Resultados a medio plazo del cierre percutáneo de la comunicación interauricular en niños
Medium-term results of percutaneous closure of atrial septal defect
J.I. Zabala Argüellesa, E. García Fernándezb,
, E. Maroto Álvaroa, J.L. Zunzunegui Martíneza, C. Maroto Monederoa, F. Centeno Malfaza, R. Greco Martíneza, J.L. Delcán Domínguezb
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zabalan@jet.es
Correspondencia: Servicio de Cardiología Invasiva. Hospital General Universitario Gregorio Marañón. Dr. Esquerdo, 46. 28007Madrid
Correspondencia: Servicio de Cardiología Invasiva. Hospital General Universitario Gregorio Marañón. Dr. Esquerdo, 46. 28007Madrid
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"apellidos" => "Delcán Domínguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Cardiología Pediátrica." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología Intervencionista. Sección de Cirugía Cardiovascular Pediátrica. Hospital General Universitario Gregorio Marañón. Madrid." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cardiología Invasiva. Hospital General Universitario Gregorio Marañón. Dr. Esquerdo, 46. 28007Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Medium-term results of percutaneous closure of atrial septal defect" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-01-31" "fechaAceptado" => "2000-11-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186627" "palabras" => array:4 [ 0 => "Comunicación interauricular" 1 => "Cierre percutáneo" 2 => "Defec-tos cardíacos congénitos" 3 => "Niños" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186628" "palabras" => array:4 [ 0 => "Atrial septal defect" 1 => "Percutaneous closure" 2 => "Congenital heart defects" 3 => "Children" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar los resultados a medio plazo del cierre percutá-neo de la comunicación interauricular (CIA).</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Bajo anestesia general se procedió por vía anterógrada al intento de cierre percutáneo de la CIA tipoostium se-cundum en 22niños. La edad fue de 5,7 ±2,4 años y el peso 23 ±11 kg. El procedimiento se monitorizó median-te ecocardiografía transesofágica (ETE). Los dispositivos utilizados fueron DAS-Angel Wings ®y Amplatzer®.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hemodinámicos: presión arterial pulmonar 13 ±2,8 mmHg, resistencias pulmonares, 1,3 ±0,3 U/m 2y Qp/Qs 2,2 ±0,6. El diámetro del defecto por ETE fue de 14,5 ±6,3 mm y por oclusión con balón de 15,9 m 25,3 mm. Se emplearon 31dispositivos, 27Amplatzer ®y 4 DAS-Angel W ings®. Se retiraron sin dificultad 12dispositivos Amplat-zer ®a través de su introductor, cinco por discrepancia con el tamaño de la aurícula izquierda, cuatro por no estabili-zarse en el tabique al ser demasiado pequeños y tres por apertura defectuosa en la aurícula izquierda. En 19 pacien-tes el dispositivo se implantó de forma correcta. La eco-cardiografía transtorácica con Doppler color realizada a las 24 h demostró ausencia de cortocircuito 17 y en todos al mes de la implantación. Los niños fueron dados de alta a las 38±12 h y en el seguimiento de 15±6 meses no se han producido complicaciones, fracturas de la estructura, ni se han demostrado cortocircuitos residuales.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Mediante cierre percutáneo se consiguió una elevada tasa de cierre sin cortocircuito residual cuando se realize una adecuada selección de los pacientes.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the medium-term results of percutaneous closure of atrial septal defect.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Twenty-two children (mean weight, 23±11 kg; mean age, 5.7±2.4 years) underwent percutaneous atrial septal defect closure under general anesthesia. The procedure was monitored by transesophageal echocardiography. DAS-Angel Wings™ (n=4) and the Amplatzer™ device (n=18) were used.