Images in Intensive Medicine
Thrombus in transit in patient with COVID-19 pneumonia
Trombo en tránsito en paciente con neumonía por COVID-19
R. Chalelaa, M.P. Gracia-Arnillasb, R. Olivero-Soldevilac, A. Izquierdo-Marquisac, M. Acer-Puigb, D.A. Rodríguez-Chiaradíaa,
Corresponding author
a Pulmonology Department, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES (ISCIII), Barcelona, Spain
b Intensive Care Unit, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain
c Cardiology Department, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain
Read
4986
Timeswas read the article
1957
Total PDF
3029
Total HTML
Share statistics
array:23 [ "pii" => "S2173572720301521" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.06.004" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1530" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2020;44:524" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569120301819" "issn" => "02105691" "doi" => "10.1016/j.medin.2020.06.002" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1530" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2020;44:524" "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">IMÁGENES EN MEDICINA INTENSIVA</span>" "titulo" => "Trombo en tránsito en paciente con neumonía por COVID-19" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "524" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Thrombus in transit in patient with COVID-19 pneumonia" ] ] "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" => 366 "Ancho" => 1250 "Tamanyo" => 63971 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Chalela, M.P. Gracia-Arnillas, R. Olivero-Soldevila, A. Izquierdo-Marquisa, M. Acer-Puig, D.A. Rodríguez-Chiaradía" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Chalela" ] 1 => array:2 [ "nombre" => "M.P." "apellidos" => "Gracia-Arnillas" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Olivero-Soldevila" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Izquierdo-Marquisa" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Acer-Puig" ] 5 => array:2 [ "nombre" => "D.A." "apellidos" => "Rodríguez-Chiaradía" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572720301521" "doi" => "10.1016/j.medine.2020.06.004" "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/S2173572720301521?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120301819?idApp=WMIE" "url" => "/02105691/0000004400000008/v1_202010310735/S0210569120301819/v1_202010310735/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173572720301454" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.08.001" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1502" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:522-3" "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">Letter to the Editor</span>" "titulo" => "Post-intensive care syndrome after SARS-CoV-2 pandemic" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "522" "paginaFinal" => "523" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome post-cuidados intensivos después de la pandemia por SARS-CoV-2" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1354 "Ancho" => 2348 "Tamanyo" => 204069 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Graphic representation of the possible time horizons as a result of the SARS-CoV-2 pandemic. Reproduced with permission from Tseng V<span class="elsevierStyleSup">3</span>.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. González-Castro, A. Garcia de Lorenzo, P. Escudero-Acha, J.C. Rodriguez-Borregan" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "González-Castro" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Garcia de Lorenzo" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Escudero-Acha" ] 3 => array:2 [ "nombre" => "J.C." "apellidos" => "Rodriguez-Borregan" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569120301509" "doi" => "10.1016/j.medin.2020.04.011" "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/S0210569120301509?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720301454?idApp=WMIE" "url" => "/21735727/0000004400000008/v2_202102250821/S2173572720301454/v2_202102250821/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Thrombus in transit in patient with COVID-19 pneumonia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "524" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "R. Chalela, M.P. Gracia-Arnillas, R. Olivero-Soldevila, A. Izquierdo-Marquisa, M. Acer-Puig, D.A. Rodríguez-Chiaradía" "autores" => array:6 [ 0 => array:3 [ "nombre" => "R." "apellidos" => "Chalela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M.P." "apellidos" => "Gracia-Arnillas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Olivero-Soldevila" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Izquierdo-Marquisa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "M." "apellidos" => "Acer-Puig" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:4 [ "nombre" => "D.A." "apellidos" => "Rodríguez-Chiaradía" "email" => array:1 [ 0 => "darodriguez@parcdesalutmar.