` ON `fp`.`content_id` = `a`.`id` 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 `a`.`id` = `v`.`content_id` WHERE ( (`a`.`id` = :pk AND `c`.`published` > 0 AND `a`.`language` IN (:preparedArray1,:preparedArray2)) AND (`a`.`publish_up` IS NULL OR `a`.`publish_up` <= :publishUp)) AND (`a`.`publish_down` IS NULL OR `a`.`publish_down` >= :publishDown) AND `a`.`state` IN (:preparedArray3,:preparedArray4)258μs6.19KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
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SELECT `m`.`tag_id`,`t`.* FROM `yzfp0_contentitem_tag_map` AS `m` INNER JOIN `yzfp0_tags` AS `t` ON `m`.`tag_id` = `t`.`id` WHERE `m`.`type_alias` = :contentType AND `m`.`content_item_id` = :id AND `t`.`published` = 1 AND `t`.`access` IN (:preparedArray1,:preparedArray2)319μs3.98KBParams/libraries/src/Helper/TagsHelper.php:388Copy
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SELECT DISTINCT a.id, a.title, a.name, a.checked_out, a.checked_out_time, a.note, a.state, a.access, a.created_time, a.created_user_id, a.ordering, a.language, a.fieldparams, a.params, a.type, a.default_value, a.context, a.group_id, a.label, a.description, a.required, a.only_use_in_subform,l.title AS language_title, l.image AS language_image,uc.name AS editor,ag.title AS access_level,ua.name AS author_name,g.title AS group_title, g.access as group_access, g.state AS group_state, g.note as group_note FROM yzfp0_fields AS a LEFT JOIN `yzfp0_languages` AS l ON l.lang_code = a.language LEFT JOIN yzfp0_users AS uc ON uc.id=a.checked_out LEFT JOIN yzfp0_viewlevels AS ag ON ag.id = a.access LEFT JOIN yzfp0_users AS ua ON ua.id = a.created_user_id LEFT JOIN yzfp0_fields_groups AS g ON g.id = a.group_id LEFT JOIN `yzfp0_fields_categories` AS fc ON fc.field_id = a.id WHERE ( (`a`.`context` = :context AND (`fc`.`category_id` IS NULL OR `fc`.`category_id` IN (:preparedArray1,:preparedArray2)) AND `a`.`access` IN (:preparedArray3,:preparedArray4)) AND (`a`.`group_id` = 0 OR `g`.`access` IN (:preparedArray5,:preparedArray6)) AND `a`.`state` = :state) AND (`a`.`group_id` = 0 OR `g`.`state` = :gstate) AND `a`.`only_use_in_subform` = :only_use_in_subform AND `a`.`language` IN (:preparedArray7,:preparedArray8) ORDER BY a.ordering ASC1ms53.69KBParams/libraries/src/MVC/Model/BaseDatabaseModel.php:164Copy
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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

Innovación en cardiología intervencionista

Guía de angioplastia Sion Black preformada

BIBLIGORAFÍA

Braidin L, de APT Medical: introductores vasculares de larga longitud

Flowguide, de IMDS, un extensor de catéter guía con orificios de perfusión

Guidion Short, extensor de catéter guía de IMDS diseñado para el tratamiento de la oclusión coronaria total

Stent liberador de fármacos ELuNIR-PERL, de Medinol

Penumbra Indigo Lightning 12, catéter de aspiración de trombos

Freesolve de Biotronik, el nuevo andamiaje metálico reabsorbible de última generación

Guía de angioplastia coronaria Rotawire Drive, de Boston Scientific

Guía de angioplastia coronaria Gaia Next, de Asahi Intecc

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