3. • THE SUBSPECIALTY OF CARDIOLOGY THAT HAS EVOLVED THE MOST IN A VERY SHORT TIME IS
HEMODYNAMICS; IN LESS THAN THREE DECADES, IT WENT FROM A BASIC HEMODYNAMICS TO A
COMPLEX AND VERSATILE HEMODYNAMICS IN THE PRESENCE OF DRUGS, VASCULAR REACTIVITY TESTS,
COMPLEX CORONARY INTERVENTION, PERCUTANEOUS TREATMENT OF CONGENITAL, VALVE AND
STRUCTURAL DISEASES, USE OF NEW AND COMPLEX PERCUTANEOUS DEVICES, TECHNIQUES
INTRACARDIAC AND INTRAVASCULAR IMAGING.
4. • THIS EVOLUTION HAS FORCED THOSE "CLOSED" AND PRACTICALLY MYSTERIOUS HEMODYNAMIC
SERVICES IN THEIR CLINICAL PRACTICE, TODAY TO BE "OPEN" AND MULTIDISCIPLINARY AND MAKE THEM
MIGRATE TO BETTER MANAGEMENT PROTOCOLS
https://www.shaio.org/cardiologia-intervencionista-y-hemodinamia
5. • ANDRÉ COURNAND COMMENTED UPON RECEIVING THE NOBEL PRIZE IN 1956, "THE CARDIAC CATHETER
WAS' THE KEY IN THE LOCK." BY 'TURNING THIS KEY', COURNAND AND HIS COLLEAGUES HAVE USHERED IN
A NEW ERA IN UNDERSTANDING NORMAL HEART FUNCTION AND THE PATHOPHYSIOLOGY OF
CARDIOVASCULAR DISEASE IN HUMANS.
https://www.biografiasyvidas.com/biografia/c/cournand.htm
6. • SWAN AND GANZ INTRODUCED INTO CLINICAL PRACTICE A CATHETER TERMINATED IN AN INFLATABLE
BALLOON, IN WHICH THE BLOOD FLOW ALLOWS TO CARRY THE TIP TO THE PULMONARY ARTERY.
https://www.edwards.com/es/devices/hemodynamic-monitoring/swan-ganz-catheters
7. VASCULAR ACCESS
• THE TRANSAPICAL, TRANSATRIAL, TRANSAORTIC,
FEMORAL AND SUBCLAVIAN SURGICAL ACCESSES
HAVE MADE IT POSSIBLE TO STRENGTHEN TEAMWORK
AND ADVANCE THERAPEUTIC TECHNIQUES IN
CONDITIONS OF STRUCTURAL AND AORTIC DISEASES
MAINLY.
https://medlineplus.gov/spanish/ency/esp_presentations/10
0160_3.htm
8. PERCUTANEOUS CORONARY INTERVENTION
• IN 1977, GRÜENTZIG INTRODUCED THE TECHNIQUE OF PERCUTANEOUS
TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA). WITH THE RAPID
EVOLUTION OF TECHNOLOGY AND THE EXPANSION OF INDICATIONS, IN
ADDITION TO THE AVAILABILITY OF STENTS, THIS TECHNIQUE THAT
PREVIOUSLY RIVALED AND NOW HAS SURPASSED BYPASS SURGERY IN
MANY SELECTED CONDITIONS, IS TODAY CONSIDERED THE
PREDOMINANT THERAPEUTIC MODALITY FOR THE TREATMENT OF
CORONARY ARTERY DISEASE.
https://www.ecured.cu/Angioplast%C3%ADa_coronaria_translumi
nal_percut%C3%A1nea
9. • THE USE OF MEDICATED STENTS HAS REVOLUTIONIZED MYOCARDIAL REVASCULARIZATION THERAPY; ARE
PART OF DAILY CLINICAL PRACTICE AND CAN BE USED IN APPROXIMATELY 70 TO 90% OF INTERVENTIONS
https://www.quironsalud.es/blogs/es/corazon/stent-coronario https://www.asssa.es/blog-entrada/que-es-un-stent-coronario/
10. • FOR SEVERAL DECADES, DOCTORS HAVE BEEN USING BIODEGRADABLE MATERIALS IN SURGICAL PROCEDURES, THEY
HAVE PURSUED THE POSSIBILITY OF A COMPLETELY BIOABSORBABLE ENDOVASCULAR DEVICE ("SCAFFOLD") THAT
ACTS AS A SUPPORT IN THE WALL AND THAT SAFEGUARDS THE PATENCY OF THE ARTERY, AND THEN DISAPPEARS,
ALLOWING IT TO RESTORE ITS PHYSIOLOGICAL INTEGRITY.
