{"id":12365,"date":"2025-07-11T13:46:06","date_gmt":"2025-07-11T18:46:06","guid":{"rendered":"https:\/\/shockwavemedical.com\/?page_id=12365"},"modified":"2025-09-09T09:53:53","modified_gmt":"2025-09-09T14:53:53","slug":"reducer-overview-moa-espanol","status":"publish","type":"page","link":"https:\/\/shockwavemedical.com\/en-eu\/reducer-overview-moa-espanol\/","title":{"rendered":"Reducer Overview and MOA (Espanol)"},"content":{"rendered":"\n<section id=\"block_2845edb0eba9e5619cd57577fc349091\" class=\"block block--primary-header u-darkMode u-bgColor_primary\"\n\tstyle=\"--desktop-bg-image: url('https:\/\/shockwavemedical.com\/wp-content\/uploads\/2023\/04\/Reducer-Background-2.png');\n\t\t\t\t --mobile-bg-image: url('');\">\n\n\t<div class=\"primary-header-container text_colors\">\n\n\t\t<!-- Heading -->\n\t\t<div class=\"heading\">\n\t\t\t<h1 class=\"main-heading\">Descripci\u00f3n general y mecanismo de acci\u00f3n del Shockwave Reducer<\/h1>\n\t\t\t<h3 class=\"sub-heading\"><b>Redistribuye el flujo, Alivia el dolor, Devuelve la Esperanza.<\/b> El mecanismo de acci\u00f3n del Shockwave Reducer ayuda a tratar los s\u00edntomas de la angina refractaria creando un estrechamiento permanente y controlado del seno coronario.*<\/h3>\n\t\t<\/div>\n\n\t\t<!-- Optional links -->\n\t\t\t\t\t<div class=\"links\">\n\t\t\t\t\n<a data-atom=\"button\" class=\"btn--line optional-button on-dark\" href=\"https:\/\/shockwavemedical.com\/en-eu\/disease-states\/coronary-sinus-reduction-espanol\/\" target=\"_self\" aria-label=\"Reducci\u00f3n del seno coronario para la angina refractaria - link to page\" >Reducci\u00f3n del seno coronario para la angina refractaria<i aria-hidden=\"true\" class=\"fa-sharp fa-arrow-right fa-solid\"><\/i><\/a>\n<a data-atom=\"button\" class=\"btn--line optional-button on-dark\" href=\"https:\/\/shockwavemedical.com\/en-eu\/products\/shockwave-reducer-espanol\" target=\"_self\" aria-label=\"Shockwave Reducer - link to page\" >Shockwave Reducer<i aria-hidden=\"true\" class=\"fa-sharp fa-arrow-right fa-solid\"><\/i><\/a>\t\t\t<\/div>\n\t\t\n\t\t<!-- links - J&J -->\n\t\t\n\t\t<!-- Social share -->\n\t\t\t\t<!-- Foreground for Desktop -->\n\t\t\t\t\t<div class=\"desktop-foreground-file\">\n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2023\/04\/Shockwave_Reducer_Hero_Flipped.png\" alt=\"Digital rendering of reducer device\" role=\"img\" aria-label=\"Foreground image for desktop\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 955px; --smush-placeholder-aspect-ratio: 955\/970;\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\n\t\t<!-- Foreground for Mobile -->\n\t\t\t\t\t<div class=\"mobile-foreground-file\">\n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2023\/04\/Shockwave_Reducer_Hero_Flipped.png\" alt=\"Digital rendering of reducer device\" role=\"img\" aria-label=\"Foreground image for mobile\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" style=\"--smush-placeholder-width: 955px; --smush-placeholder-aspect-ratio: 955\/970;\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n<\/section>\n\n<section\n\tid=\"block_2b1806626bf85aaeaef11c6052ac8753\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 30px; --aboveMobile: 20px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_4dd9ab7dedc23fca97fb2256661508f5\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<h2><img decoding=\"async\" class=\"alignnone wp-image-10497 size-medium lazyload\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/79;padding: 0;\" data-src=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo-300x79.png\" alt=\"Shockwave Reducer Logo\" width=\"300\" height=\"79\" data-srcset=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo-300x79.png 300w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo-1024x270.png 1024w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo-768x202.png 768w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo-1536x405.png 1536w, https:\/\/shockwavemedical.com\/wp-content\/uploads\/2024\/11\/Shockwave-Reducer-Logo.png 2000w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/h2>\n<h2>Conozca el Shockwave Reducer: Un dispositivo peque\u00f1o que ofrece un gran alivio<\/h2>\n<p>El Shockwave Reducer es un dispositivo peque\u00f1o, expandible con bal\u00f3n y con forma de reloj de arena que crea un estrechamiento en el seno coronario. El aumento resultante de la contrapresi\u00f3n reduce los s\u00edntomas de angina mediante una redistribuci\u00f3n hipotetizada de la sangre en el miocardio isqu\u00e9mico.