Radiologia intervencionista: técnicas e inovações no cateterismo cardíaco e angioplastia transluminal percutânea

Abstract

Introduction: Cardiovascular diseases remain the leading cause of morbidity and mortality, and minimally invasive techniques, such as cardiac catheterization and percutaneous transluminal angioplasty, have evolved through innovations in devices and imaging modalities. Objective: To compare and synthesize, through an integrative review, the main techniques and innovations applied to cardiac catheterization and percutaneous transluminal angioplasty. Methodology: An electronic search was conducted in recognized databases such as PubMed Central, CAPES, and SciELO, using descriptors related to interventional radiology, catheterization, and angioplasty, combined and separately, with the Boolean operator AND. After screening by title and abstract, the selected studies were subjected to full reading for final inclusion. A total of 446,413 records were found, 58 were preselected and 10 were included in the review. Results and discussion: Evidence points to advances in catheter materials and design, imaging techniques that improve plaque characterization and procedure guidance, and therapeutic options such as new-generation stents and drug-coated balloons. Conclusion: Technological innovations have the potential to increase the accuracy and safety of cardiac catheterization and angioplasty, but their widespread adoption depends on comparative studies, cost-effectiveness analyses, and implementation strategies adapted to local circumstances. Tradução do texto original para o inglês.