array:21 [
  "pii" => "X2013251409004736"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
  "estado" => "S300"
  "fechaPublicacion" => "2009-06-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2009;29:282-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2935
    "formatos" => array:3 [
      "EPUB" => 247
      "HTML" => 2263
      "PDF" => 425
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699509004739"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
      "estado" => "S300"
      "fechaPublicacion" => "2009-06-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2009;29:282-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5882
        "formatos" => array:3 [
          "EPUB" => 232
          "HTML" => 4788
          "PDF" => 862
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "La estenosis no significativa de arteria renal en riñón único no contraindica la colocación de una prótesis endovascular aórtica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "282"
            "paginaFinal" => "283"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Not significant stenosis of renal artery in a single kidney does not counter-indicate placing an endovascular aortic prosthesis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M. Gago Fraile, G. Fernández Fresnedo, S. Sanz de Castro, M. Arias, I. García Martín"
            "autores" => array:5 [
              0 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Gago Fraile"
              ]
              1 => array:2 [
                "Iniciales" => "G."
                "apellidos" => "Fernández Fresnedo"
              ]
              2 => array:2 [
                "Iniciales" => "S."
                "apellidos" => "Sanz de Castro"
              ]
              3 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Arias"
              ]
              4 => array:2 [
                "Iniciales" => "I."
                "apellidos" => "García Martín"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251409004736"
          "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
          "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/X2013251409004736?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509004739?idApp=UINPBA000064"
      "url" => "/02116995/0000002900000003/v0_201502091409/X0211699509004739/v0_201502091410/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251409004728"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.3.4967.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-06-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2009;29:283-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4390
      "formatos" => array:3 [
        "EPUB" => 247
        "HTML" => 3671
        "PDF" => 472
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Plasmapheresis as a co-treatment in acute renal failure secondary to myeloma kidney"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "283"
          "paginaFinal" => "284"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Plasmaféresis como tratamiento adyuvante en el fallo renal agudo secundario al riñón del mieloma"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "19418078_f1_p283.jpg"
              "Alto" => 343
              "Ancho" => 541
              "Tamanyo" => 29787
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F. Levy, V. Camarero Temiño, G. Torres Torres, B. Hijazi Prieto"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "F."
              "apellidos" => "Levy"
            ]
            1 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Camarero Temiño"
            ]
            2 => array:2 [
              "Iniciales" => "G."
              "apellidos" => "Torres Torres"
            ]
            3 => array:2 [
              "Iniciales" => "B."
              "apellidos" => "Hijazi Prieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509004720"
        "doi" => "10.3265/Nefrologia.2009.29.3.4967.en.full"
        "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/X0211699509004720?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004728?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004728/v0_201502091629/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251409004744"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.3.5136.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-06-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2009;29:281-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3151
      "formatos" => array:3 [
        "EPUB" => 226
        "HTML" => 2439
        "PDF" => 486
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Lithium poisoning and proteinuria in the nephrotic range"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "281"
          "paginaFinal" => "282"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Intoxicación por litio y proteinuria en rango nefrótico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "19218078_f1_p281.jpg"
              "Alto" => 203
              "Ancho" => 259
              "Tamanyo" => 14830
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Polaina Rusillo, M.D. Sánchez Martos, G. Viedma Chamorro, I. Ruiz Ávila, V. Pérez Bañasco"
          "autores" => array:5 [
            0 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Polaina Rusillo"
            ]
            1 => array:2 [
              "Iniciales" => "M.D."
              "apellidos" => "Sánchez Martos"
            ]
            2 => array:2 [
              "Iniciales" => "G."
              "apellidos" => "Viedma Chamorro"
            ]
            3 => array:2 [
              "Iniciales" => "I."
              "apellidos" => "Ruiz Ávila"
            ]
            4 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Pérez Bañasco"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509004747"
        "doi" => "10.3265/Nefrologia.2009.29.3.5136.en.full"
        "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/X0211699509004747?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004744?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004744/v0_201502091629/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Not significant stenosis of renal artery in a single kidney does not counter-indicate placing an endovascular aortic prosthesis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "282"
        "paginaFinal" => "283"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "M. Gago Fraile, G. Fernández Fresnedo, S. Sanz de Castro, M. Arias, I. García Martín"
        "autores" => array:5 [
          0 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Gago Fraile"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:4 [
            "Iniciales" => "G."
            "apellidos" => "Fern&#225;ndez Fresnedo"
            "email" => array:1 [
              0 => "nefffg&#64;humv&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "S."
            "apellidos" => "Sanz de Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Arias"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "Iniciales" => "I."
