que se leu este artigo
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"original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 227 "Ancho" => 400 "Tamanyo" => 42760 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Angio‐TC torácica, imagem axial. Dois arcos aórticos (setas) que compõem o duplo arco aórtico circundam a via aérea e condicionam redução do calibre da traqueia. 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Also seen are dual-chamber pacemaker generator and leads (B, arrows) and 26<span class="elsevierStyleHsp" style=""></span>mm Edwards<span class="elsevierStyleSup">®</span> biological aortic valve (B, arrowhead).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Isabel Azevedo, Ricardo Fontes-Carvalho, Adelaide Dias, Vasco Gama Ribeiro" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ana Isabel" "apellidos" => "Azevedo" ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Fontes-Carvalho" ] 2 => array:2 [ "nombre" => "Adelaide" "apellidos" => "Dias" ] 3 => array:2 [ "nombre" => "Vasco" "apellidos" => "Gama Ribeiro" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204915002251" "doi" => "10.1016/j.repce.2015.10.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915002251?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115002164?idApp=UINPBA00004E" "url" => "/08702551/0000003400000010/v1_201510211302/S0870255115002164/v1_201510211302/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Close relationship between circumflex artery and left atrial appendage" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "627" "paginaFinal" => "628" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Caro-Codón, Guillermo Galeote, Teresa López-Fernández, Ángel Sánchez-Recalde, Santiago Jiménez-Valero, Raúl Moreno" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Caro-Codón" "email" => array:1 [ 0 => "juancarocd@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Galeote" ] 2 => array:2 [ "nombre" => "Teresa" "apellidos" => "López-Fernández" ] 3 => array:2 [ "nombre" => "Ángel" "apellidos" => "Sánchez-Recalde" ] 4 => array:2 [ "nombre" => "Santiago" "apellidos" => "Jiménez-Valero" ] 5 => array:2 [ "nombre" => "Raúl" "apellidos" => "Moreno" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Serviço de Cardiologia, Hospital Universitario La Paz, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Artéria circunflexa e apêndice arterial esquerdo: relação perigosa" ] ] "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" => 796 "Ancho" => 975 "Tamanyo" => 122564 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography performed after an episode of alveolar hemorrhage also reveal the proximity of the circumflex artery to the left atrium and left atrial appendage (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old man, with a history of coronary heart disease and percutaneous coronary intervention, with stents in the right coronary and circumflex arteries, was referred to our center for left atrial appendage (LAA) closure. He had atrial fibrillation with high thromboembolic risk (CHA<span class="elsevierStyleInf">2</span>DS<span class="elsevierStyleInf">2</span>VASc=4) and oral anticoagulation was formally contraindicated because of recurrent severe bleeding. Selective angiography of the LAA (Video 1) showed a close relationship between the LAA (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>, asterisk) and the circumflex artery (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>, arrow), well defined by the previously implanted stents. A computed tomography scan performed after a previous episode of diffuse alveolar hemorrhage showed similar findings (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>, arrow). A 22-mm Amplatzer Amulet device was successfully placed, with no residual leak. Intraoperative monitoring by transesophageal echocardiography and post-procedural radioscopy confirmed the close relationship between the device and the circumflex artery (<a class="elsevierStyleCrossRefs" href="#fig0015">Figures 3 and 4</a>, Videos 2 and 3), which is vital to keep in mind in order to prevent complications during the procedure.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">LAA closure is a safe and effective intervention used to prevent stroke and systemic embolism in patients with atrial fibrillation and contraindications for oral anticoagulation. Nevertheless, there may be procedure-related complications such as device embolization and left atrial wall perforation. The close relationship between the LAA and circumflex artery place this latter structure and its branches (including the sinus node artery in 30% of patients) at risk during the procedure. This condition must be considered if the patient develops atrial arrhythmias or signs of myocardial ischemia during the procedure.