array:24 [
  "pii" => "S2173572722001497"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.07.001"
  "estado" => "S300"
  "fechaPublicacion" => "2023-04-01"
  "aid" => "1673"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2023;47:243"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S021056912100111X"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2021.05.006"
      "estado" => "S300"
      "fechaPublicacion" => "2023-04-01"
      "aid" => "1673"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2023;47:243"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Tratamiento fibrinol&#237;tico con activador tisular del plasmin&#243;geno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "243"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 572
                "Ancho" => 755
                "Tamanyo" => 48897
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46; Cuervas-Mons Tejedor, J&#46;D&#46; L&#243;pez Castilla, E&#46; S&#225;nchez Valderr&#225;banos"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Cuervas-Mons Tejedor"
              ]
              1 => array:2 [
                "nombre" => "J&#46;D&#46;"
                "apellidos" => "L&#243;pez Castilla"
              ]
              2 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "S&#225;nchez Valderr&#225;banos"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722001497"
          "doi" => "10.1016/j.medine.2022.07.001"
          "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/S2173572722001497?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056912100111X?idApp=WMIE"
      "url" => "/02105691/0000004700000004/v1_202303262134/S021056912100111X/v1_202303262134/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572722002934"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.10.009"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1670"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:244-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Transarterial embolization in a case of post-traumatic adrenal hemorrhage"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "244"
          "paginaFinal" => "245"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Embolizaci&#243;n de hemorragia suprarrenal en paciente politraumatizada"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1538
              "Ancho" => 2515
              "Tamanyo" => 382579
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46;I&#46; Perez-Sanchez, N&#46; Mamolar Herrera, J&#46;J&#46; Velasco G&#243;mez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "L&#46;I&#46;"
              "apellidos" => "Perez-Sanchez"
            ]
            1 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Mamolar Herrera"
            ]
            2 => array:2 [
              "nombre" => "J&#46;J&#46;"
              "apellidos" => "Velasco G&#243;mez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569121001054"
        "doi" => "10.1016/j.medin.2021.04.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001054?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002934?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722002934/v1_202303262126/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572723000012"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.01.001"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1841"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2023;47:242"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Acute respiratory distress syndrome&#58; a definition on the line"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "242"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sindrome de distr&#233;s respiratorio agudo&#58; una definici&#243;n en la picota"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Gonz&#225;lez-Castro, E&#46; Cuenca Fito, C&#46; Gonzalez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Gonz&#225;lez-Castro"
            ]
            1 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Cuenca Fito"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gonzalez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569122003448"
        "doi" => "10.1016/j.medin.2022.12.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569122003448?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723000012?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572723000012/v1_202303262126/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "243"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Cuervas-Mons Tejedor, J&#46;D&#46; L&#243;pez Castilla, E&#46; S&#225;nchez Valderr&#225;banos"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Cuervas-Mons Tejedor"
          ]
          1 => array:4 [
            "nombre" => "J&#46;D&#46;"
            "apellidos" => "L&#243;pez Castilla"
            "email" => array:1 [
              0 => "pepedomi1953@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "E&#46;"
            "apellidos" => "S&#225;nchez Valderr&#225;banos"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Gesti&#243;n Cl&#237;nica de Cuidados Intensivos Pedi&#225;tricos&#46; Hospital Infantil Virgen del Roc&#237;o&#44; Sevilla&#46; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Tratamiento fibrinol&#237;tico con activador tisular del plasmin&#243;geno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 918
            "Ancho" => 1262
            "Tamanyo" => 100533
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 16-year-old female presented with a history of complex congenital heart disease requiring a right systemic-pulmonary fistula&#44; with a bidirectional cavopulmonary anastomosis &#40;Glenn procedure&#41; at 6 years of age&#46; She was admitted to the Pediatric Intensive Care Unit due to breathing difficulty and severe hypoxemia&#46; With the suspicion of pulmonary thromboembolism&#44; heparin sodium was started&#44; and a new CT angiographic study was performed 24&#160;hours later due to progressive clinical worsening&#46; A thrombus was identified at the communication between the left superior vena cava and the left pulmonary artery&#44; compatible with massive thromboembolism of the left lung &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; see arrows&#41;&#46; Treatment was started with recombinant tissue plasminogen activator &#40;rTPA&#41; in the form of an initial 30&#160;mg bolus &#40;0&#46;5&#160;mg&#47;kg&#41; followed by the perfusion of 0&#46;04&#160;mg&#47;kg&#47;h&#46; After 36&#160;hours&#44; repeat control CT angiography evidenced important thrombus reduction with marked re-permeation &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#44; see arrows&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare that no funding has been received for this study&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 956
            "Ancho" => 1262
            "Tamanyo" => 101053
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 918
            "Ancho" => 1262
            "Tamanyo" => 100533
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722001497/v1_202303262126/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "64602"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Intensive Medicine"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000004/v1_202303262126/S2173572722001497/v1_202303262126/en/main.pdf?idApp=WMIE&text.app=https://www.medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001497?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Images in Intensive Medicine
Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure
Tratamiento fibrinolítico con activador tisular del plasminógeno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn
M. Cuervas-Mons Tejedor, J.D. López Castilla
Corresponding author
pepedomi1953@gmail.com

Corresponding author.
