{"id":7117,"date":"2013-07-23T15:16:58","date_gmt":"2013-07-23T20:16:58","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7117"},"modified":"2013-07-23T15:16:58","modified_gmt":"2013-07-23T20:16:58","slug":"clasificacion-de-las-lesiones-coronarias","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7117","title":{"rendered":"Clasificaci\u00f3n de las lesiones coronarias."},"content":{"rendered":"<h3><\/h3>\n<table width=\"98%\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\" valign=\"top\" width=\"27%\">\n<p align=\"center\"><b><i>\u00a0<\/i><\/b><\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">\n<p align=\"center\"><b><i>Tipo A<\/i><\/b><\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">\n<p align=\"center\"><b><i>Tipo B<\/i><\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"27%\">\n<p align=\"center\"><b><i>Tipo C<\/i><\/b><\/p>\n<\/td>\n<td width=\"4%\">&nbsp;<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Tasa \u00e9xito ACTP<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">85%<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">60-85%<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">50-60%<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Riesgo de oclusi\u00f3n<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">Bajo<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Moderado<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Alto<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Longitud<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">&lt;10 mm<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Tubular 10-20 mm<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Difusa&gt; 20 mm<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Forma<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">Conc\u00e9ntrica<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Exc\u00e9ntrica<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Muy tortuosa<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Segmento proximal<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">Accesible<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Tortuoso<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Muy Tortuoso<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Angulaci\u00f3n<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">45\u00ba<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">45-90\u00ba<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">&gt;90\u00ba<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Pared<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">Lisa<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Irregular<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">&#8211;<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Calcio<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">No-ligero<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">moderado<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Muy calcificadas<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Estenosis<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">&lt; 100%<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">100% &lt; 3 meses<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">100% &gt; 3 meses<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Localizaci\u00f3n<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">No en origen<br \/>\nNo bifurcada<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">En origen o<br \/>\nBifurcada.<br \/>\nPosible protecci\u00f3n<br \/>\ncon doble gu\u00eda<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Bifurcada sin<br \/>\nPosibilidad<br \/>\nde proteger<br \/>\nel vaso colateral<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Trombo<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">Ausente<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">Presente<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">&#8211;<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"24%\">Otros<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"17%\">&#8211;<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"23%\">&#8211;<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"34%\">Lesiones en<br \/>\nInjertos venosos<\/td>\n<\/tr>\n<tr>\n<td colspan=\"7\" valign=\"top\" width=\"95%\">ACTP: angioplastia coronaria transluminal percut\u00e1nea.<\/td>\n<td width=\"4%\">&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"182\"><\/td>\n<td width=\"19\"><\/td>\n<td width=\"113\"><\/td>\n<td width=\"19\"><\/td>\n<td width=\"155\"><\/td>\n<td width=\"19\"><\/td>\n<td width=\"203\"><\/td>\n<td width=\"30\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fuente: Ryan TJ et al. Guidelines of percutaneous trasnluminal coronary angioplasty: A report of the American College of Cardiology\/American Heart Association Task Force on assessment of diagnostic and therapeutic cardiovascular procedures.\u00a0 Circulation 1988; 78: 486-502.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Tipo A Tipo B Tipo C &nbsp; Tasa \u00e9xito ACTP 85% 60-85% 50-60% Riesgo de oclusi\u00f3n Bajo Moderado Alto Longitud &lt;10 mm Tubular 10-20 mm Difusa&gt; 20 mm Forma Conc\u00e9ntrica Exc\u00e9ntrica Muy tortuosa Segmento proximal Accesible Tortuoso Muy Tortuoso Angulaci\u00f3n 45\u00ba 45-90\u00ba &gt;90\u00ba Pared Lisa Irregular &#8211; Calcio No-ligero moderado Muy calcificadas Estenosis &lt; &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=7117\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Clasificaci\u00f3n de las lesiones coronarias.&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7117","post","type-post","status-publish","format-standard","hentry","category-cardiologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7117"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7117\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}