que se leu este artigo
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insuficiência aórtica de grau ligeiro, possivelmente periprotésica; B) gradientes transprotésicos elevados (máximo 51<span class="elsevierStyleHsp" style=""></span>mmHg e médio 24<span class="elsevierStyleHsp" style=""></span>mmHg); tempo de aceleração 89<span class="elsevierStyleHsp" style=""></span>ms; VTI<span class="elsevierStyleInf">CSVE</span>/VTI<span class="elsevierStyleInf">Ao</span> 0,29; área indexada 0,83<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">2</span>/m<span class="elsevierStyleSup">2</span>, sugestivo de <span class="elsevierStyleItalic">mismatch</span> e/ou hiperfluxo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Inês Almeida, Marta Madeira, Francisca Caetano, Catarina Faustino, Luís Semedo, Lino Gonçalves" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Inês" "apellidos" => "Almeida" ] 1 => array:2 [ "nombre" => "Marta" "apellidos" => "Madeira" ] 2 => array:2 [ "nombre" => "Francisca" "apellidos" => 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malformação extremamente rara do dispositivo de oclusão percutânea da comunicação interauricular e uso de uma técnica terapêutica nova" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 617 "Ancho" => 1374 "Tamanyo" => 185492 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Images of the device after extraction.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Korhan Soylu, Murat Meriç, Ufuk Yıldırım, Okan Gulel" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Korhan" "apellidos" => "Soylu" ] 1 => array:2 [ "nombre" => "Murat" 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the distal left main" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "427" "paginaFinal" => "428" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "André Luz, João Silveira, Fernando Araújo, Susana Ruivo, Henrique Carvalho, Severo Torres" "autores" => array:6 [ 0 => array:4 [ "nombre" => "André" "apellidos" => "Luz" "email" => array:1 [ 0 => "andrecoimbraluz@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "João" "apellidos" => "Silveira" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Araújo" ] 3 => array:2 [ "nombre" => "Susana" "apellidos" => "Ruivo" ] 4 => array:2 [ "nombre" => "Henrique" "apellidos" => "Carvalho" ] 5 => array:2 [ "nombre" => "Severo" "apellidos" => "Torres" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Cardiologia, Centro Hospitalar do Porto, E.P.E., Porto, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">V-stenting</span> no tronco distal guiado por tomografia de coerência ótica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 834 "Ancho" => 1569 "Tamanyo" => 139912 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pullbacks from (A) left anterior descending (LAD) and (B) left circumflex (LCx) arteries with 3D reconstruction; (C) distal left main (LM) before LAD and LCx ostia showing no significant stenosis (area 12 mm<span class="elsevierStyleSup">2</span>). Carina with “eyebrow” shape, leading to plaque shift (see also <a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). *: carina; **: marginal branch.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 83-year-old man with hypertension, bilateral carotid disease, porcelain aorta and moderate renal failure was admitted with non-ST-elevation myocardial infarction. Coronary angiography revealed three-vessel disease with distal left main (LM) bifurcation involving the ostia of both the left anterior descending (LAD) and the left circumflex (LCx) coronary arteries (Medina 0,1,1; SYNTAX score 23) (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). The patient was considered unsuitable for surgery. Optical coherence tomography (OCT)-guided percutaneous coronary intervention (PCI) was undertaken. Pullbacks from the LAD and LCx (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) were obtained using frequency-domain OCT (ILUMIEN OPTIS PCI Optimization System, St. Jude Medical, St. Paul, MN). The OCT findings confirmed proximal LAD and LCx stenosis with ostial involvement, without significant disease in the LM. Moreover, the carina showed the “eyebrow” sign, indicating a risk of plaque shifting. Non-simultaneous V-stenting