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Escudero-Acha, A. González-Castro, C. Blanco Huelga" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Escudero-Acha" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "González-Castro" ] 2 => array:2 [ "nombre" => "C." 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Keituqwa Yáñez, S. Nicolás Franco, A. Arcís Conesa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Keituqwa Yáñez" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Nicolás Franco" ] 2 => array:2 [ "nombre" => "A." 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Escudero-Acha, A. González-Castro, C. Blanco Huelga" "autores" => array:3 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Escudero-Acha" "email" => array:1 [ 0 => "patricia.escudero.acha@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "González-Castro" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Blanco Huelga" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Perforación vascular por catéter venoso central" ] ] "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" => 732 "Ancho" => 905 "Tamanyo" => 81473 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of drained pleural content.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">This is the case of a 75-year-old woman admitted to the hospital floor unit due to Zenker's diverticulum, pending endoscopic therapy and requiring central venous catheter canalization of peripheral access for parenteral nutrition. Seven days later, she showed catheter-related bacteremia, the central venous catheter of peripheral access had to be removed and the jugular central venous catheter had to be canalized. Forty-eight hours later, the patient started showing progressive respiratory failure that required intubation and ICU admission. The thoracic ultrasound performed confirmed the presence of massive bilateral pleural effusion. It was drained using thoracic tubes that evacuated 3<span class="elsevierStyleHsp" style=""></span>l of white content with biochemical characteristics of parenteral nutrition (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The thoracic CT scan performed showed how the tip of the central venous catheter was impacting the innominate vein with adjacent collection (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Following instructions from Cardiovascular Surgery, the catheter was removed with close monitoring through the drainage tubes and the echocardiography to avoid cardiac tamponade. Forty-eight hours after admission the patient remained stable and was referred to the hospital floor unit.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Escudero-Acha P, González-Castro A, Blanco Huelga C. Perforación vascular por catéter venoso central. Med Intensiva. 2019;43:590.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 732 "Ancho" => 905 "Tamanyo" => 81473 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of drained pleural content.</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" => 576 "Ancho" => 905 "Tamanyo" => 53088 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">CT scan imaging showing the central venous catheter impacting the innominate vein.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000009/v1_201911280636/S2173572719302048/v1_201911280636/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/21735727/0000004300000009/v1_201911280636/S2173572719302048/v1_201911280636/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302048?idApp=WMIE" ]
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