https://www.elconfidencial.com/tecnologia/ciencia/2018-11-27/implant-files-stents-
espana_1643443/
11. PERCUTANEOUS INTERVENTION IN
CONGENITAL DISEASES
• IN 1990, MAXWELL, ALLAN, AND TYNAN WERE THE FIRST TO REPORT A FETAL AORTIC VALVULOPLASTY.
https://www.shutterstock.com/es/editorial/image-editorial/lr-consultant-mr-darryl-maxwell-professor-michael-tynan-and-consultant-dr-
lindsey-allen-guys-hospital-medical-team-who-operated-on-baby-michele-vermilio-whist-he-was-still-in-his-mothers-womb-1683510a
12. • SINCE THEN, FETAL CARDIAC INTERVENTIONS HAVE BEEN PERFORMED FOR SOME COMPLEX CONGENITAL HEART DISEASES, SUCH AS
AORTIC STENOSIS, HYPOPLASTIC LEFT HEART SYNDROME WITH INTACT SEPTUM OR HIGHLY RESTRICTIVE INTERATRIAL SEPTUM,
PULMONARY ATRESIA, AND CRITICAL PULMONARY STENOSIS WITH INTACT INTERVENTRICULAR SEPTUM.
https://www.stanfordchildrens.org/es/topic/default?id=aorticstenosisinchildr
en-90-P04868
13. • SINCE THE INTRODUCTION OF BALLOON ATRIOSEPTOSTOMY BY RASHKIND IN THE EARLY 1960S, THE
NUMBER OF TRANSCATHETER PROCEDURES IN NEWBORNS AND YOUNG INFANTS HAS STEADILY
INCREASED. TODAY A WIDE VARIETY OF INTERVENTIONAL PROCEDURES CAN BE SAFELY AND ROUTINELY
PERFORMED IN VERY YOUNG PATIENTS
https://gaz.wiki/wiki/es/Atrial_septostomy
14. PERCUTANEOUS INTERVENTION FOR VALVE
DISEASES
• AORTIC VALVE STENOSIS BALLOON-EXPANDABLE OR SELF-EXPANDING STAINLESS STEEL NITINOL STENT, VALVE TISSUE WITH
THREE BOVINE OR PORCINE PERICARDIAL LEAFLETS, AND A POLYETHYLENE TEREPHTHALATE TISSUE CUFF.
• VALVE-IN-VALVE IMPLANTATION THE TECHNIQUE CONSISTS OF IMPLANTING A NEW VALVE INSIDE THE DEGENERATED
SURGICAL BIOPROSTHESIS.
• VALVULAR PULMONARY STENOSIS
• TRANSCATHETER PULMONARY VALVE IMPLANTATION
• MITRAL VALVE STENOSIS 1984 BY INOUE ET AL. PERCUTANEOUS MITRAL BALLOON VALVULOPLASTY HAS BEEN USED
SUCCESSFULLY AS AN ALTERNATIVE TO SURGICAL MITRAL COMMISSUROTOMY IN PATIENTS WITH RHEUMATIC MITRAL
STENOSIS TRICUSPID VALVE STENOSIS PERCUTANEOUS TRICUSPID IS PERFORMED WITH A TECHNIQUE SIMILAR TO THAT
USED IN MITRAL VALVULOPLASTY
15. BIBLIOGRAFÍA
• ARTICULO HEMODINAMIA: HEMODINAMIA E INTERVENCIONISMO CARDIOVASCULAR:¿EVOLUCIÓN O REVOLUCIÓN?
• HTTPS://AULAEXTENDIDA.UDES.EDU.CO/PLUGINFILE.PHP/726288/MOD_RESOURCE/CONTENT/2/ARTICULO%20HEMODIN
AMIA.PDF