            "apellidos" => "Garc&#237;a Mart&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Cardiovascular, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España, "
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La estenosis no significativa de arteria renal en ri&#241;&#243;n &#250;nico no contraindica la colocaci&#243;n de una pr&#243;tesis endovascular a&#243;rtica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f1_p282.jpg"
            "Alto" => 230
            "Ancho" => 259
            "Tamanyo" => 10555
          ]
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">Dear Editor&#58;</p><p class="elsevierStylePara">We present the case of a female patient aged 75 years who has been hypertensive for many years and has a urological history of recurring pyelonephritis&#44; which in June 1992 required a nephrectomy of the right kidney&#46; Since then&#44; she has maintained stable renal function with a glomerular filtration rate between 35-40ml&#47;min&#47;1&#46;73m<span class="elsevierStyleSup">2</span> according to the simplified MDRD&#46; In May 2002&#44; a routine abdominal ultrasound examination detected an aneurism of the subrenal abdominal aorta 3&#46;5cm in diameter that is checked periodically&#46; An abdominal CT in July 2006 showed that the aneurism had grown to reach 5&#46;6cm in diameter and that it was accompanied by stenosis of approximately 50&#37; of the left renal artery at the point of origin and of the inferior polar renal artery that irrigated more than a third of the kidney &#40;figure 1&#41;&#46; Despite these technical difficulties&#44; in February 2007 we proceeded to place an aortouniliac infrarenal endoprosthesis which left the exit of the polar artery and the left renal artery free &#40;figure 2&#41;&#46; From that moment&#44; the patient has maintained a stable renal function with acceptable management of blood pressure&#46;</p><p class="elsevierStylePara">Aneurisms of the abdominal aorta are a very prevalent condition&#44; with an incidence that varies depending on age and sex&#46; Aneurisms of the abdominal aorta are normally asymptomatic and are detected incidentally&#46; On many occasions&#44; the first sign is rupture &#40;with a low risk for aneurisms &#178; 5&#46;5cm in diameter&#44; but high for larger diameters&#41; with a mortality rate of 80&#37; for those that break&#46;</p><p class="elsevierStylePara">For years&#44; elderly patients and those with multiple diseases were not treated surgically&#44; but in 1991 endovascular prostheses arrived on the scene&#46; This technique consists in the placement of a synthetic Y-shaped prosthesis with two arms&#44; one for the abdominal aorta and an iliac artery&#44; and the other for the contralateral iliac artery&#44; which is inserted through the common femoral artery and guided using radioscopy&#46; The prosthesis is located near the neck of the aneurism and the stents that are in place guarantee that it is in the right position&#44; preventing it from shifting&#46;</p><p class="elsevierStylePara">There are also prostheses with windows for the renal arteries&#44; for cases in which the aneurism affects them as well&#46;</p><p class="elsevierStylePara">For the case in question&#44; our priority was to preserve the inferior polar artery&#44; which left a short aneurismatic pouch behind&#46; For this reason&#44; we used an aortouniliac prosthesis combined with a femoro-femoral bypass that guaranteed vascularisation of the left leg&#46; At that time&#44; we decided to do nothing about the stenosis of the renal artery&#44; as it was not significant&#46;</p><p class="elsevierStylePara">By placing endovascular prostheses&#44; we now have less invasive treatment alternative&#59; it has a low mortality rate and provides an option to patients who are not approved for conventional surgery&#46;</p><p class="elsevierStylePara"><a href="grande&#47;19318078&#95;f1&#95;p282&#46;jpg" class="elsevierStyleCrossRefs"><img src="19318078_f1_p282.jpg"></img></a></p><p class="elsevierStylePara">Figure 1&#46; </p><p class="elsevierStylePara"><a href="grande&#47;19318078&#95;f2&#95;p282&#46;jpg" class="elsevierStyleCrossRefs"><img src="19318078_f2_p282.jpg"></img></a></p><p class="elsevierStylePara">Figure 2&#46; </p>"
    "pdfFichero" => "P-E-S-A193-EN.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f1_p282.jpg"
            "Alto" => 230
            "Ancho" => 259
            "Tamanyo" => 10555
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig2"
        "etiqueta" => "Fig. 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f2_p282.jpg"
            "Alto" => 240
            "Ancho" => 259
            "Tamanyo" => 9286
          ]
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med 2008;358:494-501. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18234753" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schermerhorn ML, O¿Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular versus open repair of abdominal aortic aneurysms in the medicare population. N Engl J Med 2008;358:464-74. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18234751" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004736/v0_201502091629/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002900000003/v0_201502091629/X2013251409004736/v0_201502091629/en/P-E-S-A193-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004736?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Not significant stenosis of renal artery in a single kidney does not counter-indicate placing an endovascular aortic prosthesis
La estenosis no significativa de arteria renal en riñón único no contraindica la colocación de una prótesis endovascular aórtica
M.. Gago Frailea, G.. Fernández Fresnedoa, S.. Sanz de Castroa, M.. Ariasa, I.. García Martínb
a Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España,
