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Leve acodamiento del catéter entre la clavícula y la primera costilla, sin estrechamiento luminal ni solución de continuidad (síndrome de «pinch-off» grado 1). Punta del catéter en la unión cava superior-aurícula derecha. B) Rx de tórax (contraste): extravasación del contraste en la zona de acodamiento y disminución de este en el segmento distal y punta del catéter.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Eizaga Rebollar, M.V. García Palacios, A. Pernia Romero, L.M. Torres Morera" "autores" => array:4 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Eizaga Rebollar" ] 1 => array:2 [ "nombre" => "M.V." "apellidos" => "García Palacios" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Pernia Romero" ] 3 => array:2 [ "nombre" => "L.M." 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Large-sized faringeal cyst" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "421" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hallazgo inesperado en la sala de preanestesia. Quiste faringolaríngeo de grandes dimensiones" ] ] "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" => 1030 "Ancho" => 2500 "Tamanyo" => 154090 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Ultrasound probe placed on the longitudinal axis, mid-cervical line. A cyst measuring 17.1<span class="elsevierStyleHsp" style=""></span>mm at its maximum diameter was observed. (B) The linear ultrasound probe is placed in the transverse plane at the level of the thyroid cartilage. A hypoechoic image is observed in the left paralaríngea region measuring 18.9<span class="elsevierStyleHsp" style=""></span>mm in diameter.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">ct: thyroid cartilage; cv: vocal cords; ep: epiglottis; glt: thyroid gland; hh: hyoid bone.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.A. Pérez Herrero, M. Otero, P. Liu" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Pérez Herrero" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Otero" ] 2 => array:2 [ "nombre" => "P." 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"apellidos" => "Torres Morera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta de Mar, Cádiz, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Puerta de Mar, Cádiz, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rotura parcial de Port-a-Cath<span class="elsevierStyleSup">®</span> en síndrome de «pinch-off» de bajo grado" ] ] "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" => 795 "Ancho" => 1400 "Tamanyo" => 107574 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray (simple): correct reservoir-catheter connection. Slight kink between clavicle and first rib, no luminal narrowing or rupture (grade 1pinch-off syndrome). Tip of the catheter in the junction of the superior cava-right atrium. (B) Chest X-ray (contrast): extravasation of contrast in the area of kinking and reduced flow in the distal segment and tip of the catheter.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient with uncomplicated Port-a-Cath<span class="elsevierStyleSup">®</span> implantation 4 months previously who, after four sessions of chemotherapy, presented clavicular pain during infusion in the last two sessions. There were no signs of local inflammation, blood was extracted and saline flush was performed without pain or local oedema. Two radiographs were requested: one simple and another with contrast injection through the device (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pinch-off syndrome occurs when a subclavian central venous catheter is compressed and/or sheared as it passes between the clavicle and the first rib; the more medial the subclavian vein insertion site (narrower costoclavicular angle), the more frequent the syndrome. Hinke's classification is: grade 0, normal path of catheter; grade 1, abrupt change in course with no luminal narrowing; grade 2, abrupt change in course with luminal narrowing (risk of catheter fracture); grade 3, complete catheter fracture with embolization of the distal segment (risk of arrhythmia, endocarditis, cardiac perforation and pulmonary embolism).</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Eizaga Rebollar R, García Palacios MV, Pernia Romero A, Torres Morera LM. Rotura parcial de Port-a-Cath<span class="elsevierStyleSup">®</span> en síndrome de «pinch-off» de bajo grado. Rev Esp Anestesiol Reanim. 2018;65:419–420.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 795 "Ancho" => 1400 "Tamanyo" => 107574 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray (simple): correct reservoir-catheter connection. Slight kink between clavicle and first rib, no luminal narrowing or rupture (grade 1pinch-off syndrome). Tip of the catheter in the junction of the superior cava-right atrium. (B) Chest X-ray (contrast): extravasation of contrast in the area of kinking and reduced flow in the distal segment and tip of the catheter.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000007/v1_201807260406/S2341192918300994/v1_201807260406/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000007/v1_201807260406/S2341192918300994/v1_201807260406/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192918300994?idApp=UINPBA00004N" ]
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