Catéteres translumbares y transhepáticos para hemodiálisis: una opción viable

array:25 ["pii" => "S0211699518300353" "issn" => "02116995" "doi" => "10.1016/j.nefro.2017.12.004" "estado" => "S300" "fechaPublicacion" => "2019-01-01" "aid" => "470" "copyright" => "Sociedad Española de Nefrología" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia. 2019;39:88-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4838 "formatos" => array:3 [ "EPUB" => 292 "HTML" => 3597 "PDF" => 949 ] ] "Traduccion" => array:1 [ "en" => array:20 [ "pii" => "S2013251419300045" "issn" => "20132514" "doi" => "10.1016/j.nefroe.2017.12.006" "estado" => "S300" "fechaPublicacion" => "2019-01-01" "aid" => "470" "copyright" => "Sociedad Española de Nefrología" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia (English Version). 2019;39:88-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1304 "formatos" => array:3 [ "EPUB" => 124 "HTML" => 813 "PDF" => 367 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Translumbar and transhepatic haemodialysis catheters: A viable option" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "90" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Catéteres translumbares y transhepáticos para hemodiálisis: una opción viable" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1212 "Ancho" => 1667 "Tamanyo" => 98901 ] ] "descripcion" => array:1 [ "en" => "Catheter survival by insertion site." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Rodriguez Mori, Jhony Ramirez Alguiar, Carla Postigo Oviedo, Piero Mora Munares, Manuel Llaro Sánchez, Max Caballero Linares, Manuel Castillo Zegarra" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Juan Rodriguez" "apellidos" => "Mori" ] 1 => array:2 [ "nombre" => "Jhony Ramirez" "apellidos" => "Alguiar" ] 2 => array:2 [ "nombre" => "Carla Postigo" "apellidos" => "Oviedo" ] 3 => array:2 [ "nombre" => "Piero Mora" "apellidos" => "Munares" ] 4 => array:2 [ "nombre" => "Manuel Llaro" "apellidos" => "Sánchez" ] 5 => array:2 [ "nombre" => "Max Caballero" "apellidos" => "Linares" ] 6 => array:2 [ "nombre" => "Manuel Castillo" "apellidos" => "Zegarra" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0211699518300353" "doi" => "10.1016/j.nefro.2017.12.004" "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/S0211699518300353?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251419300045?idApp=UINPBA000064" "url" => "/20132514/0000003900000001/v1_201903030617/S2013251419300045/v1_201903030617/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0211699518300092" "issn" => "02116995" "doi" => "10.1016/j.nefro.2017.11.023" "estado" => "S300" "fechaPublicacion" => "2019-01-01" "aid" => "463" "copyright" => "Sociedad Española de Nefrología" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia. 2019;39:90-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2953 "formatos" => array:3 [ "EPUB" => 345 "HTML" => 1809 "PDF" => 799 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Improvement of bilateral lower-limb muscle oxygenation by low-density lipoprotein apheresis in a patient with peripheral artery disease undergoing hemodialysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "90" "paginaFinal" => "92" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mejora de la oxigenación en los músculos de ambos miembros inferiores mediante aféresis de lipoproteínas de baja densidad en un paciente con arteriopatía periférica sometido a diálisis" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 994 "Ancho" => 1578 "Tamanyo" => 131479 ] ] "descripcion" => array:1 [ "en" => "The changes in rSO2 of the forehead and bilateral lower-limb muscle as per the oxygenation values of cerebral and muscle tissues, respectively, under LDL-A with HD. rSO2 ratio is defined as the ratio of rSO2 value at t (min) during HD and initial rSO2 value before HD (rSO2 at t (min) during HD/initial rSO2 before HD). The open circle represents the changes in cerebral rSO2 values, the grey diamond shape represents the changes in right lower-limb muscle rSO2 values, and the block diamond shape represents the changes in left lower-limb muscle rSO2 values." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Kiyonori Ito, Susumu Ookawara, Yuichiro Ueda, Hideyuki Hayasaka, Masaya Kofuji, Takayuki Uchida, Harunobu Matsumoto, Atsushi Yamaguchi, Yoshiyuki Morishita" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Kiyonori" "apellidos" => "Ito" ] 1 => array:2 [ "nombre" => "Susumu" "apellidos" => "Ookawara" ] 2 => array:2 [ "nombre" => "Yuichiro" "apellidos" => "Ueda" ] 3 => array:2 [ "nombre" => "Hideyuki" "apellidos" => "Hayasaka" ] 4 => array:2 [ "nombre" => "Masaya" "apellidos" => "Kofuji" ] 5 => array:2 [ "nombre" => "Takayuki" "apellidos" => "Uchida" ] 6 => array:2 [ "nombre" => "Harunobu" "apellidos" => "Matsumoto" ] 7 => array:2 [ "nombre" => "Atsushi" "apellidos" => "Yamaguchi" ] 8 => array:2 [ "nombre" => "Yoshiyuki" "apellidos" => "Morishita" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300092?idApp=UINPBA000064" "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300092/v1_201901090606/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S0211699518300420" "issn" => "02116995" "doi" => "10.1016/j.nefro.2018.02.005" "estado" => "S300" "fechaPublicacion" => "2019-01-01" "aid" => "477" "copyright" => "Sociedad Española de Nefrología" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia. 2019;39:86-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2679 "formatos" => array:3 [ "EPUB" => 254 "HTML" => 1710 "PDF" => 715 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Carta al Director" "titulo" => "Síndrome hemolítico urémico atípico secundario al uso de carfilzomib tratado con eculizumab" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "86" "paginaFinal" => "88" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Eculizumab as a treatment for atypical hemolytic syndrome secondary to carfilzomib" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Candela Moliz, Eduardo Gutiérrez, Teresa Cavero, Beatriz Redondo, Manuel Praga" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Candela" "apellidos" => "Moliz" ] 1 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Gutiérrez" ] 2 => array:2 [ "nombre" => "Teresa" "apellidos" => "Cavero" ] 3 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Redondo" ] 4 => array:2 [ "nombre" => "Manuel" "apellidos" => "Praga" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2013251419300057" "doi" => "10.1016/j.nefroe.2018.02.017" "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/S2013251419300057?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300420?idApp=UINPBA000064" "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300420/v1_201901090606/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "Carta al Director" "titulo" => "Catéteres translumbares y transhepáticos para hemodiálisis: una opción viable" "tieneTextoCompleto" => true "saludo" => "Sr. Director:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "90" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Rodriguez Mori, Jhony Ramirez Alguiar, Carla Postigo Oviedo, Piero Mora Munares, Manuel Llaro Sanchez, Max Caballero Linares, Manuel Castillo Zegarra" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Rodriguez Mori" "email" => array:2 [ 0 => "kiker98@hotmail.com" 1 => "rodriguezmori.juan@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Jhony" "apellidos" => "Ramirez Alguiar" ] 2 => array:2 [ "nombre" => "Carla" "apellidos" => "Postigo Oviedo" ] 3 => array:2 [ "nombre" => "Piero" "apellidos" => "Mora Munares" ] 4 => array:2 [ "nombre" => "Manuel" "apellidos" => "Llaro Sanchez" ] 5 => array:2 [ "nombre" => "Max" "apellidos" => "Caballero Linares" ] 6 => array:2 [ "nombre" => "Manuel" "apellidos" => "Castillo Zegarra" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Radiología Intervencionista, Servicio de Nefrología, Hospital Nacional Alberto Sabogal Sologuren, Lima, Perú" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Translumbar and transhepatic hemodialysis catheters: A viable option" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1212 "Ancho" => 1667 "Tamanyo" => 111308 ] ] "descripcion" => array:1 [ "es" => "Sobrevida de catéteres según lugar de inserción." ] ] ] "textoCompleto" => "El objetivo del presente trabajo es compartir la experiencia de nuestro hospital respecto a los accesos vasculares no convencionales: catéteres translumbares (CTL) y catéteres transhepáticos (CTH) en los pacientes de hemodiálisis (HD).Se llevó cabo un estudio retrospectivo durante el periodo 2009-2015, y se implantaron un total de 40 catéteres en 24 pacientes de HD, 26 CTL y 14 CTH. Todos los pacientes fueron diagnosticados previamente de estenosis de vena cava superior y femorales por fluoroscopia. Se utilizaron catéteres tunelizados para el CTL (Medcomp® 14F×55cm) y CTH (Medcomp® 14F×28cm). Este estudio fue revisado y aprobado por el Comité de Ética del Hospital Nacional Alberto Sabogal y autorizado por el Instituto de Evaluación de Tecnologías Sanitarias e Investigación (IETSI) de EsSalud. El análisis de la sobrevida se realizó en junio del 2016.Para el análisis de los datos se empleó el programa Stata/SE 10, StataCorp.Se evaluaron 24 pacientes, en 2 pacientes la colocación del catéter fue frustrada, por lo que no fueron incluidos en el análisis (<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>). Trece pacientes (59,1%) eran mujeres. La media de edad de estos pacientes fue de 59,2 años (rango: 30-83 años). En 13 pacientes (56,5%) solo se colocaron CTL, en 8 (34,8%) solo CTH y en 2 (8,7%) se colocaron ambos tipos de catéteres. La mediana de tiempo de seguimiento para estos pacientes fue de 591 días (283-2.372) en el grupo de CTL, 235,5 días (35-1.329) en el grupo de CTH y 659,5 días (429-890) en ambos tipos de catéteres. La causa más frecuente de enfermedad renal crónica (ERC) fue nefroangioesclerosis 43,5%, seguida de causa no filiada 34,8% y diabetes mellitus 17,4%. solo hubo un caso de nefropatía lúpica como causa de ERC. En total, fallecieron 13 pacientes durante el periodo de estudio, 8/15 (61,5%) en el grupo de CTL, 4/8 (50,0%) en el grupo de CTH y 1/2 (50%) en el grupo que recibió ambos catéteres, no habiendo diferencias significativas entre el tiempo de seguimiento de estos 3 grupos. Ningún paciente falleció por causa directa de colocación de catéter, sin embargo un paciente falleció luego de 30 días de la colocación del CTH al presentar un hematoma hepático, siendo esta la única muerte en la colocación de acceso venoso no convencional.