{"id":2435,"date":"2011-02-18T13:03:02","date_gmt":"2011-02-18T13:03:02","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carpci\/"},"modified":"2025-05-14T19:08:25","modified_gmt":"2025-05-14T19:08:25","slug":"carpci","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carpci\/","title":{"rendered":"Indicaciones\u00a0y Contraindicaciones\u00a0Cl\u00ednicas\u00a0para\u00a0Intervenciones Coronarias Percut\u00e1neas\u00a0(PCI)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las intervenciones coronarias percut\u00e1neas (PCI) incluyen la angioplastia coronaria transluminal percut\u00e1nea (ACTP) con o sin colocaci\u00f3n de stents. Las indicaciones fundamentales son el tratamiento de la angina de pecho (estable o inestable), isquemia mioc\u00e1rdica, infarto agudo de miocardio (sobre todo en pacientes con shock cardiog\u00e9nico en desarrollo o establecidos).<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Indicaciones<\/span><\/strong><strong>\u00a0<span class=\"hps\">y contraindicaciones<\/span><\/strong><strong>\u00a0<span class=\"hps\">cl\u00ednicas<\/span>\u00a0<span class=\"hps\">para<\/span>\u00a0<span class=\"hps\">PCI<br \/>\n<\/span><\/strong><strong><span class=\"hps\">Indicaciones<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"hps\">Infarto<\/span>\u00a0<span class=\"hps\">agudo de<\/span>\u00a0<span class=\"hps\">miocardio con elevaci\u00f3n del<\/span>\u00a0<span class=\"hps\">ST<\/span>\u00a0<span class=\"hps atn\">(<\/span>STEMI)<\/li>\n<li><span class=\"hps\">S\u00edndrome coronario agudo sin<\/span>\u00a0<span class=\"hps\">elevaci\u00f3n del segmento ST<\/span><\/li>\n<li><span class=\"hps\">Angina estable<\/span><\/li>\n<li><span class=\"hps\">Equivalente<\/span>\u00a0<span class=\"hps\">anginoso<\/span>\u00a0<span class=\"hps atn\">(<\/span>por ejemplo,\u00a0<span class=\"hps\">disnea<\/span>,\u00a0<span class=\"hps\">arritmia<\/span>,\u00a0<span class=\"hps\">mareos\/<\/span><span class=\"hps\">s\u00edncope<\/span>)<\/li>\n<li><span class=\"hps\">Pacientes asintom\u00e1ticos<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">ligeramente<\/span>\u00a0<span class=\"hps\">sintom\u00e1ticos<\/span>\u00a0<span class=\"hps\">con pruebas objetivas de<\/span>\u00a0<span class=\"hps\">una<\/span>\u00a0<span class=\"hps\">moderada<\/span>\u00a0<span class=\"hps\">a<\/span>\u00a0<span class=\"hps\">amplia zona<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">miocardio<\/span>\u00a0<span class=\"hps\">viable <\/span><span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">isquemia moderada a<\/span>\u00a0<span class=\"hps\">severa<\/span>\u00a0<span class=\"hps\">en<\/span><span class=\"hps\">\u00a0pruebas<\/span>\u00a0<span class=\"hps\">no invasivas<\/span><\/li>\n<\/ul>\n<p><strong><span class=\"hps\">Contraindicaciones<\/span><\/strong><\/p>\n<ul>\n<li>C<span class=\"hps\">omorbilidades<\/span>\u00a0<span class=\"hps\">significativas<\/span>\u00a0<span class=\"hps atn\">(<\/span>contraindicaci\u00f3n relativa)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><span class=\"hps\">Indicaciones<\/span>\u00a0<span class=\"hps\">y contraindicaciones<\/span>\u00a0<span class=\"hps\">angiogr\u00e1ficas<\/span>\u00a0<span class=\"hps\">a<\/span>\u00a0<span class=\"hps\">PCI<br \/>\n<\/span><\/strong><strong><span class=\"hps\">Indicaciones<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"hps\">Lesi\u00f3n<\/span>\u00a0<span class=\"hps\">significativa<\/span>\u00a0h<span class=\"hps\">emodin\u00e1micamente<\/span>\u00a0<span class=\"hps\">en un<\/span>\u00a0<span class=\"hps\">vaso que irriga\u00a0<\/span><span class=\"hps\">miocardio<\/span>\u00a0<span class=\"hps\">viable<\/span>\u00a0<span class=\"hps atn\">(<\/span>di\u00e1metro del\u00a0<span class=\"hps\">vaso<\/span>\u00a0&gt;\u00a0<span class=\"hps\">1,5<\/span>\u00a0<span