, E. Sánchez Valderrábanos
Unidad de Gestión Clínica de Cuidados Intensivos Pediátricos. Hospital Infantil Virgen del Rocío, Sevilla. Spain
Read
1174
Times
was read the article
495
Total PDF
679
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173572722001497"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.07.001"
  "estado" => "S300"
  "fechaPublicacion" => "2023-04-01"
  "aid" => "1673"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2023;47:243"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S021056912100111X"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2021.05.006"
      "estado" => "S300"
      "fechaPublicacion" => "2023-04-01"
      "aid" => "1673"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2023;47:243"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Tratamiento fibrinol&#237;tico con activador tisular del plasmin&#243;geno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "243"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 572
                "Ancho" => 755
                "Tamanyo" => 48897
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46; Cuervas-Mons Tejedor, J&#46;D&#46; L&#243;pez Castilla, E&#46; S&#225;nchez Valderr&#225;banos"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Cuervas-Mons Tejedor"
              ]
              1 => array:2 [
                "nombre" => "J&#46;D&#46;"
                "apellidos" => "L&#243;pez Castilla"
              ]
              2 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "S&#225;nchez Valderr&#225;banos"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722001497"
          "doi" => "10.1016/j.medine.2022.07.001"
          "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/S2173572722001497?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056912100111X?idApp=WMIE"
      "url" => "/02105691/0000004700000004/v1_202303262134/S021056912100111X/v1_202303262134/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572722002934"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.10.009"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1670"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:244-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Transarterial embolization in a case of post-traumatic adrenal hemorrhage"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "244"
          "paginaFinal" => "245"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Embolizaci&#243;n de hemorragia suprarrenal en paciente politraumatizada"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1538
              "Ancho" => 2515
              "Tamanyo" => 382579
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46;I&#46; Perez-Sanchez, N&#46; Mamolar Herrera, J&#46;J&#46; Velasco G&#243;mez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "L&#46;I&#46;"
              "apellidos" => "Perez-Sanchez"
            ]
            1 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "Mamolar Herrera"
            ]
            2 => array:2 [
              "nombre" => "J&#46;J&#46;"
              "apellidos" => "Velasco G&#243;mez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569121001054"
        "doi" => "10.1016/j.medin.2021.04.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001054?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722002934?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722002934/v1_202303262126/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572723000012"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.01.001"
    "estado" => "S300"
    "fechaPublicacion" => "2023-04-01"
    "aid" => "1841"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2023;47:242"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Acute respiratory distress syndrome&#58; a definition on the line"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "242"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sindrome de distr&#233;s respiratorio agudo&#58; una definici&#243;n en la picota"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Gonz&#225;lez-Castro, E&#46; Cuenca Fito, C&#46; Gonzalez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Gonz&#225;lez-Castro"
            ]
            1 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Cuenca Fito"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Gonzalez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569122003448"
        "doi" => "10.1016/j.medin.2022.12.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569122003448?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723000012?idApp=WMIE"
    "url" => "/21735727/0000004700000004/v1_202303262126/S2173572723000012/v1_202303262126/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
    "titulo" => "Fibrinolytic treatment with tissue plasminogen activator in a patient with massive pulmonary thromboembolism and bidirectional Glenn procedure"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "243"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Cuervas-Mons Tejedor, J&#46;D&#46; L&#243;pez Castilla, E&#46; S&#225;nchez Valderr&#225;banos"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Cuervas-Mons Tejedor"
          ]
          1 => array:4 [
            "nombre" => "J&#46;D&#46;"
            "apellidos" => "L&#243;pez Castilla"
            "email" => array:1 [
              0 => "pepedomi1953@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "E&#46;"
            "apellidos" => "S&#225;nchez Valderr&#225;banos"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Gesti&#243;n Cl&#237;nica de Cuidados Intensivos Pedi&#225;tricos&#46; Hospital Infantil Virgen del Roc&#237;o&#44; Sevilla&#46; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Tratamiento fibrinol&#237;tico con activador tisular del plasmin&#243;geno en paciente con tromboembolismo pulmonar masivo y trombosis de la anastomosis de Glenn"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 918
            "Ancho" => 1262
            "Tamanyo" => 100533
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 16-year-old female presented with a history of complex congenital heart disease requiring a right systemic-pulmonary fistula&#44; with a bidirectional cavopulmonary anastomosis &#40;Glenn procedure&#41; at 6 years of age&#46; She was admitted to the Pediatric Intensive Care Unit due to breathing difficulty and severe hypoxemia&#46; With the suspicion of pulmonary thromboembolism&#44; heparin sodium was started&#44; and a new CT angiographic study was performed 24&#160;hours later due to progressive clinical worsening&#46; A thrombus was identified at the communication between the left superior vena cava and the left pulmonary artery&#44; compatible with massive thromboembolism of the left lung &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; see arrows&#41;&#46; Treatment was started with recombinant tissue plasminogen activator &#40;rTPA&#41; in the form of an initial 30&#160;mg bolus &#40;0&#46;5&#160;mg&#47;kg&#41; followed by the perfusion of 0&#46;04&#160;mg&#47;kg&#47;h&#46; After 36&#160;hours&#44; repeat control CT angiography evidenced important thrombus reduction with marked re-permeation &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#44; see arrows&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare that no funding has been received for this study&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 956
            "Ancho" => 1262
            "Tamanyo" => 101053
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 918
            "Ancho" => 1262
            "Tamanyo" => 100533
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000004/v1_202303262126/S2173572722001497/v1_202303262126/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "64602"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Intensive Medicine"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004700000004/v1_202303262126/S2173572722001497/v1_202303262126/en/main.pdf?idApp=WMIE&text.app=https://www.medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001497?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 October 21 18 39
2024 September 51 34 85
2024 August 59 32 91
2024 July 41 26 67
2024 June 51 29 80
2024 May 52 29 81
2024 April 47 29 76
2024 March 46 23 69
2024 February 37 37 74
2024 January 43 37 80
2023 December 31 33 64
2023 November 40 36 76
2023 October 44 43 87
2023 September 40 30 70
2023 August 36 23 59
2023 July 38 34 72
2023 March 2 2 4
Show all

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?