<sup>1<\/sup><\/p>\n<p>C\u00f3mo ayuda el Shockwave Reducer a redistribuir el flujo del epicardio al endocardio:<\/p>\n<ul>\n<li>El dispositivo Shockwave Reducer se implanta en el seno coronario<\/li>\n<li>La resistencia al drenaje venoso aumenta<\/li>\n<li>Como con cualquier flujo bloqueado, la presi\u00f3n aumenta de manera retr\u00f3grada al sistema venoso<\/li>\n<li>Este efecto de contrapresi\u00f3n se extiende corriente arriba a lo largo del drenaje venoso, aumentando la presi\u00f3n y provocando la expansi\u00f3n de la microvasculatura<\/li>\n<li>El resultado es una redistribuci\u00f3n del flujo, lo que permite una perfusi\u00f3n renovada en las zonas isqu\u00e9micas del subendocardio<\/li>\n<\/ul>\n\t<\/div>\n\t<\/section>\n\n<section\n\tid=\"block_6e301f953c9b4f44e5ea2ebd88741feb\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 60px; --aboveMobile: 30px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_7a5e66ce47c9f1fa53937b64ac3ddaf8\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<h2>ORBITA-COSMIC: proporciona informaci\u00f3n sobre el mecanismo de acci\u00f3n del Shockwave Reducer<\/h2>\n<p>ORBITA-COSMIC fue un estudio aleatorizado controlado con placebo que demostr\u00f3 c\u00f3mo el Shockwave Reducer reduce la frecuencia de la angina y mejora la calidad de vida relacionada con la cardiopat\u00eda, al tiempo que mejora la perfusi\u00f3n subendoc\u00e1rdica.<sup>2<\/sup><\/p>\n<p>Se asign\u00f3 aleatoriamente a 51 pacientes en seis centros del Reino Unido. El Shockwave Reducer disminuy\u00f3 el n\u00famero de episodios diarios de angina en comparaci\u00f3n con el placebo a los seis meses.<\/p>\n<ul>\n<li>El criterio de valoraci\u00f3n de los estudios de imagen mostr\u00f3 una mejora en la perfusi\u00f3n subendoc\u00e1rdica, lo que respalda el mecanismo de acci\u00f3n te\u00f3rico del Shockwave Reducer<\/li>\n<li>En los segmentos isqu\u00e9micos, la relaci\u00f3n endoc\u00e1rdico-epic\u00e1rdico del flujo sangu\u00edneo mioc\u00e1rdico por estr\u00e9s mejor\u00f3 en el grupo del Shockwave Reducer con una probabilidad de beneficio del 98,2 %<\/li>\n<\/ul>\n\t<\/div>\n\t<\/section>\n\n<section\n\tid=\"block_2b1806626bf85aaeaef11c6052ac8753\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 30px; --aboveMobile: 20px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_4ef368a01adc63a4f269de5268484df6\" class=\"block block--resource-list text_colors \">\n\t<div class=\"block__container\">\n\t\t<div class=\"container-inner\">\n\t\t\t\t\t\t\t<h3 id=\"block_4ef368a01adc63a4f269de5268484df6-heading\" class=\"heading\">\n\t\t\t\t\tRecursos sobre el Shockwave Reducer\t\t\t\t<\/h3>\n\t\t\t\n\t\t\t\t\t\t\t<ul class=\"resource-list--links-container\" role=\"list\" aria-label=\"Resource links\" style=\"--column-count: 3;\">\n\t\t\t\t\t\t\t\t\t\t\t<li class=\"resource-list--link\" role=\"listitem\">\n\t\t\t\t\t\t\t\n<a data-atom=\"button\" class=\"btn--line\" href=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/06\/Reduce_Spec_Sheet_SPL70146_RevF_es-ES.pdf\" target=\"_blank\" aria-label=\"Hoja de especificaciones del Shockwave Reducer - download asset\" download><span class=\"text-content\">Hoja de especificaciones del Shockwave Reducer<\/span><i aria-hidden=\"true\" class=\"fa-arrow-down-to-bracket fa-light\"><\/i><\/a>\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<li class=\"resource-list--link\" role=\"listitem\">\n\t\t\t\t\t\t\t\n<a data-atom=\"button\" class=\"btn--line\" href=\"https:\/\/shockwavemedical.com\/wp-content\/uploads\/2025\/07\/Physician_Reducer_Brochure_SPL70615_RevD_es-ES.pdf\" target=\"_blank\" aria-label=\"Folleto del Shockwave Reducer - download asset\" download><span