<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Al final del seguimiento 9 pacientes continuan vivos, de los cuales 7 se encuentran con catéter funcionante en ese momento y 2 fueron a diálisis peritoneal; en el grupo de los fallecidos 8 fallecieron con el catéter funcionante, 3 con el catéter no funcionante y 2 pasaron a diálisis peritoneal. La causa de la muerte fue cardiovascular en 5 pacientes, seguido de la sepsis en 4, insuficiencia respiratoria en 3 y un caso de sangrado hepático en paciente con CTH (<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>).Desde el punto de vista de los catéteres, en total se colocaron 40 en los 22 pacientes incluidos en este estudio (<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>). La ubicación CTL se utilizó en 26 ocasiones (65%), mientras que la ubicación CTH se utilizó en 14 ocasiones (35%). En cuanto a las razones para retirar el catéter podemos indicar que la primera razón fue disfunción o trombosis (60%), seguida de infección (20%), cuff expuesto (15%).<elsevierMultimedia ident="tbl0010"></elsevierMultimedia>La curva de sobrevida estimada de Kaplan-Meier para la sobrevida de los catéteres muestra una ligera mayor sobrevida de los CTL que los CTH, pero esta diferencia no es significativa (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>El análisis univariado de la regresión de Cox para sobrevida del catéter muestra un HR de 1,50 (0,67-3,39) para los CTH en relación a los CTL. Al realizar el análisis multivariado el modelo final arrojó un HR marginalmente estadísticamente significativo para el retiro del catéter para CTH 1,86 (0,88-3,88) en relación a un CTL.Los resultados globales de nuestro estudio tiene coincidencias con los resultados en mediana de seguimiento, así como en complicaciones<a class="elsevierStyleCrossRefs" href="#bib0005">1–9</a>.El CTL tiene una mayor sobrevida y una menor HR para el riesgo de retiro que el CTH, y a pesar de que estos hallazgos no tienen significación estadística recomendamos el uso del CTL como primera elección.La principal limitación del estudio es que el tamaño muestral es muy pequeño, lo cual no permite encontrar asociaciones que pudieran existir. Además, la información obtenida para este estudio fue muy limitada y se obviaron algunas variables que pudieron ser consideradas para un mejor entendimiento de los mismos, tales como el tiempo de ERC, el peso o el índice de masa corporal al momento de colocado el catéter, entre otros.El uso de CTL o CTH son una opción viable y segura para nuestros pacientes, permiten un acceso venoso viable en pacientes con pocas opciones para diálisis mientras esperan un trasplante renal o cambio a diálisis peritoneal." "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1212 "Ancho" => 1667 "Tamanyo" => 111308 ] ] "descripcion" => array:1 [ "es" => "Sobrevida de catéteres según lugar de inserción." ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Tabla 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Tabla " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "CTH: catéteres transhepáticos; CTL: catéteres translumbares; CVC: catéter venoso central; DVC: desorden cerebrovascular; IMA: infarto de miocardio agudo." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC translumbar \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC transhepático \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ambos CVC \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Pacientes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">13 (59,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">7 (31,8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (9,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">22 (100)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top">Sexo</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Masculino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (30,8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (57,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">9 (40,9) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Femenino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">9 (69,2) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (42,9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">13 (59,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top"></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Edad; media (error estándar) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">55,7 (4,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">64,7 (6,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">63 (12,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">59,2 (3,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><50 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (30,7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (14,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">5 (22,7) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">50-59 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (23,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (28,6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1(50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6 (27,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">60-69 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (23,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (14,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (18,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">>70 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (23,1)) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (42,9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">7 (31,8) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top">Causa de la enfermedad renal</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Diabetes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (15,4) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (28,6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (18,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Nefroangioesclerosis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6 (46,2) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (42,9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">10 (45,5) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No filiada \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (30,8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (28,6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">7 (31,8) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lupus eritematoso sistémico \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (7,7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (4,5) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tiempo de seguimiento (días); mediana (rango) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">591 (283-2.372) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">261 (35-1.329) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">659,5 (429-890) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">497 (35-2.372) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top">Número total de catéteres colocados</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Un catéter \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6 (46,2) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (57,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">10 (45,5) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">2 catéteres \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (30,8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (28,6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (100) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">8 (36,4) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">3 catéteres \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (15,4) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (14,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (13,6) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">4 catéteres \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (7,7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (4,6) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Muertes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">8 (61,5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (57,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">13 (59,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top">Causa de la muerte</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sepsis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (37,5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (25,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (36,4) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">DVC (Stroke) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (25,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (18,2) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Insuficiencia respiratoria \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (25,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (100) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (27,3) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sangrado hepático \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (25,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (9,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IMA \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (12,5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (9,1) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1936101.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "En total se identificaron 24 pacientes. A 2 pacientes no se les pudo colocar el catéter durante el procedimiento de inserción." ] ] ] "descripcion" => array:1 [ "es" => "Pacientes con CTL, CTH o ambos" ] ] 2 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Tabla 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Tabla " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "CTH: catéteres transhepáticos; CTL: catéteres translumbares; CVC: catéter venoso central." "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC translumbar \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC transhepático \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Número de catéteres colocados \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">26 (65,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">14 (35,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">40 (100) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top">Disposición final de catéteres</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">No retirado \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">12 (46,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">8 (57,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">20 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Retirado \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">14 (53,9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">6 (42,9) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">20 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"></td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top">Motivo del retiro</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Disfunción o trombosis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">9 (64,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (50,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">12 (60) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Acodamiento del CVC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (7,1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">0 (0,0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (5,0) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Infección del CVC \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (14,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (33,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">4 (20,0) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Cuff expuesto \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">2 (14,3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">1 (16,7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">3 (15,0) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1936102.png" ] ] ] ] "descripcion" => array:1 [ "es" => "Características de los CTL y CTH" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "183-191" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transhepatic hemodialysis catheters: Functional outcome and comparison between early and late failure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H. Younes" 1 => "C. Pettigrew" 2 => "J. Anaya-Ayala" 3 => "G. Soltes" 4 => "W. Saad" 5 => "M. Davies" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2011" "volumen" => "22" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Translumbar central venous catheters for long-term haemodialysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Power" 1 => "S. Singh" 2 => "D. Ashby" 3 => "M. Hamady" 4 => "S. Moser" 5 => "W. Gedroyc" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ndt/gfp683" "Revista" => array:6 [ "tituloSerie" => "Nephrol Dial Transplant" "fecha" => "2010" "volumen" => "25" "paginaInicial" => "1588" "paginaFinal" => "1595" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20023114" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transhepatic venous catheters for hemodialysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. El Gharib" 1 => "G. Niazi" 2 => "W. Hetta" 3 => "Y. Makkeyah" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "The Egyptian Journal of Radiology and Nuclear Medicine" "fecha" => "2014" "volumen" => "45" "paginaInicial" => "431" "paginaFinal" => "438" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transhepatic catheter access for hemodialysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Smith" 1 => "M. Ryan" 2 => "D. Reddan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiol.2321030677" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "2004" "volumen" => "232" "paginaInicial" => "246" "paginaFinal" => "251" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15155895" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "<a class="elsevierStyleInterRef" target="_blank" id="intr0005" href="doi:10.1590/S1677-54492010000300006">https://doi.org/10.1590/S1677-54492010000300006</a>" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous transhepatic venous Access for hemodialysis: An alternative route for patients with end-stage renal failure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Mauricio da Motta" 1 => "F. Carnevale" 2 => "F. Nasser" 3 => "W. de Oliveira" 4 => "C. Zurtrassen" 5 => "A. Motta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "J Vasc Bras" "fecha" => "2010" "volumen" => "9" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patency and complications of translumbar dialysis catheters" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Liu" 1 => "S. Bennett" 2 => "S. Arrigain" 3 => "J. Schold" 4 => "R. Heyka" 5 => "G. McLennan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/sdi.12358" "Revista" => array:6 [ "tituloSerie" => "Seminars in Dialysis" "fecha" => "2015" "volumen" => "28" "paginaInicial" => "E41" "paginaFinal" => "E47" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25800550" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous transhepatic venous access for hemodialysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "S.W. Stavropoulos" 1 => "J.J. Pan" 2 => "T.W.I. Clark" 3 => "M.C. Soulen" 4 => "R.D. Shlansky-Golberg" 5 => "M. Itkin" 6 => "S.O. Trerotola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2003" "volumen" => "14" "paginaInicial" => "1187" "paginaFinal" => "1190" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14514812" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Translumbar inferior vena cava catheters for long-term venous access" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G.B. Lund" 1 => "R.P. Lieberman" 2 => "W.D. Haire" 3 => "V.A. Martin" 4 => "A. Kessinger" 5 => "J.O. Armitage" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Radiology" "fecha" => "1990" "volumen" => "174" "paginaInicial" => "31" "paginaFinal" => "35" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Translumbar hemodialysis catheters in patients with limited central venous access: Does patient size matter?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Nadolski" 1 => "S. Trerotola" 2 => "W. Stavropoulos" 3 => "R. Shlansky-Goldberg" 4 => "M. Soulen" 5 => "C. Farrelly" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jvir.2013.02.036" "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2013" "volumen" => "24" "paginaInicial" => "997" "paginaFinal" => "1002" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23664808" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack386315" "titulo" => "Agradecimientos" "texto" => "Al Dr. Juan Vicente Guanira del Instituto de Evaluación de Tecnologías en Salud e Investigación (IETSI) - EsSalud." "vista" => "all" ] ] ] "idiomaDefecto" => "es" "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300353/v1_201901090606/es/main.assets" "Apartado" => array:4 [ "identificador" => "48186" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003900000001/v1_201901090606/S0211699518300353/v1_201901090606/es/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300353?idApp=UINPBA000064"]

