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array:22 [ "pii" => "S0210569114002551" "issn" => "02105691" "doi" => "10.1016/j.medin.2014.11.001" "estado" => "S300" "fechaPublicacion" => "2015-05-01" "aid" => "744" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2014" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2015;39:261" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2445 "formatos" => array:3 [ "EPUB" => 170 "HTML" => 1450 "PDF" => 825 ] ] "itemAnterior" => array:18 [ "pii" => "S0210569115000212" "issn" => "02105691" "doi" => "10.1016/j.medin.2015.01.003" "estado" => "S300" "fechaPublicacion" => "2015-05-01" "aid" => "764" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2015;39:259-60" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2355 "formatos" => array:3 [ "EPUB" => 176 "HTML" => 1292 "PDF" => 887 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL DIRECTOR</span>" "titulo" => "Respuesta al comentario sobre el original «Supervivencia y pronóstico neurológico en paradas cardiorrespiratorias extrahospitalarias por ritmos desfibrilables tratadas con hipotermia terapéutica moderada»" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "259" "paginaFinal" => "260" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Reply to the comment on the original: “Survival and neurological prognosis in out-hospital cardiorespiratory arrest due to defibrillatable rhythms treated with moderate therapeutic hypothermia”" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Magaldi" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Magaldi" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569115000212?idApp=WMIE" "url" => "/02105691/0000003900000004/v2_201504190201/S0210569115000212/v2_201504190201/es/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Contrast-enhanced signs of cardiac arrest during CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "261" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Millán, X. Gallardo, I. Martin-Loeches" "autores" => array:3 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Millán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "X." 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"apellidos" => "Martin-Loeches" "email" => array:1 [ 0 => "drmartinloeches@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Critical Care Centre, Corporació Sanitària i Universitaria Parc Taulí - Hospital de Sabadell, Sabadell, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Radiology, UDIAT-Centre Diagnostic, Institut Universitari Parc Tauli-UAB, Sabadell, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Multidisciplinary Intensive Care Research Organization (MICRO), St James's University Hospital, Trinity Centre for Health Sciences, Dublin, Ireland" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Signos de parada cardiaca durante la realización de un TAC con contraste" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 690 "Ancho" => 995 "Tamanyo" => 126300 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Retrograde flow of contrast through the inferior vena cava to the right hepatic vein and the most gravity-dependent areas of the right hepatic lobe.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 78-year-old woman with a history of smoking, hypertension, chronic obstructive pulmonary disease, and type 2 diabetes mellitus presented sudden death. After advanced life support, she recovered a pulse. On the EKG, a newly acquired right bundle branch block (RBBB) was detected and she was urgently transferred to the CT scanner to rule out a massive pulmonary embolism. During image acquisition, the patient became hypotensive and suffered another cardiac arrest.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Contrast-enhanced multidetector CT showed “passive” filling of the right cardiac chambers with contrast material occupying the lower part of the chambers.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Retrograde flow of the contrast agent was also observed through the right atrium into the coronary sinus and the great cardiac vein, filling the cardiac veins of the left ventricle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), and from the inferior vena cava into the right hepatic vein and right hepatic lobe (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">These findings are pathognomonic of the absence of blood flow during the procedure.</p><p id="par0025" class="elsevierStylePara elsevierViewall">After 30<span class="elsevierStyleHsp" style=""></span>min advanced life support, the patient died.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 717 "Ancho" => 995 "Tamanyo" => 112417 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Contrast in the lower part of the right atrium and ventricle (arrowheads). Retrograde filling of the coronary sinus (*) and cardiac veins of the left ventricle (arrows).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 690 "Ancho" => 995 "Tamanyo" => 126300 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Retrograde flow of contrast through the inferior vena cava to the right hepatic vein and the most gravity-dependent areas of the right hepatic lobe.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105691/0000003900000004/v2_201504190201/S0210569114002551/v2_201504190201/en/main.assets" "Apartado" => array:4 [ "identificador" => "5825" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105691/0000003900000004/v2_201504190201/S0210569114002551/v2_201504190201/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569114002551?idApp=WMIE" ]
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