Statistics

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  "doi" => "10.1016/j.repce.2019.09.012"
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  "copyright" => "Sociedade Portuguesa de Cardiologia"
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    "doi" => "10.1016/j.repce.2019.01.006"
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    "cita" => "Rev Port Cardiol. 2020;39:475.e1-475.e3"
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      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Percutaneous closure of an atrial septal defect in a patient with Ebstein anomaly and right-to-left shunt"
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          "titulo" => "Encerramento percut&#226;neo de comunica&#231;&#227;o interauricular em doente com anomalia de Ebstein e <span class="elsevierStyleItalic">shunt</span> direito-esquerdo"
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            "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Initial closure of the defect using a cribriform patent foramen ovale &#40;PFO&#41; device&#46; A&#58; Transesophageal echocardiogram image where a PFO can be observed&#44; with right-to-left shunt &#40;arrow&#41; and hypertrabeculation of the right atrium &#40;RA&#41; &#40;ventricularization of the RA&#41; &#40;asterisk&#41;&#46; B&#58; Transitory occlusion test&#46; C&#38;D&#58; Cribiform PFO closure device released at the PFO&#44; radioscopy image &#40;C&#41; and three-dimensional transesophageal echocardiogram &#40;D&#41;&#46;</p>"
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          "autoresLista" => "Leire Unzu&#233;, Eulogio Garc&#237;a, Jorge Sol&#237;s, &#193;ngel S&#225;nchez Recalde, Juan Manuel Barcel&#243;, Javier Parra"
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    "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
    "titulo" => "Catheter-based closure of multiple residual leaks after percutaneous left atrial appendage occlusion with the Watchman&#174; device"
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        "autoresLista" => "Francisco Torres-Saura, Derek Farid Dau-Villarreal, Eduardo Arroyo-&#218;car"
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            "nombre" => "Francisco"
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    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Encerramento por cateter de <span class="elsevierStyleItalic">leaks</span> residuais m&#250;ltiplos ap&#243;s oclus&#227;o percut&#226;nea do ap&#234;ndice auricular esquerdo com dispositivo Watchman&#174;"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#58; Transesophageal echocardiography &#40;TEE&#41; image showing anteroinferior leak &#40;yellow arrow&#41; and posterosuperior leak &#40;white arrow&#41;&#46; B&#58; Transesophageal echocardiography with TEE image showing color flow Doppler through the posterosuperior leak&#46; C&#58; Computed tomography image showing leaks on both sides of the device&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of an 85-year-old male patient with a history of digestive hemorrhage with hypovolemic shock and hemorrhagic stroke with ad integrum restitution&#46; He had permanent atrial fibrillation &#40;CHA2DS1-VASc&#58; 6 and HAS-BLED&#58; 5&#41; and was receiving indefinite oral anticoagulation with Apixaban&#174;&#46; After the last episode of bleeding&#44; the patient was referred for left atrial appendage closure and underwent a successful 24 mm Watchman device implantation &#40;Boston Scientific&#44; MN&#44; USA&#41;&#44; with the presence of a small leak &#60;3 mm that was managed conservatively&#46; Two years after the implant&#44; he suffered a new episode of ischemic stroke in the frontal lobe&#46; Transesophageal echocardiography &#40;TEE&#41; revealed the presence of two significant leaks &#62;5 mm&#44; one on the posterosuperior side and the other on the anteroinferior side &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#44; Video 1-2&#41;&#46; Due to high hemorrhagic risk&#44; the patient underwent percutaneous closure of the leaks&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Via right femoral venous access and guided by TEE&#44; transseptal puncture and introduction of a deflectable sheath Agilis 8&#46;5 F Medium Curl &#40;Abbott&#44; IL&#44; USA&#41; in the left atrium were performed&#46; A multipurpose guiding catheter 5F and straight hydrophilic guide &#40;Terumo Europe&#44; Leuven&#44; BE&#41; were introduced through it&#46; Both defects were crossed sequentially and two 12 mm Amplatzer Vascular Plug II &#40;Abbott&#44; IL&#44; USA&#41; devices were released &#40;<a class="elsevierStyleCrossRefs" href="#fig0010">Figures 2 and 3</a>A and Video 3-6&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The procedure was performed without complications&#44; and the patient was discharged the following day with aspirin and clopidogrel&#46; The four-week follow-up TEE showed the devices had been implanted appropriately implanted &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B&#41;&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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    "fechaRecibido" => "2019-09-13"
    "fechaAceptado" => "2019-09-19"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#58; Transesophageal echocardiography &#40;TEE&#41; image showing anteroinferior leak &#40;yellow arrow&#41; and posterosuperior leak &#40;white arrow&#41;&#46; B&#58; Transesophageal echocardiography with TEE image showing color flow Doppler through the posterosuperior leak&#46; C&#58; Computed tomography image showing leaks on both sides of the device&#46;</p>"
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        "etiqueta" => "Figure 2"
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        "mostrarFloat" => true
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          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A&#58; Fluoroscopy imaging showing how the guide catheter crossed the upper leak&#46; B&#58; Angiographic image showing the deployment of the first Amplatzer Vascular Plug II into the upper leak&#46; C&#58; Angiographic image showing how the guide catheter crossed the lower leak&#46; D&#58; Fluoroscopy image showing the release of the second Amplatzer Vascular Plug II into the lower leak&#46;</p>"
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A&#58; Final angiographic result after the release of both devices&#46; B&#58; Final result three-dimensional transesophageal echocardiography image&#44; where we can see all devices&#46;</p>"
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