Estadísticas

Carta al Director

Catéteres translumbares y transhepáticos para hemodiálisis: una opción viable

Translumbar and transhepatic hemodialysis catheters: A viable option

Juan Rodriguez Mori

Autor para correspondencia

kiker98@hotmail.com
rodriguezmori.juan@gmail.com

Autor para correspondencia.

, Jhony Ramirez Alguiar, Carla Postigo Oviedo, Piero Mora Munares, Manuel Llaro Sanchez, Max Caballero Linares, Manuel Castillo Zegarra

Unidad de Radiología Intervencionista, Servicio de Nefrología, Hospital Nacional Alberto Sabogal Sologuren, Lima, Perú

Leído

17102

Veces
se ha leído el artículo

4091

Total PDF

13011

Total HTML

Compartir estadísticas

 array:25 [
  "pii" => "S0211699518300353"
  "issn" => "02116995"
  "doi" => "10.1016/j.nefro.2017.12.004"
  "estado" => "S300"
  "fechaPublicacion" => "2019-01-01"
  "aid" => "470"
  "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Nefrologia. 2019;39:88-90"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4838
    "formatos" => array:3 [
      "EPUB" => 292
      "HTML" => 3597
      "PDF" => 949
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S2013251419300045"
      "issn" => "20132514"
      "doi" => "10.1016/j.nefroe.2017.12.006"
      "estado" => "S300"
      "fechaPublicacion" => "2019-01-01"
      "aid" => "470"
      "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Nefrologia &#40;English Version&#41;. 2019;39:88-90"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1304
        "formatos" => array:3 [
          "EPUB" => 124
          "HTML" => 813
          "PDF" => 367
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
        "titulo" => "Translumbar and transhepatic haemodialysis catheters&#58; A viable option"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "88"
            "paginaFinal" => "90"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Cat&#233;teres translumbares y transhep&#225;ticos para hemodi&#225;lisis&#58; una opci&#243;n viable"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Fig&#46; 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1212
                "Ancho" => 1667
                "Tamanyo" => 98901
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Catheter survival by insertion site&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Juan Rodriguez Mori, Jhony Ramirez Alguiar, Carla Postigo Oviedo, Piero Mora Munares, Manuel Llaro S&#225;nchez, Max Caballero Linares, Manuel Castillo Zegarra"
            "autores" => array:7 [
              0 => array:2 [
                "nombre" => "Juan Rodriguez"
                "apellidos" => "Mori"
              ]
              1 => array:2 [
                "nombre" => "Jhony Ramirez"
                "apellidos" => "Alguiar"
              ]
              2 => array:2 [
                "nombre" => "Carla Postigo"
                "apellidos" => "Oviedo"
              ]
              3 => array:2 [
                "nombre" => "Piero Mora"
                "apellidos" => "Munares"
              ]
              4 => array:2 [
                "nombre" => "Manuel Llaro"
                "apellidos" => "S&#225;nchez"
              ]
              5 => array:2 [
                "nombre" => "Max Caballero"
                "apellidos" => "Linares"
              ]
              6 => array:2 [
                "nombre" => "Manuel Castillo"
                "apellidos" => "Zegarra"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0211699518300353"
          "doi" => "10.1016/j.nefro.2017.12.004"
          "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/S0211699518300353?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251419300045?idApp=UINPBA000064"
      "url" => "/20132514/0000003900000001/v1_201903030617/S2013251419300045/v1_201903030617/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0211699518300092"
    "issn" => "02116995"
    "doi" => "10.1016/j.nefro.2017.11.023"
    "estado" => "S300"
    "fechaPublicacion" => "2019-01-01"
    "aid" => "463"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia. 2019;39:90-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2953
      "formatos" => array:3 [
        "EPUB" => 345
        "HTML" => 1809
        "PDF" => 799
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Improvement of bilateral lower-limb muscle oxygenation by low-density lipoprotein apheresis in a patient with peripheral artery disease undergoing hemodialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "90"
          "paginaFinal" => "92"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Mejora de la oxigenaci&#243;n en los m&#250;sculos de ambos miembros inferiores mediante af&#233;resis de lipoprote&#237;nas de baja densidad en un paciente con arteriopat&#237;a perif&#233;rica sometido a di&#225;lisis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 994
              "Ancho" => 1578
              "Tamanyo" => 131479
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The changes in rSO<span class="elsevierStyleInf">2</span> of the forehead and bilateral lower-limb muscle as per the oxygenation values of cerebral and muscle tissues&#44; respectively&#44; under LDL-A with HD&#46; rSO<span class="elsevierStyleInf">2</span> ratio is defined as the ratio of rSO<span class="elsevierStyleInf">2</span> value at <span class="elsevierStyleItalic">t</span> &#40;min&#41; during HD and initial rSO<span class="elsevierStyleInf">2</span> value before HD &#40;rSO<span class="elsevierStyleInf">2</span> at <span class="elsevierStyleItalic">t</span> &#40;min&#41; during HD&#47;initial rSO<span class="elsevierStyleInf">2</span> before HD&#41;&#46; The open circle represents the changes in cerebral rSO<span class="elsevierStyleInf">2</span> values&#44; the grey diamond shape represents the changes in right lower-limb muscle rSO<span class="elsevierStyleInf">2</span> values&#44; and the block diamond shape represents the changes in left lower-limb muscle rSO<span class="elsevierStyleInf">2</span> values&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Kiyonori Ito, Susumu Ookawara, Yuichiro Ueda, Hideyuki Hayasaka, Masaya Kofuji, Takayuki Uchida, Harunobu Matsumoto, Atsushi Yamaguchi, Yoshiyuki Morishita"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "Kiyonori"
              "apellidos" => "Ito"
            ]
            1 => array:2 [
              "nombre" => "Susumu"
              "apellidos" => "Ookawara"
            ]
            2 => array:2 [
              "nombre" => "Yuichiro"
              "apellidos" => "Ueda"
            ]
            3 => array:2 [
              "nombre" => "Hideyuki"
              "apellidos" => "Hayasaka"
            ]
            4 => array:2 [
              "nombre" => "Masaya"
              "apellidos" => "Kofuji"
            ]
            5 => array:2 [
              "nombre" => "Takayuki"
              "apellidos" => "Uchida"
            ]
            6 => array:2 [
              "nombre" => "Harunobu"
              "apellidos" => "Matsumoto"
            ]
            7 => array:2 [
              "nombre" => "Atsushi"
              "apellidos" => "Yamaguchi"
            ]
            8 => array:2 [
              "nombre" => "Yoshiyuki"
              "apellidos" => "Morishita"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300092?idApp=UINPBA000064"
    "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300092/v1_201901090606/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S0211699518300420"
    "issn" => "02116995"
    "doi" => "10.1016/j.nefro.2018.02.005"
    "estado" => "S300"
    "fechaPublicacion" => "2019-01-01"
    "aid" => "477"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia. 2019;39:86-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2679
      "formatos" => array:3 [
        "EPUB" => 254
        "HTML" => 1710
        "PDF" => 715
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
      "titulo" => "S&#237;ndrome hemol&#237;tico ur&#233;mico at&#237;pico secundario al uso de carfilzomib tratado con eculizumab"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "86"