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Pulmonology Department, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), CIBERES (ISCIII), Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Intensive Care Unit, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cardiology Department, Hospital del Mar, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trombo en tránsito en paciente con neumonía por COVID-19" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 366 "Ancho" => 1250 "Tamanyo" => 63971 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Sixty-two-year-old male patient with a diagnosis pneumonia due to SARS-CoV-2 infection in the hospitalization ward. Within the first 10 days the patient was treated with hydroxychloroquine, azithromycin, and enoxaparin at prophylactic doses and then with tocilizumab and methylprednisolone. On day 13 of the hospitalization (16 days since symptom onset), the patient remained with respiratory distress, severe hypoxemia, high D-dimer levels (>3000 ug/mL), and preserved hemodynamic stability. The computed tomography angiography performed revealed the presence of a pulmonary embolism in the right ventricle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, black arrow). The echocardiogram confirmed the presence of a 2.4 cm thrombus in transit (Figure 1B and Figure C [white arrows] and supplementary data). The patient was then transferred to the intensive care unit where systemic fibrinolysis was performed with 100 mg of alteplase. Forty-eight hours later, the patient was discharged without further complications</p><elsevierMultimedia ident="fig0005"></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: Chalela R, Gracia-Arnillas MP, Olivero-Soldevila R, Izquierdo-Marquisa A, Acer-Puig M, Rodríguez-Chiaradía DA. Trombo en tránsito en paciente con neumonía por COVID-19. Med Intensiva. 2020;44:525.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following are Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0015" ] ] ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 366 "Ancho" => 1250 "Tamanyo" => 63971 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc1.zip" "ficheroTamanyo" => 343020 ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004400000008/v2_202102250821/S2173572720301521/v2_202102250821/en/main.assets" "Apartado" => array:4 [ "identificador" => "66582" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004400000008/v2_202102250821/S2173572720301521/v2_202102250821/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720301521?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 7 | 9 |
| 2024 October | 59 | 44 | 103 |
| 2024 September | 58 | 29 | 87 |
| 2024 August | 62 | 41 | 103 |
| 2024 July | 48 | 26 | 74 |
| 2024 June | 61 | 55 | 116 |
| 2024 May | 54 | 29 | 83 |
| 2024 April | 62 | 31 | 93 |
| 2024 March | 55 | 25 | 80 |
| 2024 February | 45 | 41 | 86 |
| 2024 January | 48 | 30 | 78 |
| 2023 December | 50 | 33 | 83 |
| 2023 November | 57 | 57 | 114 |
| 2023 October | 42 | 22 | 64 |
| 2023 September | 45 | 32 | 77 |
| 2023 August | 24 | 28 | 52 |
| 2023 July | 54 | 30 | 84 |
| 2023 June | 30 | 14 | 44 |
| 2023 May | 54 | 38 | 92 |
| 2023 April | 34 | 15 | 49 |
| 2023 March | 39 | 30 | 69 |
| 2023 February | 40 | 29 | 69 |
| 2023 January | 43 | 32 | 75 |
| 2022 December | 67 | 35 | 102 |
| 2022 November | 69 | 47 | 116 |
| 2022 October | 79 | 45 | 124 |
| 2022 September | 49 | 40 | 89 |
| 2022 August | 49 | 50 | 99 |
| 2022 July | 46 | 31 | 77 |
| 2022 June | 45 | 29 | 74 |
| 2022 May | 64 | 40 | 104 |
| 2022 April | 52 | 45 | 97 |
| 2022 March | 68 | 56 | 124 |
| 2022 February | 65 | 33 | 98 |
| 2022 January | 65 | 39 | 104 |
| 2021 December | 72 | 50 | 122 |
| 2021 November | 55 | 35 | 90 |
| 2021 October | 77 | 87 | 164 |
| 2021 September | 56 | 50 | 106 |
| 2021 August | 55 | 67 | 122 |
| 2021 July | 62 | 37 | 99 |
| 2021 June | 70 | 41 | 111 |
| 2021 May | 87 | 56 | 143 |
| 2021 April | 231 | 149 | 380 |
| 2021 March | 153 | 54 | 207 |
| 2021 February | 120 | 27 | 147 |
| 2021 January | 21 | 20 | 41 |
| 2020 December | 30 | 21 | 51 |
| 2020 November | 23 | 13 | 36 |
| 2020 October | 36 | 20 | 56 |
| 2020 September | 97 | 22 | 119 |
Show all