class=\"hps\">mm<\/span>)<\/li>\n<\/ul>\n<p><strong><span class=\"hps\">Contraindicaciones relativas<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"hps\">Estenosis en rama\u00a0<\/span><span class=\"hps\">principal<\/span>\u00a0<span class=\"hps\">izquierda<\/span>\u00a0<span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">un<\/span>\u00a0<span class=\"hps\">paciente<\/span>\u00a0<span class=\"hps\">que<\/span>\u00a0<span class=\"hps\">es<\/span>\u00a0<span class=\"hps\">candidato para cirug\u00eda<\/span><\/li>\n<li><span class=\"hps\">Arteria<\/span>\u00a0<span class=\"hps\">de peque\u00f1o calibre\u00a0<\/span><span class=\"hps\">difusamente<\/span>\u00a0<span class=\"hps\">enferma<\/span>\u00a0<span class=\"hps\">o vena<\/span>\u00a0<span class=\"hps\">de injerto<\/span><\/li>\n<li><span class=\"hps\">Otra<\/span>\u00a0<span class=\"hps\">anatom\u00eda<\/span>\u00a0<span class=\"hps\">coronaria<\/span>\u00a0<span class=\"hps\">no<\/span>\u00a0<span class=\"hps\">susceptible<\/span>\u00a0<span class=\"hps\">a intervenci\u00f3n<\/span>\u00a0<span class=\"hps\">percut\u00e1nea<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><span class=\"hps\">Bibliograf\u00eda<\/span>:<\/strong><\/p>\n<ol>\n<li>Kushner FG, Hand M, Smith SC Jr, King SB 3rd, Anderson JL, Antman EM, Bailey SR, Bates ER, Blankenship JC, Casey DE Jr, Green LA, Hochman JS, Jacobs AK, Krumholz HM, Morrison DA, Ornato JP, Pearle DL, Peterson ED, Sloan MA, Whitlow PL, Williams DO; American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines. 2009 Focused Updates: ACC\/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (updating the 2004 Guideline and 2007 Focused Update) and ACC\/AHA\/SCAI Guidelines on Percutaneous Coronary Intervention (updating the 2005 Guideline and 2007 Focused Update): a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines. Circulation. 2009 Dec 1;120(22):2271-306.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19923169\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Anderson HV, Shaw RE, Brindis RG, Klein LW, McKay CR, Kutcher MA, Krone RJ, Wolk MJ, Smith SC Jr, Weintraub WS. Relationship between procedure indications and outcomes of percutaneous coronary interventions by American College of Cardiology\/American Heart Association Task Force Guidelines. Circulation. 2005 Nov 1;112(18):2786-91.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16267252\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Feb 18, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las intervenciones coronarias percut\u00e1neas (PCI) incluyen la angioplastia coronaria transluminal percut\u00e1nea (ACTP) con o sin colocaci\u00f3n de stents. Las indicaciones fundamentales son el tratamiento de la angina de pecho (estable o inestable), isquemia mioc\u00e1rdica, infarto agudo de miocardio (sobre todo en pacientes con shock cardiog\u00e9nico en desarrollo o establecidos).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[812,490,1005,1004,1239,1238,74,73,1237,913,1236,1235,1240],"class_list":["post-2435","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-clinica","tag-clinical","tag-contraindicaciones","tag-contraindications","tag-coronaria","tag-coronary","tag-indicaciones","tag-indications","tag-intervencion","tag-intervention","tag-pci","tag-percutanea","tag-percutaneous"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2435","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2435"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2435\/revisions"}],"predecessor-version":[{"id":9339,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2435\/revisions\/9339"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2435"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2435"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2435"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}