          "paginaFinal" => "88"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Eculizumab as a treatment for atypical hemolytic syndrome secondary to carfilzomib"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Candela Moliz, Eduardo Guti&#233;rrez, Teresa Cavero, Beatriz Redondo, Manuel Praga"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Candela"
              "apellidos" => "Moliz"
            ]
            1 => array:2 [
              "nombre" => "Eduardo"
              "apellidos" => "Guti&#233;rrez"
            ]
            2 => array:2 [
              "nombre" => "Teresa"
              "apellidos" => "Cavero"
            ]
            3 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Redondo"
            ]
            4 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Praga"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2013251419300057"
        "doi" => "10.1016/j.nefroe.2018.02.017"
        "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/S2013251419300057?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300420?idApp=UINPBA000064"
    "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300420/v1_201901090606/es/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
    "titulo" => "Cat&#233;teres translumbares y transhep&#225;ticos para hemodi&#225;lisis&#58; una opci&#243;n viable"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">Sr&#46; Director&#58;</span>"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "88"
        "paginaFinal" => "90"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Juan Rodriguez Mori, Jhony Ramirez Alguiar, Carla Postigo Oviedo, Piero Mora Munares, Manuel Llaro Sanchez, Max Caballero Linares, Manuel Castillo Zegarra"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "Juan"
            "apellidos" => "Rodriguez Mori"
            "email" => array:2 [
              0 => "kiker98&#64;hotmail&#46;com"
              1 => "rodriguezmori&#46;juan&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Jhony"
            "apellidos" => "Ramirez Alguiar"
          ]
          2 => array:2 [
            "nombre" => "Carla"
            "apellidos" => "Postigo Oviedo"
          ]
          3 => array:2 [
            "nombre" => "Piero"
            "apellidos" => "Mora Munares"
          ]
          4 => array:2 [
            "nombre" => "Manuel"
            "apellidos" => "Llaro Sanchez"
          ]
          5 => array:2 [
            "nombre" => "Max"
            "apellidos" => "Caballero Linares"
          ]
          6 => array:2 [
            "nombre" => "Manuel"
            "apellidos" => "Castillo Zegarra"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Radiolog&#237;a Intervencionista&#44; Servicio de Nefrolog&#237;a&#44; Hospital Nacional Alberto Sabogal Sologuren&#44; Lima&#44; Per&#250;"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspondencia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Translumbar and transhepatic hemodialysis catheters&#58; A viable option"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1212
            "Ancho" => 1667
            "Tamanyo" => 111308
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sobrevida de cat&#233;teres seg&#250;n lugar de inserci&#243;n&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">El objetivo del presente trabajo es compartir la experiencia de nuestro hospital respecto a los accesos vasculares no convencionales&#58; cat&#233;teres translumbares &#40;CTL&#41; y cat&#233;teres transhep&#225;ticos &#40;CTH&#41; en los pacientes de hemodi&#225;lisis &#40;HD&#41;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Se llev&#243; cabo un estudio retrospectivo durante el periodo 2009-2015&#44; y se implantaron un total de 40 cat&#233;teres en 24 pacientes de HD&#44; 26 CTL y 14 CTH&#46; Todos los pacientes fueron diagnosticados previamente de estenosis de vena cava superior y femorales por fluoroscopia&#46; Se utilizaron cat&#233;teres tunelizados para el CTL &#40;Medcomp<span class="elsevierStyleSup">&#174;</span> 14<span class="elsevierStyleHsp" style=""></span>F<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>55<span class="elsevierStyleHsp" style=""></span>cm&#41; y CTH &#40;Medcomp<span class="elsevierStyleSup">&#174;</span> 14<span class="elsevierStyleHsp" style=""></span>F<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>28<span class="elsevierStyleHsp" style=""></span>cm&#41;&#46; Este estudio fue revisado y aprobado por el Comit&#233; de &#201;tica del Hospital Nacional Alberto Sabogal y autorizado por el Instituto de Evaluaci&#243;n de Tecnolog&#237;as Sanitarias e Investigaci&#243;n &#40;IETSI&#41; de EsSalud&#46; El an&#225;lisis de la sobrevida se realiz&#243; en junio del 2016&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Para el an&#225;lisis de los datos se emple&#243; el programa Stata&#47;SE 10&#44; StataCorp&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Se evaluaron 24 pacientes&#44; en 2 pacientes la colocaci&#243;n del cat&#233;ter fue frustrada&#44; por lo que no fueron incluidos en el an&#225;lisis &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46; Trece pacientes &#40;59&#44;1&#37;&#41; eran mujeres&#46; La media de edad de estos pacientes fue de 59&#44;2 a&#241;os &#40;rango&#58; 30-83 a&#241;os&#41;&#46; En 13 pacientes &#40;56&#44;5&#37;&#41; solo se colocaron CTL&#44; en 8 &#40;34&#44;8&#37;&#41; solo CTH y en 2 &#40;8&#44;7&#37;&#41; se colocaron ambos tipos de cat&#233;teres&#46; La mediana de tiempo de seguimiento para estos pacientes fue de 591 d&#237;as &#40;283-2&#46;372&#41; en el grupo de CTL&#44; 235&#44;5 d&#237;as &#40;35-1&#46;329&#41; en el grupo de CTH y 659&#44;5 d&#237;as &#40;429-890&#41; en ambos tipos de cat&#233;teres&#46; La causa m&#225;s frecuente de enfermedad renal cr&#243;nica &#40;ERC&#41; fue nefroangioesclerosis 43&#44;5&#37;&#44; seguida de causa no filiada 34&#44;8&#37; y diabetes mellitus 17&#44;4&#37;&#46; solo hubo un caso de nefropat&#237;a l&#250;pica como causa de ERC&#46; En total&#44; fallecieron 13 pacientes durante el periodo de estudio&#44; 8&#47;15 &#40;61&#44;5&#37;&#41; en el grupo de CTL&#44; 4&#47;8 &#40;50&#44;0&#37;&#41; en el grupo de CTH y 1&#47;2 &#40;50&#37;&#41; en el grupo que recibi&#243; ambos cat&#233;teres&#44; no habiendo diferencias significativas entre el tiempo de seguimiento de estos 3 grupos&#46; Ning&#250;n paciente falleci&#243; por causa directa de colocaci&#243;n de cat&#233;ter&#44; sin embargo un paciente falleci&#243; luego de 30 d&#237;as de la colocaci&#243;n del CTH al presentar un hematoma hep&#225;tico&#44; siendo esta la &#250;nica muerte en la colocaci&#243;n de acceso venoso no convencional&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Al final del seguimiento 9 pacientes continuan vivos&#44; de los cuales 7 se encuentran con cat&#233;ter funcionante en ese momento y 2 fueron a di&#225;lisis peritoneal&#59; en el grupo de los fallecidos 8 fallecieron con el cat&#233;ter funcionante&#44; 3 con el cat&#233;ter no funcionante y 2 pasaron a di&#225;lisis peritoneal&#46; La causa de la muerte fue cardiovascular en 5 pacientes&#44; seguido de la sepsis en 4&#44; insuficiencia respiratoria en 3 y un caso de sangrado hep&#225;tico en paciente con CTH &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#41;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Desde el punto de vista de los cat&#233;teres&#44; en total se colocaron 40 en los 22 pacientes incluidos en este estudio &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46; La ubicaci&#243;n CTL se utiliz&#243; en 26 ocasiones &#40;65&#37;&#41;&#44; mientras que la ubicaci&#243;n CTH se utiliz&#243; en 14 ocasiones &#40;35&#37;&#41;&#46; En cuanto a las razones para retirar el cat&#233;ter podemos indicar que la primera raz&#243;n fue disfunci&#243;n o trombosis &#40;60&#37;&#41;&#44; seguida de infecci&#243;n &#40;20&#37;&#41;&#44; <span class="elsevierStyleItalic">cuff</span> expuesto &#40;15&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">La curva de sobrevida estimada de Kaplan-Meier para la sobrevida de los cat&#233;teres muestra una ligera mayor sobrevida de los CTL que los CTH&#44; pero esta diferencia no es significativa &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">El an&#225;lisis univariado de la regresi&#243;n de Cox para sobrevida del cat&#233;ter muestra un HR de 1&#44;50 &#40;0&#44;67-3&#44;39&#41; para los CTH en relaci&#243;n a los CTL&#46; Al realizar el an&#225;lisis multivariado el modelo final arroj&#243; un HR marginalmente estad&#237;sticamente significativo para el retiro del cat&#233;ter para CTH 1&#44;86 &#40;0&#44;88-3&#44;88&#41; en relaci&#243;n a un CTL&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Los resultados globales de nuestro estudio tiene coincidencias con los resultados en mediana de seguimiento&#44; as&#237; como en complicaciones<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;9</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">El CTL tiene una mayor sobrevida y una menor HR para el riesgo de retiro que el CTH&#44; y a pesar de que estos hallazgos no tienen significaci&#243;n estad&#237;stica recomendamos el uso del CTL como primera elecci&#243;n&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">La principal limitaci&#243;n del estudio es que el tama&#241;o muestral es muy peque&#241;o&#44; lo cual no permite encontrar asociaciones que pudieran existir&#46; Adem&#225;s&#44; la informaci&#243;n obtenida para este estudio fue muy limitada y se obviaron algunas variables que pudieron ser consideradas para un mejor entendimiento de los mismos&#44; tales como el tiempo de ERC&#44; el peso o el &#237;ndice de masa corporal al momento de colocado el cat&#233;ter&#44; entre otros&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">El uso de CTL o CTH son una opci&#243;n viable y segura para nuestros pacientes&#44; permiten un acceso venoso viable en pacientes con pocas opciones para di&#225;lisis mientras esperan un trasplante renal o cambio a di&#225;lisis peritoneal&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1212
            "Ancho" => 1667
            "Tamanyo" => 111308
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sobrevida de cat&#233;teres seg&#250;n lugar de inserci&#243;n&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">CTH&#58; cat&#233;teres transhep&#225;ticos&#59; CTL&#58; cat&#233;teres translumbares&#59; CVC&#58; cat&#233;ter venoso central&#59; DVC&#58; desorden cerebrovascular&#59; IMA&#58; infarto de miocardio agudo&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC translumbar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC transhep&#225;tico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ambos CVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Pacientes</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13 &#40;59&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22 &#40;100&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;57&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 &#40;40&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Femenino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 &#40;69&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13 &#40;59&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Edad&#59; media &#40;error est&#225;ndar&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#44;7 &#40;4&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">64&#44;7 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">63 &#40;12&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">59&#44;2 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;30&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5 &#40;22&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>50-59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;23&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>60-69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;23&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;23&#44;1&#41;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Causa de la enfermedad renal</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Diabetes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;15&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nefroangioesclerosis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6 &#40;46&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10 &#40;45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>No filiada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7 &#40;31&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Lupus eritematoso sist&#233;mico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;4&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Tiempo de seguimiento &#40;d&#237;as&#41;&#59; mediana &#40;rango&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">591 &#40;283-2&#46;372&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">261 &#40;35-1&#46;329&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">659&#44;5 &#40;429-890&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">497 &#40;35-2&#46;372&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">N&#250;mero total de cat&#233;teres colocados</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Un cat&#233;ter&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6 &#40;46&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;57&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10 &#40;45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>2 cat&#233;teres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;30&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8 &#40;36&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>3 cat&#233;teres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;15&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;13&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>4 cat&#233;teres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;7&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;4&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Muertes</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8 &#40;61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;57&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13 &#40;59&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Causa de la muerte</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sepsis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;37&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;36&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>DVC &#40;Stroke&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;18&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Insuficiencia respiratoria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;27&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sangrado hep&#225;tico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>IMA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1936101.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">En total se identificaron 24 pacientes&#46; A 2 pacientes no se les pudo colocar el cat&#233;ter durante el procedimiento de inserci&#243;n&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pacientes con CTL&#44; CTH o ambos</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabla 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">CTH&#58; cat&#233;teres transhep&#225;ticos&#59; CTL&#58; cat&#233;teres translumbares&#59; CVC&#58; cat&#233;ter venoso central&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC translumbar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">CVC transhep&#225;tico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">N&#250;mero de cat&#233;teres colocados</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">26 &#40;65&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14 &#40;35&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Disposici&#243;n final de cat&#233;teres</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>No retirado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 &#40;46&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">8 &#40;57&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Retirado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14 &#40;53&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6 &#40;42&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">20 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Motivo del retiro</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Disfunci&#243;n o trombosis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9 &#40;64&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;50&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12 &#40;60&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Acodamiento del CVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;7&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;5&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Infecci&#243;n del CVC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4 &#40;20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Cuff</span> expuesto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3 &#40;15&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab1936102.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas de los CTL y CTH</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "183-191"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transhepatic hemodialysis catheters&#58; Functional outcome and comparison between early and late failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Younes"