b Servicio de Cardiovascular, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España,
Read
6012
Times
was read the article
1845
Total PDF
4167
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251409004736"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
  "estado" => "S300"
  "fechaPublicacion" => "2009-06-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:282-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2935
    "formatos" => array:3 [
      "EPUB" => 247
      "HTML" => 2263
      "PDF" => 425
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699509004739"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
      "estado" => "S300"
      "fechaPublicacion" => "2009-06-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2009;29:282-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5882
        "formatos" => array:3 [
          "EPUB" => 232
          "HTML" => 4788
          "PDF" => 862
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "La estenosis no significativa de arteria renal en ri&#241;&#243;n &#250;nico no contraindica la colocaci&#243;n de una pr&#243;tesis endovascular a&#243;rtica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "282"
            "paginaFinal" => "283"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Not significant stenosis of renal artery in a single kidney does not counter-indicate placing an endovascular aortic prosthesis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M. Gago Fraile, G. Fern&#225;ndez Fresnedo, S. Sanz de Castro, M. Arias, I. Garc&#237;a Mart&#237;n"
            "autores" => array:5 [
              0 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Gago Fraile"
              ]
              1 => array:2 [
                "Iniciales" => "G."
                "apellidos" => "Fern&#225;ndez Fresnedo"
              ]
              2 => array:2 [
                "Iniciales" => "S."
                "apellidos" => "Sanz de Castro"
              ]
              3 => array:2 [
                "Iniciales" => "M."
                "apellidos" => "Arias"
              ]
              4 => array:2 [
                "Iniciales" => "I."
                "apellidos" => "Garc&#237;a Mart&#237;n"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251409004736"
          "doi" => "10.3265/Nefrologia.2009.29.3.5127.en.full"
          "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/X2013251409004736?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509004739?idApp=UINPBA000064"
      "url" => "/02116995/0000002900000003/v0_201502091409/X0211699509004739/v0_201502091410/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251409004728"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.3.4967.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-06-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:283-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4390
      "formatos" => array:3 [
        "EPUB" => 247
        "HTML" => 3671
        "PDF" => 472
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Plasmapheresis as a co-treatment in acute renal failure secondary to myeloma kidney"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "283"
          "paginaFinal" => "284"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Plasmaf&#233;resis como tratamiento adyuvante en el fallo renal agudo secundario al ri&#241;&#243;n del mieloma"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "19418078_f1_p283.jpg"
              "Alto" => 343
              "Ancho" => 541
              "Tamanyo" => 29787
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F. Levy, V. Camarero Temi&#241;o, G. Torres Torres, B. Hijazi Prieto"
          "autores" => array:4 [
            0 => array:2 [
              "Iniciales" => "F."
              "apellidos" => "Levy"
            ]
            1 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Camarero Temi&#241;o"
            ]
            2 => array:2 [
              "Iniciales" => "G."
              "apellidos" => "Torres Torres"
            ]
            3 => array:2 [
              "Iniciales" => "B."
              "apellidos" => "Hijazi Prieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509004720"
        "doi" => "10.3265/Nefrologia.2009.29.3.4967.en.full"
        "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/X0211699509004720?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004728?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004728/v0_201502091629/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251409004744"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.3.5136.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-06-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:281-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3151
      "formatos" => array:3 [
        "EPUB" => 226
        "HTML" => 2439
        "PDF" => 486
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Lithium poisoning and proteinuria in the nephrotic range"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "281"
          "paginaFinal" => "282"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Intoxicaci&#243;n por litio y proteinuria en rango nefr&#243;tico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "19218078_f1_p281.jpg"
              "Alto" => 203
              "Ancho" => 259
              "Tamanyo" => 14830
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Polaina Rusillo, M.D. S&#225;nchez Martos, G. Viedma Chamorro, I. Ruiz &#193;vila, V. P&#233;rez Ba&#241;asco"
          "autores" => array:5 [
            0 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Polaina Rusillo"
            ]
            1 => array:2 [
              "Iniciales" => "M.D."
              "apellidos" => "S&#225;nchez Martos"
            ]
            2 => array:2 [
              "Iniciales" => "G."