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean pulmonary artery pressure was 13±2.8 mmHg, mean pulmonary vascular resistance was 1.5±0.5U/m 2 and mean Qp/Qs flow ratio was 2.2±0.6. The mean diameter of the defects was 14.5±6.3 mm by transesophageal echocar-diography OmniPlane measurement and 15.9±5.3 m m using balloon occlusion reference. Atotal of 31devices were used: 4Angel Wings™ and 27Amplatzer™ devices. Twelve Amplatzer™ devices were withdrawn through the introdu-cer without complications, 5due to a discrepancy in the size of the left auricle, 4because they were too small to stabilize in the septum and 3due to defective opening in the left auri-cle. In 19patients implantation was successful. In 17patients transthoracic color Doppler echocardiography carried out 24hours after the procedure showed a minimal shunt which was no longer present 1month later. The mean time of dis-charge was 38±12 hours after the procedure. After a mean follow up 1566months the patients remain asymptomatic with no clinical or technical problems.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The success rate of percutaneous closure of atrial septal defects in well-selected patients was high and presented no complications.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Long-term outcome after surgicalrepair of isolated atrial septal defects. Follow-up at 27 to 32 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.C. Murphy" 1 => "B.J. Gersh" 2 => "M.D. McGoon" 3 => "DD. Mair" 4 => "C.J. Porter" 5 => "D.M. Ilstrup" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199012133232401" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1990" "volumen" => "323" "paginaInicial" => "1645" "paginaFinal" => "1650" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2233961" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Secundum atrial septal defects: nonoperative closure during cardiac catheterization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T.D. King" 1 => "S.L. Thomopson" 2 => "C. Steiner" 3 => "N.L. Mills" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Jama" "fecha" => "1976" "volumen" => "235" "paginaInicial" => "2506" "paginaFinal" => "2509" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/946659" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Echocardiographic predictors of candidacy of successful transcatheter atrial septal defects closure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H.M. Rosenfeld" 1 => "M.E. Van der Velde" 2 => "S.P. Sanders" 3 => "S.D. Colan" 4 => "I.A. Parness" 5 => "J.E. Lock" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cathet Cardiovasc Diagn" "fecha" => "1995" "volumen" => "34" "paginaInicial" => "29" "paginaFinal" => "34" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7728848" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cierre percutáneo de la comunicación interauricular:resultados a medio plazo de esta nueva opción terapéutica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.I. Zabala" 1 => "E.J. García" 2 => "J.L. Zunzunegui" 3 => "E. Maroto" 4 => "C. Maroto" 5 => "R. Greco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Cardiol" "fecha" => "2000" "volumen" => "53" "paginaInicial" => "21" "paginaFinal" => "26" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10701319" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experimental atrial septal defects closure with a new, transcatheter,self-centering device" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G.S. Das" 1 => "G. Voss" 2 => "V. Jarvis" 3 => "K. Wyche" 4 => "R. Gunther" 5 => "R.F. Wilson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Circulation" "fecha" => "1993" "volumen" => "80" "paginaInicial" => "1754" "paginaFinal" => "1764" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transvenous closure of secundum atrial septal defects. Preliminary results with a new self-expanding nitinol prosthesis in a swine model" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.J. Sharafuddin" 1 => "X. Gu" 2 => "J.L. Titus" 3 => "M. Urness" 4 => "J.J. Cervera-Ceballos" 5 => "K. Amplatz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1997" "volumen" => "95" "paginaInicial" => "2162" "paginaFinal" => "2168" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9133527" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical outcomes and costs of transcatheter as compared with surgical closure of patent ductus arteriosus. The Patient Ductus Arteriosus Closure Comparative Study Group" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.T. Gray" 1 => "D.C. Fyler" 2 => "A.M. Walker" 3 => "M.C. Weinstein" 4 => "T.C. Chalmers" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199311183292101" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1993" "volumen" => "329" "paginaInicial" => "1517" "paginaFinal" => "1523" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7695658" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Double-umbrella