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">IM&#193;GENES EN MEDICINA INTENSIVA</span>"
        "titulo" => "Trombo en tr&#225;nsito en paciente con neumon&#237;a 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&#46; Chalela, M&#46;P&#46; Gracia-Arnillas, R&#46; Olivero-Soldevila, A&#46; Izquierdo-Marquisa, M&#46; Acer-Puig, D&#46;A&#46; Rodr&#237;guez-Chiarad&#237;a"
            "autores" => array:6 [
              0 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Chalela"
              ]
              1 => array:2 [
                "nombre" => "M&#46;P&#46;"
                "apellidos" => "Gracia-Arnillas"
              ]
              2 => array:2 [
                "nombre" => "R&#46;"
                "apellidos" => "Olivero-Soldevila"
              ]
              3 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Izquierdo-Marquisa"
              ]
              4 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Acer-Puig"
              ]
              5 => array:2 [
                "nombre" => "D&#46;A&#46;"
                "apellidos" => "Rodr&#237;guez-Chiarad&#237;a"
              ]
            ]
          ]
        ]
      ]
      "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 Espa&#241;a&#44; S&#46;L&#46;U&#46; 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" => "S&#237;ndrome post-cuidados intensivos despu&#233;s 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&#46; Reproduced with permission from Tseng V<span class="elsevierStyleSup">3</span>&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Gonz&#225;lez-Castro, A&#46; Garcia de Lorenzo, P&#46; Escudero-Acha, J&#46;C&#46; Rodriguez-Borregan"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Gonz&#225;lez-Castro"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Garcia de Lorenzo"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Escudero-Acha"
            ]
            3 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "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&#46; Chalela, M&#46;P&#46; Gracia-Arnillas, R&#46; Olivero-Soldevila, A&#46; Izquierdo-Marquisa, M&#46; Acer-Puig, D&#46;A&#46; Rodr&#237;guez-Chiarad&#237;a"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Chalela"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;P&#46;"
            "apellidos" => "Gracia-Arnillas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Olivero-Soldevila"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Izquierdo-Marquisa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Acer-Puig"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          5 => array:4 [
            "nombre" => "D&#46;A&#46;"
            "apellidos" => "Rodr&#237;guez-Chiarad&#237;a"
            "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">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Pulmonology Department&#44; Hospital del Mar&#44; Institut Hospital del Mar d&#8217;Investigacions M&#232;diques &#40;IMIM&#41;&#44; Universitat Pompeu Fabra &#40;UPF&#41;&#44; CIBERES &#40;ISCIII&#41;&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Intensive Care Unit&#44; Hospital del Mar&#44; Institut Hospital del Mar d&#8217;Investigacions M&#232;diques &#40;IMIM&#41;&#44; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Cardiology Department&#44; Hospital del Mar&#44; Institut Hospital del Mar d&#8217;Investigacions M&#232;diques &#40;IMIM&#41;&#44; Barcelona&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Trombo en tr&#225;nsito en paciente con neumon&#237;a 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">&#46;</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&#46; Within the first 10 days the patient was treated with hydroxychloroquine&#44; azithromycin&#44; and enoxaparin at prophylactic doses and then with tocilizumab and methylprednisolone&#46; On day 13 of the hospitalization &#40;16 days since symptom onset&#41;&#44; the patient remained with respiratory distress&#44; severe hypoxemia&#44; high D-dimer levels &#40;&#62;3000&#8239;ug&#47;mL&#41;&#44; and preserved hemodynamic stability&#46; The computed tomography angiography performed revealed the presence of a pulmonary embolism in the right ventricle &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; black arrow&#41;&#46; The echocardiogram confirmed the presence of a 2&#46;4&#8239;cm thrombus in transit &#40;Figure 1B and Figure C &#91;white arrows&#93; and supplementary data&#41;&#46; The patient was then transferred to the intensive care unit where systemic fibrinolysis was performed with 100&#8239;mg of alteplase&#46; Forty-eight hours later&#44; 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" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Chalela R&#44; Gracia-Arnillas MP&#44; Olivero-Soldevila R&#44; Izquierdo-Marquisa A&#44; Acer-Puig M&#44; Rodr&#237;guez-Chiarad&#237;a DA&#46; Trombo en tr&#225;nsito en paciente con neumon&#237;a por COVID-19&#46; Med Intensiva&#46; 2020&#59;44&#58;525&#46;</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&#58;<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">&#46;</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"
]
Share
Journal Information
Vol. 44. Issue 8.
Pages 524 (November 2020)
Vol. 44. Issue 8.
Pages 524 (November 2020)
Images in Intensive Medicine
Full text access
Thrombus in transit in patient with COVID-19 pneumonia
Trombo en tránsito en paciente con neumonía por COVID-19
Visits
4986
R. Chalelaa, M.P. Gracia-Arnillasb, R. Olivero-Soldevilac, A. Izquierdo-Marquisac, M. Acer-Puigb, D.A. Rodríguez-Chiaradíaa,
Corresponding author
darodriguez@parcdesalutmar.cat

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
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Additional material (1)
Full Text

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 (Fig. 1A, 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

Figure 1.

.

(0.06MB).
Appendix A
Supplementary data

The following are Supplementary data to this article:

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.

Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
Supplemental materials
es en

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

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