class=\"text-content\">Folleto del Shockwave Reducer<\/span><i aria-hidden=\"true\" class=\"fa-arrow-down-to-bracket fa-light\"><\/i><\/a>\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<li class=\"resource-list--link\" role=\"listitem\">\n\t\t\t\t\t\t\t\n<a data-atom=\"button\" class=\"btn--line\" href=\"https:\/\/ifu.sw-reducer.com\/\" target=\"_blank\" aria-label=\"Instrucciones de uso del Shockwave Reducer - opens in a new tab\" rel=\"noopener\"><span class=\"text-content\">Instrucciones de uso del Shockwave Reducer<\/span><i aria-hidden=\"true\" class=\"fa-sharp fa-arrow-right fa-light\"><\/i><\/a>\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section id=\"block_9e369efa2e9f23e0eb0a676c2e4142af\" class=\"block block--wysiwyg wysiwyg_styles u-bgColorNone container\">\n\t<div class=\"u-wysiwyg u-animation\">\n\t\t<hr \/>\n<p><span class=\"legal_copy\">*El Shockwave Reducer est\u00e1 disponible comercialmente en determinados pa\u00edses europeos y se ha implantado en m\u00e1s de 3500 pacientes. Actualmente se encuentra bajo investigaci\u00f3n cl\u00ednica en EE. UU<br \/>\n<\/span><\/p>\n<p><span class=\"legal_copy\">PRECAUCI\u00d3N: En los Estados Unidos, el Shockwave Reducer es un dispositivo en fase de investigaci\u00f3n, limitado por las leyes estadounidenses al uso en investigaci\u00f3n. <\/span><\/p>\n<p><span class=\"legal_copy\">El Reducer est\u00e1 sujeto a pruebas de investigaci\u00f3n y se est\u00e1 estudiando en el ensayo COSIRA-II en Canad\u00e1. <\/span><\/p>\n<p><span class=\"legal_copy\">El Shockwave Reducer est\u00e1 disponible comercialmente en ciertos pa\u00edses fuera de EE. UU. y Canad\u00e1. P\u00f3ngase en contacto con su representante local para conocer la disponibilidad espec\u00edfica del pa\u00eds.<\/span><\/p>\n<p><span class=\"legal_copy\">Antes del uso, consulte las instrucciones de uso para obtener m\u00e1s informaci\u00f3n sobre advertencias, precauciones y acontecimientos adversos: ifu.sw-reducer.com<\/span><\/p>\n<p><span class=\"legal_copy\">1: Verheye S., et al. N Engl J Med 2015;372:519-27.<br \/>\n2: Foley et al. The Lancet. 2024 Apr 8; <a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(24)00256-3\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S0140-6736(24)00256-3<\/a>.<br \/>\n3: <a href=\"https:\/\/www.tctmd.com\/NEWS\/CORONARY-SINUS-REDUCER-EASES-SYMPTOMS-REFRACTORY-ANGINA-ORBITA-COSMIC\" target=\"_blank\" rel=\"noopener\">https:\/\/www.tctmd.com\/NEWS\/CORONARY-SINUS-REDUCER-EASES-SYMPTOMS-REFRACTORY-ANGINA-ORBITA-COSMIC<\/a>.<\/span><\/p>\n\t<\/div>\n\t<\/section>\n\n<section\n\tid=\"block_6e301f953c9b4f44e5ea2ebd88741feb\"\n\tclass=\"block block--spacer-with-optional-divider \"\n\taria-label=\"Spacer section with optional divider\">\n\t<div class=\"spacer-with-optional-divider-container container\">\n\n\t\t<!-- Space Above -->\n\t\t<div\n\t\t\tclass=\"space-above\"\n\t\t\tstyle=\"--aboveDesktop: 60px; --aboveMobile: 30px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t\t<!-- Optional Divider -->\n\t\t\n\t\t<!-- Space Below -->\n\t\t<div\n\t\t\tclass=\"space-below\"\n\t\t\tstyle=\"--belowDesktop: 0px; --belowMobile: 0px;\"\n\t\t\taria-hidden=\"true\"\n\t\t\trole=\"presentation\">\n\t\t<\/div>\n\n\t<\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Shockwave Reducer is a small, balloon-expandable, hourglass-shaped device that helps treat the symptoms of refractory angina by creating a permanent, controlled narrowing of the coronary sinus.<\/p>\n","protected":false},"author":15,"featured_media":4044,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"content-type":"","footnotes":""},"class_list":["post-12365","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/pages\/12365","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/comments?post=12365"}],"version-history":[{"count":0,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/pages\/12365\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media\/4044"}],"wp:attachment":[{"href":"https:\/\/shockwavemedical.com\/en-eu\/wp-json\/wp\/v2\/media?parent=12365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}