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Intervencion coronaria percutanea de oclusion total cronica: actualizacion 2026
Semih Ceylan1, Deniz Mutlu2, Eleni Kladou3
1Bahcesehir University School of Medicine, Istanbul, Turkey.
The Journal of invasive cardiology
|February 19, 2026
Resumen
La intervencion coronaria percutanea para la oclusion total cronica (PCI de OCL) muestra mas del 90% de exito en centros expertos, con reduccion de sintomas y exposicion a la radiacion. Las nuevas tecnicas y la IA estan mejorando los resultados.
Área de la Ciencia:
- Cardiologia
- Cardiologia Intervencionista
- Tecnologia Medica
Sus antecedentes:
- La intervencion coronaria percutanea de oclusion total cronica (PCI de OCL) es un procedimiento complejo con estrategias en evolucion.
- Los avances recientes en imagen, equipo y tecnicas estan mejorando los resultados de la PCI de OCL.
- Comprender los ultimos desarrollos es crucial para los cardiologos intervencionistas.
Objetivo del estudio:
- Revisar y resumir la literatura publicada mas reciente sobre PCI de OCL.
- Categorizar los avances recientes por resultados del procedimiento, tecnicas y complicaciones.
- Destacar los estudios en curso que dan forma al futuro de la PCI de OCL.
Principales métodos:
- Revision sistematica de la literatura publicada sobre PCI de OCL de septiembre de 2023 a abril de 2025.
- Categorizacion de los hallazgos basada en el exito del procedimiento, tecnicas novedosas, complicaciones e investigacion emergente.
- Analisis de datos multicentricos y ensayos aleatorizados en curso.
Principales resultados:
- Tasas de exito tecnico superiores al 90% reportadas en centros expertos.
- Reducciones significativas a largo plazo de la angina y la disnea despues de la PCI de OCL.
- Disminucion de la exposicion a la radiacion debido a mejoras en el equipo y la conciencia del operador.
- Mejora del exito y la seguridad con tecnicas como la guia por TC coronaria, el ultrasonido intravascular, la recanalizacion hidrodinamica, los enfoques retratos y las herramientas de IA.
Conclusiones:
- La PCI de OCL esta avanzando rapidamente, ofreciendo altas tasas de exito y mejores resultados para los pacientes.
- Las innovaciones tecnologicas y las tecnicas refinadas son los principales impulsores del progreso en la PCI de OCL.
- La investigacion en curso y los grandes registros refinarán aún más las estrategias y los patrones de práctica de la PCI de OCL.
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