              "apellidos" => "Viedma Chamorro"
            ]
            3 => array:2 [
              "Iniciales" => "I."
              "apellidos" => "Ruiz &#193;vila"
            ]
            4 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "P&#233;rez Ba&#241;asco"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509004747"
        "doi" => "10.3265/Nefrologia.2009.29.3.5136.en.full"
        "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/X0211699509004747?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004744?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004744/v0_201502091629/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Not significant stenosis of renal artery in a single kidney does not counter-indicate placing an endovascular aortic prosthesis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "282"
        "paginaFinal" => "283"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "M. Gago Fraile, G. Fern&#225;ndez Fresnedo, S. Sanz de Castro, M. Arias, I. Garc&#237;a Mart&#237;n"
        "autores" => array:5 [
          0 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Gago Fraile"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:4 [
            "Iniciales" => "G."
            "apellidos" => "Fern&#225;ndez Fresnedo"
            "email" => array:1 [
              0 => "nefffg&#64;humv&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "S."
            "apellidos" => "Sanz de Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "M."
            "apellidos" => "Arias"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "Iniciales" => "I."
            "apellidos" => "Garc&#237;a Mart&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Cardiovascular, Hospital Universitario Marqués de Valdecilla, Santander, Santander, España, "
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La estenosis no significativa de arteria renal en ri&#241;&#243;n &#250;nico no contraindica la colocaci&#243;n de una pr&#243;tesis endovascular a&#243;rtica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f1_p282.jpg"
            "Alto" => 230
            "Ancho" => 259
            "Tamanyo" => 10555
          ]
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">Dear Editor&#58;</p><p class="elsevierStylePara">We present the case of a female patient aged 75 years who has been hypertensive for many years and has a urological history of recurring pyelonephritis&#44; which in June 1992 required a nephrectomy of the right kidney&#46; Since then&#44; she has maintained stable renal function with a glomerular filtration rate between 35-40ml&#47;min&#47;1&#46;73m<span class="elsevierStyleSup">2</span> according to the simplified MDRD&#46; In May 2002&#44; a routine abdominal ultrasound examination detected an aneurism of the subrenal abdominal aorta 3&#46;5cm in diameter that is checked periodically&#46; An abdominal CT in July 2006 showed that the aneurism had grown to reach 5&#46;6cm in diameter and that it was accompanied by stenosis of approximately 50&#37; of the left renal artery at the point of origin and of the inferior polar renal artery that irrigated more than a third of the kidney &#40;figure 1&#41;&#46; Despite these technical difficulties&#44; in February 2007 we proceeded to place an aortouniliac infrarenal endoprosthesis which left the exit of the polar artery and the left renal artery free &#40;figure 2&#41;&#46; From that moment&#44; the patient has maintained a stable renal function with acceptable management of blood pressure&#46;</p><p class="elsevierStylePara">Aneurisms of the abdominal aorta are a very prevalent condition&#44; with an incidence that varies depending on age and sex&#46; Aneurisms of the abdominal aorta are normally asymptomatic and are detected incidentally&#46; On many occasions&#44; the first sign is rupture &#40;with a low risk for aneurisms &#178; 5&#46;5cm in diameter&#44; but high for larger diameters&#41; with a mortality rate of 80&#37; for those that break&#46;</p><p class="elsevierStylePara">For years&#44; elderly patients and those with multiple diseases were not treated surgically&#44; but in 1991 endovascular prostheses arrived on the scene&#46; This technique consists in the placement of a synthetic Y-shaped prosthesis with two arms&#44; one for the abdominal aorta and an iliac artery&#44; and the other for the contralateral iliac artery&#44; which is inserted through the common femoral artery and guided using radioscopy&#46; The prosthesis is located near the neck of the aneurism and the stents that are in place guarantee that it is in the right position&#44; preventing it from shifting&#46;</p><p class="elsevierStylePara">There are also prostheses with windows for the renal arteries&#44; for cases in which the aneurism affects them as well&#46;</p><p