Editorial

Suplemento Extraordinario sobre Oclusión Total Crónica

Dr. Gustavo Pedernera

ICBA - Instituto Cardiovascular de Buenos Aires, Argentina; Comité editor del Boletín ProEducar SOLACI, Argentina , CIUDAD DE BUENOS AIRES

Estimados amigos:

 

Nos complace mucho presentar un nuevo número del Boletín ProEducar, dedicado al tratamiento de las oclusiones totales crónicas coronarias.

 

El continuo progreso en el desarrollo e innovación de materiales dedicados y diferentes técnicas de revascularización, plantean un gran desafío para los intervencionistas actualmente, en términos de lograr aumentar la tasa de éxito.

 

A lo largo de este boletín iremos recorriendo desde las indicaciones de revascularización hasta complejas técnicas de revascularización.

 

Los Dres. Mario Araya y Christian Backhouse Q. nos resumen las indicaciones actuales de revascularización y el Dr. Marcelo Abud comentará uno de los últimos artículos sobre la evidencia actual, y los beneficios de la ATC a OTC.

 

El enfoque técnico incluye la implementación de evaluación con el algoritmo Híbrido, a cargo de los Dres. Antonio Carlos Botelho y Alexandre Schaan de Quadros, el abordaje anterógrado con escalamiento de cuerdas por el Dr. Carlos Uribe y Mauricio Zuñiga, disección y reentrada por el Dr. Ricardo Santiago y abordaje retrógrado por el Dr. João Tinoco de Paula. Estas técnicas serán ilustradas con un caso clínico muy desafiante con excelente resolución, a cargo del Dr. Andrés Navarro.

 

Posteriormente, el Dr. De La Torre nos resumirá las complicaciones eventuales y su manejo.

 

Finalizaremos con una entrevista al Dr. Lucio Padilla sobre puntos fundamentales en el inicio de un programa de revascularización de OTC y perspectivas futuras en Latinoamérica.

 

Creemos que esta información es un aporte al estudio y aprendizaje de la técnica de angioplastia a oclusiones totales crónicas coronarias. Desde los primeros pasos con la implementación de un programa de OTC que requiere de una amplia infraestructura constituida por: operadores dedicados que tengan la libertad para desarrollar sus habilidades y aprender nuevas técnicas; laboratorios de cateterismo capaces de brindar los recursos materiales y soportar el tiempo procesal de estos tratamientos complejos; equipos de trabajo que consten de enfermeras/os, técnicos radiólogos, cuidados intensivos, cuidados posteriores al procedimiento y cuestiones periprocesales, como la exposición a la radiación y la dosis de contraste, entrenamiento en complejas técnicas de revascularización, generando la correcta discusión en grupos de la especialidad para la mejor selección y tratamiento de nuestros pacientes.

 

Así mismo, inspire a participar en programas referentes al tratamiento de OTC que tengan como objetivo mejorar el entrenamiento de médicos operadores y el tratamiento de este subgrupo desafiante de pacientes en Latinoamérica.

 

Les deseo una buena lectura.

 

Dr. Gustavo Pedernera

Staff de Cardiología Intervencionista
Instituto Cardiovascular (ICBA), Argentina

Comité editor del Boletín ProEducar SOLACI

En esta edición

Artículo de Revision

Indicaciones actuales de revascularización de OTC

Dr. Mario Araya Hormazábal
Paso a Paso

Técnicas de Abordaje de una OTC

Dr. Alexandre Schaan de Quadros
Paso a Paso

1- Algoritmo Híbrido

Dr. Alexandre Schaan de Quadros
Paso a Paso

2- Abordaje Anterógrado con Escalamiento de Guías

Dr. Carlos Esteban Uribe
Paso a Paso

3- Disección Subintimal Anterógrada con Reentrada

Dr. Ricardo Santiago Trinidad
Paso a Paso

5- Abordaje Retrógrado

Dr. João Eduardo Tinoco de Paula
Paso a Paso

6- Manejo de complicaciones en el abordaje de OTC

Dr. José De la Torre A
Entrevista con los Expertos

Situación de la revascularización de OTC en Latinoamérica

Dr. Lucio Padilla
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