</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="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0040" 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" => "sec0035" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-03-11" "fechaAceptado" => "2015-05-02" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0035" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0030" ] ] ] ] "multimedia" => array:7 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 979 "Ancho" => 975 "Tamanyo" => 173120 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Selective angiography of the left atrial appendage using a pigtail catheter shows the relationship between this structure (asterisk) and the stents previously implanted in the mid-circumflex artery (arrow).</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" => 796 "Ancho" => 975 "Tamanyo" => 122564 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography performed after an episode of alveolar hemorrhage also reveal the proximity of the circumflex artery to the left atrium and left atrial appendage (arrow).</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" => 442 "Ancho" => 1999 "Tamanyo" => 86553 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Intraoperative monitoring of deployment of the Amplatzer device by transesophageal echocardiography (A–D). Stents previously placed in the circumflex artery (yellow arrows) can be seen in the vicinity of the left atrial appendage, immediately next to the device landing zone.</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" => 875 "Ancho" => 875 "Tamanyo" => 142183 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">After the Amplatzer was completely deployed, radioscopy confirmed the relationship between the distal lobe of the device and the coronary artery. Although in this patient this latter structure was easily delineated by the previously implanted stents, it is vital to consider this anatomical relationship during the occlusion procedure.</p>" ] ] 4 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 1303633 "Video" => array:2 [ "mp4" => array:2 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 5 => array:5 [ "identificador" => "upi0010" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 2619037 "Video" => array:2 [ "mp4" => array:2 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" ] "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 6 => array:5 [ "identificador" => "upi0015" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc3.mp4" "ficheroTamanyo" => 1425004 "Video" => array:2 [ "mp4" => array:2 [ "fichero" => "mmc3.m4v" "poster" => "mmc3.jpg" ] "flv" => array:5 [ "fichero" => "mmc3.flv" "poster" => "mmc3.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003400000010/v1_201510211302/S0870255115002152/v1_201510211302/en/main.assets" "Apartado" => array:4 [ "identificador" => "29264" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagens em Cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003400000010/v1_201510211302/S0870255115002152/v1_201510211302/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115002152?idApp=UINPBA00004E" ]
Ano/Mês | Html | Total | |
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2023 Setembro | 31 | 18 | 49 |
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2023 Maio | 38 | 16 | 54 |
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2021 Abril | 37 | 45 | 82 |
2021 Maro | 45 | 12 | 57 |
2021 Fevereiro | 47 | 15 | 62 |
2021 Janeiro | 52 | 10 | 62 |
2020 Dezembro | 23 | 5 | 28 |
2020 Novembro | 40 | 19 | 59 |
2020 Outubro | 26 | 17 | 43 |
2020 Setembro | 44 | 16 | 60 |
2020 Agosto | 23 | 9 | 32 |
2020 Julho | 34 | 17 | 51 |
2020 Junho | 29 | 11 | 40 |
2020 Maio | 37 | 7 | 44 |
2020 Abril | 32 | 9 | 41 |
2020 Maro | 38 | 7 | 45 |
2020 Fevereiro | 42 | 52 | 94 |
2020 Janeiro | 17 | 8 | 25 |
2019 Dezembro | 35 | 5 | 40 |
2019 Novembro | 32 | 8 | 40 |
2019 Outubro | 13 | 9 | 22 |
2019 Setembro | 31 | 7 | 38 |
2019 Agosto | 27 | 6 | 33 |
2019 Julho | 26 | 13 | 39 |
2019 Junho | 32 | 14 | 46 |
2019 Maio | 31 | 5 | 36 |
2019 Abril | 24 | 9 | 33 |
2019 Maro | 25 | 8 | 33 |
2019 Fevereiro | 28 | 14 | 42 |
2019 Janeiro | 31 | 3 | 34 |
2018 Dezembro | 30 | 13 | 43 |
2018 Novembro | 40 | 10 | 50 |
2018 Outubro | 97 | 17 | 114 |
2018 Setembro | 49 | 12 | 61 |
2018 Agosto | 50 | 19 | 69 |
2018 Julho | 22 | 6 | 28 |
2018 Junho | 32 | 5 | 37 |
2018 Maio | 37 | 10 | 47 |
2018 Abril | 46 | 5 | 51 |
2018 Maro | 71 | 10 | 81 |
2018 Fevereiro | 33 | 1 | 34 |
2018 Janeiro | 37 | 5 | 42 |
2017 Dezembro | 62 | 8 | 70 |
2017 Novembro | 18 | 3 | 21 |
2017 Outubro | 18 | 7 | 25 |
2017 Setembro | 30 | 3 | 33 |
2017 Agosto | 32 | 13 | 45 |
2017 Julho | 19 | 8 | 27 |
2017 Junho | 26 | 8 | 34 |
2017 Maio | 27 | 7 | 34 |
2017 Abril | 9 | 5 | 14 |
2017 Maro | 22 | 4 | 26 |
2017 Fevereiro | 20 | 7 | 27 |
2017 Janeiro | 16 | 4 | 20 |
2016 Dezembro | 19 | 1 | 20 |
2016 Novembro | 11 | 4 | 15 |
2016 Outubro | 13 | 6 | 19 |
2016 Setembro | 16 | 6 | 22 |
2016 Agosto | 11 | 1 | 12 |
2016 Julho | 7 | 6 | 13 |
2016 Junho | 2 | 9 | 11 |
2016 Maio | 4 | 0 | 4 |
2016 Abril | 15 | 2 | 17 |
2016 Maro | 14 | 5 | 19 |
2016 Fevereiro | 41 | 17 | 58 |
2016 Janeiro | 31 | 14 | 45 |
2015 Dezembro | 36 | 10 | 46 |
2015 Novembro | 59 | 27 | 86 |
2015 Outubro | 63 | 49 | 112 |