class="elsevierStylePara">For the case in question&#44; our priority was to preserve the inferior polar artery&#44; which left a short aneurismatic pouch behind&#46; For this reason&#44; we used an aortouniliac prosthesis combined with a femoro-femoral bypass that guaranteed vascularisation of the left leg&#46; At that time&#44; we decided to do nothing about the stenosis of the renal artery&#44; as it was not significant&#46;</p><p class="elsevierStylePara">By placing endovascular prostheses&#44; we now have less invasive treatment alternative&#59; it has a low mortality rate and provides an option to patients who are not approved for conventional surgery&#46;</p><p class="elsevierStylePara"><a href="grande&#47;19318078&#95;f1&#95;p282&#46;jpg" class="elsevierStyleCrossRefs"><img src="19318078_f1_p282.jpg"></img></a></p><p class="elsevierStylePara">Figure 1&#46; </p><p class="elsevierStylePara"><a href="grande&#47;19318078&#95;f2&#95;p282&#46;jpg" class="elsevierStyleCrossRefs"><img src="19318078_f2_p282.jpg"></img></a></p><p class="elsevierStylePara">Figure 2&#46; </p>"
    "pdfFichero" => "P-E-S-A193-EN.pdf"
    "tienePdf" => true
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f1_p282.jpg"
            "Alto" => 230
            "Ancho" => 259
            "Tamanyo" => 10555
          ]
        ]
      ]
      1 => array:7 [
        "identificador" => "fig2"
        "etiqueta" => "Fig. 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "19318078_f2_p282.jpg"
            "Alto" => 240
            "Ancho" => 259
            "Tamanyo" => 9286
          ]
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med 2008;358:494-501. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18234753" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schermerhorn ML, O¿Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular versus open repair of abdominal aortic aneurysms in the medicare population. N Engl J Med 2008;358:464-74. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18234751" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002900000003/v0_201502091629/X2013251409004736/v0_201502091629/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002900000003/v0_201502091629/X2013251409004736/v0_201502091629/en/P-E-S-A193-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409004736?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 5 10 15
2024 October 34 29 63
2024 September 47 29 76
2024 August 54 46 100
2024 July 29 24 53
2024 June 36 26 62
2024 May 50 25 75
2024 April 33 20 53
2024 March 36 19 55
2024 February 24 35 59
2024 January 22 28 50
2023 December 19 24 43
2023 November 48 26 74
2023 October 38 20 58
2023 September 58 29 87
2023 August 29 24 53
2023 July 38 34 72
2023 June 61 27 88
2023 May 74 29 103
2023 April 43 14 57
2023 March 33 18 51
2023 February 32 22 54
2023 January 26 20 46
2022 December 34 29 63
2022 November 31 19 50
2022 October 39 31 70
2022 September 26 27 53
2022 August 40 39 79
2022 July 19 40 59
2022 June 31 19 50
2022 May 23 36 59
2022 April 30 46 76
2022 March 25 37 62
2022 February 46 39 85
2022 January 28 28 56
2021 December 25 41 66
2021 November 51 39 90
2021 October 42 39 81
2021 September 22 33 55
2021 August 38 23 61
2021 July 34 28 62
2021 June 42 27 69
2021 May 23 19 42
2021 April 61 38 99
2021 March 59 29 88
2021 February 29 15 44
2021 January 29 9 38
2020 December 28 17 45
2020 November 18 11 29
2020 October 13 20 33
2020 September 22 3 25
2020 August 27 4 31
2020 July 19 11 30
2020 June 9 4 13
2020 May 20 11 31
2020 April 17 15 32
2020 March 20 9 29
2020 February 24 20 44
2020 January 30 15 45
2019 December 18 17 35
2019 November 22 17 39
2019 October 5 3 8
2019 September 11 15 26
2019 August 9 7 16
2019 July 16 15 31
2019 June 10 8 18
2019 May 12 14 26
2019 April 33 29 62
2019 March 12 13 25
2019 February 11 8 19
2019 January 24 17 41
2018 December 51 26 77
2018 November 75 10 85
2018 October 59 15 74
2018 September 48 15 63
2018 August 30 10 40
2018 July 27 12 39
2018 June 27 9 36
2018 May 42 16 58
2018 April 36 5 41
2018 March 43 6 49
2018 February 48 7 55
2018 January 40 5 45
2017 December 28 7 35
2017 November 26 7 33
2017 October 17 5 22
2017 September 27 7 34
2017 August 23 8 31
2017 July 13 8 21
2017 June 25 4 29
2017 May 31 4 35
2017 April 24 9 33
2017 March 23 3 26
2017 February 21 6 27
2017 January 10 2 12
2016 December 36 7 43
2016 November 28 6 34
2016 October 64 4 68
2016 September 73 3 76
2016 August 99 3 102
2016 July 100 5 105
2016 June 90 0 90
2016 May 111 0 111
2016 April 71 0 71
2016 March 51 0 51
2016 February 59 0 59
2016 January 60 0 60
2015 December 75 0 75
2015 November 55 0 55
2015 October 50 0 50
2015 September 40 0 40
2015 August 60 0 60
2015 July 40 0 40
2015 June 35 0 35
2015 May 45 0 45
2015 April 5 0 5
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)