                            1 => "C&#46; Pettigrew"
                            2 => "J&#46; Anaya-Ayala"
                            3 => "G&#46; Soltes"
                            4 => "W&#46; Saad"
                            5 => "M&#46; Davies"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "J Vasc Interv Radiol"
                        "fecha" => "2011"
                        "volumen" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Translumbar central venous catheters for long-term haemodialysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Power"
                            1 => "S&#46; Singh"
                            2 => "D&#46; Ashby"
                            3 => "M&#46; Hamady"
                            4 => "S&#46; Moser"
                            5 => "W&#46; Gedroyc"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/ndt/gfp683"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nephrol Dial Transplant"
                        "fecha" => "2010"
                        "volumen" => "25"
                        "paginaInicial" => "1588"
                        "paginaFinal" => "1595"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20023114"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transhepatic venous catheters for hemodialysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; El Gharib"
                            1 => "G&#46; Niazi"
                            2 => "W&#46; Hetta"
                            3 => "Y&#46; Makkeyah"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "The Egyptian Journal of Radiology and Nuclear Medicine"
                        "fecha" => "2014"
                        "volumen" => "45"
                        "paginaInicial" => "431"
                        "paginaFinal" => "438"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transhepatic catheter access for hemodialysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46; Smith"
                            1 => "M&#46; Ryan"
                            2 => "D&#46; Reddan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiol.2321030677"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2004"
                        "volumen" => "232"
                        "paginaInicial" => "246"
                        "paginaFinal" => "251"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15155895"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "<a class="elsevierStyleInterRef" target="_blank" id="intr0005" href="doi:10.1590/S1677-54492010000300006">https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1590&#47;S1677-54492010000300006</a>"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Percutaneous transhepatic venous Access for hemodialysis&#58; An alternative route for patients with end-stage renal failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Mauricio da Motta"
                            1 => "F&#46; Carnevale"
                            2 => "F&#46; Nasser"
                            3 => "W&#46; de Oliveira"
                            4 => "C&#46; Zurtrassen"
                            5 => "A&#46; Motta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "J Vasc Bras"
                        "fecha" => "2010"
                        "volumen" => "9"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patency and complications of translumbar dialysis catheters"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Liu"
                            1 => "S&#46; Bennett"
                            2 => "S&#46; Arrigain"
                            3 => "J&#46; Schold"
                            4 => "R&#46; Heyka"
                            5 => "G&#46; McLennan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/sdi.12358"
                      "Revista" => array:6 [
                        "tituloSerie" => "Seminars in Dialysis"
                        "fecha" => "2015"
                        "volumen" => "28"
                        "paginaInicial" => "E41"
                        "paginaFinal" => "E47"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25800550"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Percutaneous transhepatic venous access for hemodialysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "S&#46;W&#46; Stavropoulos"
                            1 => "J&#46;J&#46; Pan"
                            2 => "T&#46;W&#46;I&#46; Clark"
                            3 => "M&#46;C&#46; Soulen"
                            4 => "R&#46;D&#46; Shlansky-Golberg"
                            5 => "M&#46; Itkin"
                            6 => "S&#46;O&#46; Trerotola"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Vasc Interv Radiol"
                        "fecha" => "2003"
                        "volumen" => "14"
                        "paginaInicial" => "1187"
                        "paginaFinal" => "1190"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14514812"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Translumbar inferior vena cava catheters for long-term venous access"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;B&#46; Lund"
                            1 => "R&#46;P&#46; Lieberman"
                            2 => "W&#46;D&#46; Haire"
                            3 => "V&#46;A&#46; Martin"
                            4 => "A&#46; Kessinger"
                            5 => "J&#46;O&#46; Armitage"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1990"
                        "volumen" => "174"
                        "paginaInicial" => "31"
                        "paginaFinal" => "35"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Translumbar hemodialysis catheters in patients with limited central venous access&#58; Does patient size matter&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Nadolski"
                            1 => "S&#46; Trerotola"
                            2 => "W&#46; Stavropoulos"
                            3 => "R&#46; Shlansky-Goldberg"
                            4 => "M&#46; Soulen"
                            5 => "C&#46; Farrelly"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jvir.2013.02.036"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Vasc Interv Radiol"
                        "fecha" => "2013"
                        "volumen" => "24"
                        "paginaInicial" => "997"
                        "paginaFinal" => "1002"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23664808"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack386315"
        "titulo" => "Agradecimientos"
        "texto" => "<p id="par0070" class="elsevierStylePara elsevierViewall">Al Dr&#46; Juan Vicente Guanira del Instituto de Evaluaci&#243;n de Tecnolog&#237;as en Salud e Investigaci&#243;n &#40;IETSI&#41; - EsSalud&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02116995/0000003900000001/v1_201901090606/S0211699518300353/v1_201901090606/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "48186"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Cartas al Director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003900000001/v1_201901090606/S0211699518300353/v1_201901090606/es/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699518300353?idApp=UINPBA000064"
]