closure of atrial defects: initial clinics applications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.J. Rome" 1 => "J.F. Keane" 2 => "S.B. Perry" 3 => "P.J. Spevak" 4 => "J.E. Lock" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1990" "volumen" => "82" "paginaInicial" => "1044" "paginaFinal" => "1045" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2393989" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The clinical impact of catheter closure of secundum atrial septal defects with double umbrella device: Up to 56 moths follow-up" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.N. Justo" 1 => "D.G. Nykanen" 2 => "B.W. McCrindle" 3 => "R.M. Freedom" 4 => "L.N. Benson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1161/CIRCINTERVENTIONS.109.887604" "Revista" => array:4 [ "tituloSerie" => "Circulation" "fecha" => "1995" "paginaInicial" => "308" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20647564" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International experience with secumdum atrial septal defect occlusion by buttoned device" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P.S. Rao" 1 => "E.B. Sideris" 2 => "F. Bourlon" 3 => "E. Onorato" 4 => "M. Khalliullah" 5 => "J. Haddad" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Heart J" "fecha" => "1994" "volumen" => "128" "paginaInicial" => "1022" "paginaFinal" => "1035" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7942465" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Follow-up results of trhascatheter occlusion of secundum atrial septal defects with the buttoned device" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.S. Rao" 1 => "D.J. Ende" 2 => "A.D. Wilson" 3 => "P.A. Smith" 4 => "P.S. Chopra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Can J Cardiol" "fecha" => "1995" "volumen" => "11" "paginaInicial" => "695" "paginaFinal" => "701" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7671179" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of the Sideris and Amplatzer septal occlusion devices" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K.P. Walsh" 1 => "M. Tofeig" 2 => "D.J. Kitchiner" 3 => "I. Peart" 4 => "R. Arnold" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "1999" "volumen" => "83" "paginaInicial" => "933" "paginaFinal" => "936" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10190412" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transcatheter closure of atrial septal defects under echocardiographic guidance without X-ray: initial experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Ewert" 1 => "I. Daehnert" 2 => "F. Berger" 3 => "A. Kaestner" 4 => "G. Krings" 5 => "M. Vogel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cardiol Young" "fecha" => "1999" "volumen" => "9" "paginaInicial" => "136" "paginaFinal" => "140" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10323510" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transcatheter closure of secundum atrial septal defects using the new self-centering Amplatzer occluder: initial human experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Masura" 1 => "P. Gavora" 2 => "A. Formanek" 3 => "Z.M. Hizaji" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cathet Cardiovasc Diagn" "fecha" => "1997" "volumen" => "42" "paginaInicial" => "388" "paginaFinal" => "393" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9408617" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Two and Three dimensional transesophageal echocardiography in patient selection and assessment of atrial septal defect closure by the new DAS-Angel Wings device: initial clinical experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Magni" 1 => "Z.M. Hijazi" 2 => "N.G. Pandian" 3 => "A. Delabays" 4 => "L. Sugeng" 5 => "C. Laskari" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1997" "volumen" => "96" "paginaInicial" => "1722" "paginaFinal" => "1728" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9323052" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of three different atrial septal defect occlusion devices" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Formigari" 1 => "G. Santoro" 2 => "L. Rossetti" 3 => "G. Rinelli" 4 => "P. Guccione" 5 => "L. Ballerini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Cardiol" "fecha" => "1998" "volumen" => "82" "paginaInicial" => "690" "paginaFinal" => "692" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9732907" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Closure of atrial septal defects with the Amplatzer device: preliminary results" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B.D. Thanopoulos" 1 => "C.V. Laskari" 2 => "G.S. Tsaousis" 3 => "A. Zarayelyan" 4 => "A. Vekiou" 5 => "G.S. Papadopoulos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Coll Cardiol" "fecha" => "1998" "volumen" => "31" "paginaInicial" => "1110" "paginaFinal" => "1116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9562015" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early clinical experience with use of the Amplatzer septal occluder device for atrial septal defect" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.L. Wilkinson" 1 => "T.H. Goh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cardiol Young" "fecha" => "1998" "volumen" => "8" "paginaInicial" => "295" "paginaFinal" => "302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9731643" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transcatheter occlusion of atrial septal defects: an initial experience with the Amplatzer septal occluder" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K.Y. Chan" 1 => "W.C. Yip" 2 => "M.J. Godman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Paediatric Child Health" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "369" "paginaFinal" => "373" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison ofresults and complications of surgical and Amplatzer device closure of atrial septal defects" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F. Berger" 1 => "M. Vogel" 2 => "V. Alexi-Meskishvill" 3 => "P.E. Lange" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0022-5223(99)70013-9" "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "1999" "volumen" => "118" "paginaInicial" => "674" "paginaFinal" => "680" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10504632" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Biological response to Bard Clamshell septal occluders in the canine heart" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.A. Kuhn" 1 => "L.A. Latson" 2 => "J.P. Cheatham" 3 => "B. McManus" 4 => "J.M. Amderson" 5 => "K.L. Kilzer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1996" "volumen" => "93" "paginaInicial" => "1459" "paginaFinal" => "1463" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8641036" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Late complications of percutaneous closure of atrial septal defects with the Sideris occluder" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "V. Lambert" 1 => "J. Losay" 2 => "J.D. Piot" 3 => "B. Chevalier" 4 => "T. Bourdin" 5 => "L. Mace" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Mal Coeur Vaiss" "fecha" => "1997" "volumen" => "90" "paginaInicial" => "245" "paginaFinal" => "251" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9181034" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intermediate-term outcome of transcatheter secundum atrial septal defects closure using the Bard clamshel septal umbrella" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L.R. Prieto" 1 => "C.K. Foreman" 2 => "J.P. Cheatham" 3 => "L.A. Latson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => ". Am J Cardiol" "fecha" => "1996" "volumen" => "76" "paginaInicial" => "1310" "paginaFinal" => "1312" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transcatheter closure as standardtreatment for most interatrial defects: experience in 200 patients treated with the Amplatzer Septal Occluder" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Berger" 1 => "P. Ewert" 2 => "P.G. Bjornstad" 3 => "I. Dahnert" 4 => "G. Krings" 5 => "I. Brilla-Austenat" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cardiol Young" "fecha" => "1999" "volumen" => "9" "paginaInicial" => "468" "paginaFinal" => "473" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10535825" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transcatheter closure of atrial septal defects and interatrial communications with a new self expanding nitinol double disc device (Amplatzer septal occluder): multicenter UK experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K.C. Chan" 1 => "M.J. Godman" 2 => "K. Walsh" 3 => "N. Wilson" 4 => "J.L. Gibbs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Heart" "fecha" => "1999" "volumen" => "82" "paginaInicial" => "300" "paginaFinal" => "306" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10455079" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005400000004/v1_201307051547/S169540330177542X/v1_201307051547/es/main.assets" "Apartado" => array:4 [ "identificador" => "14282" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005400000004/v1_201307051547/S169540330177542X/v1_201307051547/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330177542X?idApp=UINPBA00005H" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 5 | 16 | 21 |