of both LAD and LCx was the chosen technique. After stenting the LAD (3.0/38 mm drug-eluting stent), plaque shifting to the LCx was evident on coronary angiography (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>A). A 3.5/16 mm drug-eluting stent was implanted in the LCx, with final kissing balloon (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>B). Pullback with real-time 3D reconstruction from the LCx revealed the V-stenting with correctly apposed struts and protruding only slightly into the LM (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">OCT-guided PCI in the LM is under-reported as compared to intravascular ultrasound (IVUS) and there are ongoing discussions as to whether OCT can replace IVUS in this setting. This case illustrates how OCT with its high resolution combined with real-time 3D reconstruction can be used to influence the approach to be chosen and to evaluate the final result.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-10-18" "fechaAceptado" => "2015-01-02" "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 604 "Tamanyo" => 57426 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Initial angiogram. Distal left main bifurcation involving the ostia of the left descending and left circumflex arteries.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 834 "Ancho" => 1569 "Tamanyo" => 139912 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pullbacks from (A) left anterior descending (LAD) and (B) left circumflex (LCx) arteries with 3D reconstruction; (C) distal left main (LM) before LAD and LCx ostia showing no significant stenosis (area 12 mm<span class="elsevierStyleSup">2</span>). Carina with “eyebrow” shape, leading to plaque shift (see also <a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). *: carina; **: marginal branch.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 500 "Ancho" => 1227 "Tamanyo" => 86654 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A) Plaque shift (*) after implantation of a 3.0/38 mm stent in the ostial LAD; (B) final result after 3.5/18 mm stent implantation to the ostial LCx, with final kissing balloon (KB).</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 823 "Ancho" => 1086 "Tamanyo" => 104353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">(A–C) Pullback from the left circumflex (LCx) with 3D reconstruction. V-stenting with both stents protruding slightly into the left main (LM). Arrows: stent in the left anterior descending artery (LAD); *: neo-carina.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003400000006/v1_201506170141/S0870255115001298/v1_201506170141/en/main.assets" "Apartado" => array:4 [ "identificador" => "357" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Imagens em cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003400000006/v1_201506170141/S0870255115001298/v1_201506170141/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001298?idApp=UINPBA00004E" ]
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2018 Dezembro | 39 | 14 | 53 |
2018 Novembro | 55 | 6 | 61 |
2018 Outubro | 99 | 11 | 110 |
2018 Setembro | 37 | 14 | 51 |
2018 Agosto | 29 | 9 | 38 |
2018 Julho | 29 | 6 | 35 |
2018 Junho | 32 | 5 | 37 |
2018 Maio | 41 | 9 | 50 |
2018 Abril | 51 | 3 | 54 |
2018 Maro | 34 | 9 | 43 |
2018 Fevereiro | 45 | 4 | 49 |
2018 Janeiro | 34 | 6 | 40 |
2017 Dezembro | 61 | 10 | 71 |
2017 Novembro | 40 | 5 | 45 |
2017 Outubro | 23 | 7 | 30 |
2017 Setembro | 46 | 6 | 52 |
2017 Agosto | 56 | 10 | 66 |
2017 Julho | 40 | 14 | 54 |
2017 Junho | 55 | 14 | 69 |
2017 Maio | 44 | 12 | 56 |
2017 Abril | 30 | 9 | 39 |
2017 Maro | 50 | 73 | 123 |
2017 Fevereiro | 90 | 6 | 96 |
2017 Janeiro | 35 | 3 | 38 |
2016 Dezembro | 25 | 4 | 29 |
2016 Novembro | 21 | 4 | 25 |
2016 Outubro | 44 | 15 | 59 |
2016 Setembro | 64 | 4 | 68 |
2016 Agosto | 15 | 1 | 16 |
2016 Julho | 18 | 4 | 22 |
2016 Junho | 1 | 8 | 9 |
2016 Maio | 14 | 10 | 24 |
2016 Abril | 25 | 1 | 26 |
2016 Maro | 35 | 16 | 51 |
2016 Fevereiro | 56 | 31 | 87 |
2016 Janeiro | 26 | 10 | 36 |
2015 Dezembro | 33 | 10 | 43 |
2015 Novembro | 34 | 21 | 55 |
2015 Outubro | 41 | 11 | 52 |
2015 Setembro | 40 | 19 | 59 |
2015 Agosto | 71 | 42 | 113 |
2015 Julho | 89 | 45 | 134 |
2015 Junho | 91 | 69 | 160 |