Información del artículo

ISSN: 02116995
Idioma original: Español

DOI:10.1016/j.nefro.2017.12.004

Datos actualizados diariamente

año/Mes	Html	Pdf	Total

2024 Noviembre	35	9	44
2024 Octubre	356	65	421
2024 Septiembre	321	50	371
2024 Agosto	251	88	339
2024 Julio	255	42	297
2024 Junio	217	71	288
2024 Mayo	220	58	278
2024 Abril	217	76	293
2024 Marzo	203	48	251
2024 Febrero	175	53	228
2024 Enero	227	57	284
2023 Diciembre	177	46	223
2023 Noviembre	187	52	239
2023 Octubre	215	58	273
2023 Septiembre	200	57	257
2023 Agosto	206	46	252
2023 Julio	263	59	322
2023 Junio	217	50	267
2023 Mayo	239	44	283
2023 Abril	166	31	197
2023 Marzo	205	44	249
2023 Febrero	201	38	239
2023 Enero	167	55	222
2022 Diciembre	126	51	177
2022 Noviembre	157	66	223
2022 Octubre	195	61	256
2022 Septiembre	166	48	214
2022 Agosto	189	85	274
2022 Julio	173	90	263
2022 Junio	174	63	237
2022 Mayo	128	51	179
2022 Abril	143	65	208
2022 Marzo	154	73	227
2022 Febrero	132	56	188
2022 Enero	109	51	160
2021 Diciembre	112	55	167
2021 Noviembre	99	54	153
2021 Octubre	164	88	252
2021 Septiembre	180	73	253
2021 Agosto	131	63	194
2021 Julio	127	57	184
2021 Junio	103	40	143
2021 Mayo	141	62	203
2021 Abril	197	117	314
2021 Marzo	145	65	210
2021 Febrero	112	48	160
2021 Enero	97	42	139
2020 Diciembre	91	27	118
2020 Noviembre	92	26	118
2020 Octubre	89	31	120
2020 Septiembre	69	33	102
2020 Agosto	104	38	142
2020 Julio	113	29	142
2020 Junio	99	107	206
2020 Mayo	116	53	169
2020 Abril	101	38	139
2020 Marzo	108	31	139
2020 Febrero	131	39	170
2020 Enero	144	40	184
2019 Diciembre	125	57	182
2019 Noviembre	123	52	175
2019 Octubre	169	67	236
2019 Septiembre	168	48	216
2019 Agosto	130	40	170
2019 Julio	157	39	196
2019 Junio	220	56	276
2019 Mayo	231	49	280
2019 Abril	175	79	254
2019 Marzo	137	45	182
2019 Febrero	223	99	322
2019 Enero	138	74	212
2018 Diciembre	84	53	137
2018 Noviembre	177	20	197
2018 Octubre	133	18	151
2018 Septiembre	140	19	159
2018 Agosto	142	15	157
2018 Julio	102	15	117
2018 Junio	132	11	143
2018 Mayo	416	16	432
2018 Abril	58	6	64

Mostrar todo

Indexada en:

Síguenos:

Estadísticas

Indexada en:

Síguenos:

Estadísticas

Suscríbase a la newsletter