Innovación en cardiología intervencionista

Penumbra Indigo Lightning 12, catéter de aspiración de trombos

Dr. José R. Rumoroso

13/05/2024

El sistema Indigo Lightning 12 (Penumbra, Estados Unidos) está diseñado para la eliminación de trombos venosos como primera intención y para el tratamiento de la embolia pulmonar.

Básicamente dispone de cuatro componentes: el catéter de aspiración Lightning 12, el separador 12, el motor Penumbra y el tubo de aspiración Lightning.

Se trata de un sistema de trombectomía aspirativa mediante un motor que genera un vacío profundo y continuo asistido por un ordenador con un microprocesador. El microprocesador lleva incorporado un algoritmo patentado para la detección y eliminación de trombos, que condiciona un control automático de válvulas y señales audiovisuales, ayudando al operador a identificar la ubicación del trombo. De esta manera selectiva minimiza la pérdida de sangre en la aspiración del trombo.

El catéter Lightning 12, de 12 F y 110 cm de longitud es atraumático, está hecho de un hipotubo de acero inoxidable con una luz grande y una punta suave. Dispone de dos tipos de puntas, separador 12, para maximizar la extracción de coágulos y optimizar su navegabilidad en la arteria pulmonar principal, las arterias lobares y las arterias pulmonares segmentarias para maximizar la extracción de trombos y reducir potencialmente la necesidad de agentes líticos complementarios.

Sin duda es una forma muy eficaz e inteligente de extracción de grandes trombos, que preserva la volemia del paciente.

Palabras clave: embolia pulmonar, aspiración de trombos.

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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`333μs3.97KBParams/libraries/src/Categories/Categories.php:375Copy
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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)326μs8.73KBParams/components/com_content/src/Model/ArticleModel.php:215Copy
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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`369μs3.97KBParams/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.id268μs1.48KB/plugins/system/rereplacer/src/Items.php:97Copy
SELECT `language`,`id` FROM `yzfp0_menu` WHERE `home` = '1' AND `published` = 1 AND `client_id` = 0233μs624B/libraries/src/Language/Multilanguage.php:123Copy
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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 <= '2025-11-04 23:29:26') AND (c2.publish_down IS NULL OR c2.publish_down >= '2025-11-04 23:29:26') AND c2.state = 1231μs1.47KBParams/libraries/src/Language/Associations.php:145Copy
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`1.56ms212.34KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
SELECT `a`.`menutype`,`a`.`title` FROM `yzfp0_menu_types` AS `a` WHERE `a`.`client_id` = 0148μs1KB/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.lft315μs1.61KB/libraries/gantry5/src/classes/Gantry/Framework/Menu.php:791Copy
SHOW FULL COLUMNS FROM `yzfp0_content`314μs1.77KB/libraries/vendor/joomla/database/src/Mysqli/MysqliDriver.php:539Copy
SELECT field.name,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/penumbra-indigo-lightning-12-cateter-de-aspiracion-de-trombos?cpnb_method=cpnbCookiesDeclined&dt=1724630400121\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'239μs33.81KB/plugins/system/articlesanywhere/src/Database.php:125Copy
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SELECT category.id,'https://recintervcardiol.org/es/innovacion-en-cardiologia-intervencionista/penumbra-indigo-lightning-12-cateter-de-aspiracion-de-trombos?cpnb_method=cpnbCookiesDeclined&dt=1724630400121\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.id297μs592B/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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