que se leu este artigo
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Pinto, Rui Cruz Ferreira" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Sílvia" "apellidos" => "Aguiar Rosa" ] 1 => array:2 [ "nombre" => "Filipa" "apellidos" => "Ferreira" ] 2 => array:2 [ "nombre" => "Lídia" "apellidos" => "de Sousa" ] 3 => array:2 [ "nombre" => "António" "apellidos" => "Fiarresga" ] 4 => array:2 [ "nombre" => "José Diogo" "apellidos" => "Martins" ] 5 => array:2 [ "nombre" => "Ana" "apellidos" => "Galrinho" ] 6 => array:2 [ "nombre" => "Ana" "apellidos" => "Agapito" ] 7 => array:2 [ "nombre" => "Paula" "apellidos" => "Fazendas" ] 8 => array:2 [ "nombre" => "Fátima F." 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She had a history of hypertension, stage IV chronic kidney disease and chronic anemia, secondary to gastrointestinal bleeding (HAS-BLED score=3). Percutaneous LAA closure with a 22 mm first-generation device (Amplatzer™ Cardiac Plug [ACP]) was performed (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>A, <a class="elsevierStyleCrossRef" href="#sec0030">Video 1</a>). The procedure was guided by three-dimensional transesophageal echocardiography (TEE) and complete occlusion was confirmed (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>B, <a class="elsevierStyleCrossRef" href="#sec0030">Videos 2 and 3</a>). She was treated with aspirin 100 mg plus clopidogrel 75 mg daily for one month, clopidogrel 75 mg daily for six months, and no antithrombotic drug thereafter.</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">By protocol, follow-up TEE was performed at 12 months and revealed a large mobile thrombus attached to the atrial surface of the ACP (<a class="elsevierStyleCrossRef" href="#fig1">Figure 1</a>C and D, <a class="elsevierStyleCrossRef" href="#sec0030">Videos 4 and 5</a>).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Warfarin was started and TEE was scheduled for six months later. In the meantime, the patient developed septic shock due to toxic megacolon and died one month after starting warfarin.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Cases of device-related thrombi have been described with the ACP. An early and thorough assessement, either by TEE or angio-computed tomography, should be considered to rule out device thrombosis, especially in first-generation devices, since most thrombi have been documented at 45-day TEE. Newer devices with less thrombotic risk are now available. The optimal duration of antiplatelet therapy and/or a period of oral anticoagulation after device implantation remain to be addressed in future studies.</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="par0025" 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="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data is showed 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="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no patient data is showed in this article.</p></span></span><span id="sec0025" 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" => "sec0025" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-04-20" "fechaAceptado" => "2016-06-16" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0055" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia><elsevierMultimedia ident="ecp0015"></elsevierMultimedia><elsevierMultimedia ident="ecp0020"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0035" ] ] ] ] "multimedia" => array:6 [ 0 => array:7 [ "identificador" => "fig1" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1105 "Ancho" => 1300 "Tamanyo" => 170158 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Implantation of a 22 mm Amplatzer™ Cardiac Plug (ACP); 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Ano/Mês | Html | Total | |
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2023 Outubro | 24 | 13 | 37 |
2023 Setembro | 23 | 12 | 35 |
2023 Agosto | 36 | 26 | 62 |
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2022 Abril | 37 | 23 | 60 |
2022 Maro | 39 | 36 | 75 |
2022 Fevereiro | 21 | 23 | 44 |
2022 Janeiro | 31 | 20 | 51 |
2021 Dezembro | 21 | 27 | 48 |
2021 Novembro | 26 | 40 | 66 |
2021 Outubro | 30 | 44 | 74 |
2021 Setembro | 25 | 30 | 55 |
2021 Agosto | 26 | 35 | 61 |
2021 Julho | 19 | 18 | 37 |
2021 Junho | 17 | 19 | 36 |
2021 Maio | 31 | 46 | 77 |
2021 Abril | 51 | 44 | 95 |
2021 Maro | 66 | 21 | 87 |
2021 Fevereiro | 57 | 18 | 75 |
2021 Janeiro | 41 | 11 | 52 |
2020 Dezembro | 20 | 14 | 34 |
2020 Novembro | 26 | 13 | 39 |
2020 Outubro | 22 | 14 | 36 |
2020 Setembro | 56 | 22 | 78 |
2020 Agosto | 16 | 10 | 26 |
2020 Julho | 30 | 8 | 38 |
2020 Junho | 34 | 7 | 41 |
2020 Maio | 21 | 3 | 24 |
2020 Abril | 30 | 9 | 39 |
2020 Maro | 28 | 5 | 33 |
2020 Fevereiro | 98 | 23 | 121 |
2020 Janeiro | 26 | 7 | 33 |
2019 Dezembro | 32 | 15 | 47 |
2019 Novembro | 28 | 10 | 38 |
2019 Outubro | 31 | 12 | 43 |
2019 Setembro | 26 | 5 | 31 |
2019 Agosto | 28 | 11 | 39 |
2019 Julho | 28 | 11 | 39 |
2019 Junho | 29 | 7 | 36 |
2019 Maio | 43 | 5 | 48 |
2019 Abril | 17 | 20 | 37 |
2019 Maro | 119 | 15 | 134 |
2019 Fevereiro | 74 | 5 | 79 |
2019 Janeiro | 64 | 6 | 70 |
2018 Dezembro | 45 | 10 | 55 |
2018 Novembro | 73 | 13 | 86 |
2018 Outubro | 78 | 13 | 91 |
2018 Setembro | 32 | 12 | 44 |
2018 Agosto | 25 | 11 | 36 |
2018 Julho | 22 | 3 | 25 |
2018 Junho | 29 | 9 | 38 |
2018 Maio | 28 | 6 | 34 |
2018 Abril | 39 | 9 | 48 |
2018 Maro | 50 | 16 | 66 |
2018 Fevereiro | 22 | 12 | 34 |
2018 Janeiro | 31 | 6 | 37 |
2017 Dezembro | 29 | 14 | 43 |
2017 Novembro | 45 | 16 | 61 |
2017 Outubro | 20 | 14 | 34 |
2017 Setembro | 25 | 14 | 39 |
2017 Agosto | 38 | 23 | 61 |
2017 Julho | 74 | 40 | 114 |
2017 Junho | 25 | 34 | 59 |
2017 Maio | 0 | 2 | 2 |