que se leu este artigo
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MDE: myocardial delayed enhancement; SSFP: steady-state free precession; STIR: short tau inversion-recovery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cátia Costa, António M. Ferreira, Pedro Morais Sarmento, Nuno Cardim, Hugo Marques" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Cátia" "apellidos" => "Costa" ] 1 => array:2 [ "nombre" => "António M." 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Initial enthusiasm for this method of avoiding lead dislodgement was soon replaced by concerns about safety in the event of need for extraction.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The StarFix is a 5F unipolar lead, with a distal active fixation mechanism consisting of deployable lobes that expand to 24F. Deployment is achieved by advancing the outer tubing of the lead. Pulling the lead and advancing the tubing achieves acute repositioning. This mechanism for retraction of the lobes cannot be used in chronically implanted leads due not only to fibrosis involving the lobes but also to the low tension applied on them by the lead being completely inserted in the outer tubing. In our experience we have successfully extracted two of these leads (due to system infection), both implanted for more than 24 months. Extraction was performed in both cases by retracting the fixation lobes. This was achieved by progressively cutting the outer tubing and pressuring the lead with a stylet. After complete retraction of the lobes the lead was pulled out by smooth traction using a lead locking device (LLD<span class="elsevierStyleSup">®</span>, Spectranetics) (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1–4</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><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" => "2015-10-12" "fechaAceptado" => "2015-12-20" "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" => 600 "Ancho" => 1376 "Tamanyo" => 122035 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A-C) Cutting the outer tubing and pressuring the lead with a stylet.</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" => 496 "Ancho" => 1493 "Tamanyo" => 74374 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fluoroscopic imaging: (A) complete triple-site cardiac resynchronization therapy defibrillator system; (B) active fixation coronary sinus lead, after extraction of both right ventricular leads; (C) initial retraction of the active fixation lead lobes.</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" => 1505 "Tamanyo" => 71062 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fluoroscopic imaging: (A and B) sequential retraction of the active fixation lead lobes; (C) complete retraction of the lobes and pulling of the lead into the right atrium.</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" => 489 "Ancho" => 700 "Tamanyo" => 70187 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Active fixation coronary sinus lead after extraction.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003500000009/v1_201608170044/S0870255116301421/v1_201608170044/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/08702551/0000003500000009/v1_201608170044/S0870255116301421/v1_201608170044/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301421?idApp=UINPBA00004E" ]
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2023 Setembro | 20 | 18 | 38 |
2023 Agosto | 31 | 20 | 51 |
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2023 Maio | 40 | 20 | 60 |
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2022 Agosto | 25 | 23 | 48 |
2022 Julho | 33 | 33 | 66 |
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2022 Maio | 34 | 32 | 66 |
2022 Abril | 36 | 28 | 64 |
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2021 Novembro | 29 | 37 | 66 |
2021 Outubro | 35 | 26 | 61 |
2021 Setembro | 29 | 20 | 49 |
2021 Agosto | 23 | 32 | 55 |
2021 Julho | 29 | 26 | 55 |
2021 Junho | 23 | 16 | 39 |
2021 Maio | 44 | 33 | 77 |
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2021 Janeiro | 41 | 14 | 55 |
2020 Dezembro | 35 | 12 | 47 |
2020 Novembro | 29 | 22 | 51 |
2020 Outubro | 23 | 13 | 36 |
2020 Setembro | 53 | 16 | 69 |
2020 Agosto | 25 | 9 | 34 |
2020 Julho | 41 | 15 | 56 |
2020 Junho | 36 | 13 | 49 |
2020 Maio | 27 | 3 | 30 |
2020 Abril | 35 | 32 | 67 |
2020 Maro | 36 | 9 | 45 |
2020 Fevereiro | 77 | 22 | 99 |
2020 Janeiro | 33 | 6 | 39 |
2019 Dezembro | 38 | 8 | 46 |
2019 Novembro | 38 | 10 | 48 |
2019 Outubro | 40 | 6 | 46 |
2019 Setembro | 28 | 6 | 34 |
2019 Agosto | 29 | 4 | 33 |
2019 Julho | 29 | 7 | 36 |
2019 Junho | 29 | 13 | 42 |
2019 Maio | 35 | 4 | 39 |
2019 Abril | 32 | 20 | 52 |
2019 Maro | 73 | 10 | 83 |
2019 Fevereiro | 45 | 10 | 55 |
2019 Janeiro | 32 | 10 | 42 |
2018 Dezembro | 49 | 17 | 66 |
2018 Novembro | 54 | 12 | 66 |
2018 Outubro | 72 | 16 | 88 |
2018 Setembro | 47 | 12 | 59 |
2018 Agosto | 19 | 9 | 28 |
2018 Julho | 25 | 6 | 31 |
2018 Junho | 21 | 4 | 25 |
2018 Maio | 31 | 8 | 39 |
2018 Abril | 29 | 2 | 31 |
2018 Maro | 56 | 13 | 69 |
2018 Fevereiro | 22 | 5 | 27 |
2018 Janeiro | 38 | 8 | 46 |
2017 Dezembro | 47 | 14 | 61 |
2017 Novembro | 33 | 9 | 42 |
2017 Outubro | 20 | 11 | 31 |
2017 Setembro | 20 | 12 | 32 |
2017 Agosto | 22 | 10 | 32 |
2017 Julho | 22 | 8 | 30 |
2017 Junho | 30 | 7 | 37 |
2017 Maio | 31 | 10 | 41 |
2017 Abril | 9 | 3 | 12 |
2017 Maro | 20 | 6 | 26 |
2017 Fevereiro | 18 | 3 | 21 |
2017 Janeiro | 16 | 12 | 28 |
2016 Dezembro | 44 | 16 | 60 |
2016 Novembro | 27 | 9 | 36 |
2016 Outubro | 48 | 31 | 79 |
2016 Setembro | 59 | 38 | 97 |
2016 Agosto | 42 | 45 | 87 |