| 2024 Octubre | 33 | 63 | 96 |
| 2024 Septiembre | 34 | 65 | 99 |
| 2024 Agosto | 46 | 110 | 156 |
| 2024 Julio | 37 | 41 | 78 |
| 2024 Junio | 48 | 38 | 86 |
| 2024 Mayo | 41 | 43 | 84 |
| 2024 Abril | 42 | 41 | 83 |
| 2024 Marzo | 35 | 43 | 78 |
| 2024 Febrero | 30 | 36 | 66 |
| 2024 Enero | 31 | 32 | 63 |
| 2023 Diciembre | 30 | 28 | 58 |
| 2023 Noviembre | 34 | 37 | 71 |
| 2023 Octubre | 39 | 25 | 64 |
| 2023 Septiembre | 33 | 31 | 64 |
| 2023 Agosto | 15 | 18 | 33 |
| 2023 Julio | 33 | 35 | 68 |
| 2023 Junio | 33 | 34 | 67 |
| 2023 Mayo | 33 | 17 | 50 |
| 2023 Abril | 20 | 19 | 39 |
| 2023 Marzo | 23 | 24 | 47 |
| 2023 Febrero | 11 | 13 | 24 |
| 2023 Enero | 14 | 21 | 35 |
| 2022 Diciembre | 30 | 19 | 49 |
| 2022 Noviembre | 33 | 39 | 72 |
| 2022 Octubre | 30 | 59 | 89 |
| 2022 Septiembre | 19 | 35 | 54 |
| 2022 Agosto | 28 | 53 | 81 |
| 2022 Julio | 24 | 41 | 65 |
| 2022 Junio | 22 | 38 | 60 |
| 2022 Mayo | 20 | 43 | 63 |
| 2022 Abril | 36 | 47 | 83 |
| 2022 Marzo | 32 | 57 | 89 |
| 2022 Febrero | 22 | 39 | 61 |
| 2022 Enero | 27 | 55 | 82 |
| 2021 Diciembre | 26 | 43 | 69 |
| 2021 Noviembre | 22 | 57 | 79 |
| 2021 Octubre | 34 | 75 | 109 |
| 2021 Septiembre | 25 | 58 | 83 |
| 2021 Agosto | 24 | 38 | 62 |
| 2021 Julio | 30 | 38 | 68 |
| 2021 Junio | 24 | 36 | 60 |
| 2021 Mayo | 29 | 33 | 62 |
| 2021 Abril | 94 | 101 | 195 |
| 2021 Marzo | 69 | 24 | 93 |
| 2021 Febrero | 50 | 22 | 72 |
| 2021 Enero | 49 | 24 | 73 |
| 2020 Diciembre | 38 | 20 | 58 |
| 2020 Noviembre | 24 | 18 | 42 |
| 2020 Octubre | 24 | 18 | 42 |
| 2020 Septiembre | 21 | 14 | 35 |
| 2020 Agosto | 21 | 10 | 31 |
| 2020 Julio | 37 | 17 | 54 |
| 2020 Junio | 23 | 19 | 42 |
| 2020 Mayo | 32 | 16 | 48 |
| 2020 Abril | 27 | 11 | 38 |
| 2020 Marzo | 16 | 10 | 26 |
| 2020 Febrero | 19 | 16 | 35 |
| 2020 Enero | 32 | 17 | 49 |
| 2019 Diciembre | 57 | 31 | 88 |
| 2019 Noviembre | 14 | 13 | 27 |
| 2019 Octubre | 18 | 28 | 46 |
| 2019 Septiembre | 28 | 18 | 46 |
| 2019 Agosto | 24 | 29 | 53 |
| 2019 Julio | 30 | 28 | 58 |
| 2019 Junio | 31 | 42 | 73 |
| 2019 Mayo | 38 | 48 | 86 |
| 2019 Abril | 27 | 48 | 75 |
| 2019 Marzo | 16 | 14 | 30 |
| 2019 Febrero | 26 | 9 | 35 |
| 2019 Enero | 21 | 11 | 32 |
| 2018 Diciembre | 20 | 13 | 33 |
| 2018 Noviembre | 39 | 23 | 62 |
| 2018 Octubre | 45 | 21 | 66 |
| 2018 Septiembre | 20 | 9 | 29 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 3 | 0 | 3 |
| 2018 Abril | 14 | 0 | 14 |
| 2018 Marzo | 12 | 0 | 12 |
| 2018 Febrero | 10 | 0 | 10 |
| 2018 Enero | 11 | 0 | 11 |
| 2017 Diciembre | 8 | 0 | 8 |
| 2017 Noviembre | 18 | 0 | 18 |
| 2017 Octubre | 17 | 0 | 17 |
| 2017 Septiembre | 13 | 0 | 13 |
| 2017 Agosto | 12 | 0 | 12 |
| 2017 Julio | 10 | 0 | 10 |
| 2017 Junio | 24 | 23 | 47 |
| 2017 Mayo | 20 | 16 | 36 |
| 2017 Abril | 10 | 2 | 12 |
| 2017 Marzo | 17 | 24 | 41 |
| 2017 Febrero | 10 | 5 | 15 |
| 2017 Enero | 5 | 6 | 11 |
| 2016 Diciembre | 34 | 12 | 46 |
| 2016 Noviembre | 75 | 4 | 79 |
| 2016 Octubre | 60 | 10 | 70 |
| 2016 Septiembre | 56 | 3 | 59 |
| 2016 Agosto | 41 | 6 | 47 |
| 2016 Julio | 24 | 12 | 36 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 7 | 8 |
| 2015 Septiembre | 1 | 7 | 8 |
| 2015 Agosto | 3 | 0 | 3 |
| 2015 Julio | 7 | 0 | 7 |
| 2015 Junio | 10 | 2 | 12 |
| 2015 Mayo | 14 | 5 | 19 |
| 2015 Abril | 13 | 0 | 13 |
| 2015 Marzo | 17 | 0 | 17 |
| 2015 Febrero | 13 | 1 | 14 |
| 2015 Enero | 15 | 1 | 16 |
| 2014 Diciembre | 10 | 3 | 13 |
| 2014 Noviembre | 14 | 1 | 15 |
| 2014 Octubre | 16 | 1 | 17 |
| 2014 Septiembre | 23 | 2 | 25 |
| 2014 Agosto | 26 | 1 | 27 |
| 2014 Julio | 22 | 1 | 23 |
| 2014 Junio | 53 | 5 | 58 |
| 2014 Mayo | 43 | 2 | 45 |
| 2014 Abril | 26 | 6 | 32 |
| 2014 Marzo | 48 | 8 | 56 |
| 2014 Febrero | 35 | 6 | 41 |
| 2014 Enero | 38 | 8 | 46 |
| 2013 Diciembre | 32 | 5 | 37 |
| 2013 Noviembre | 29 | 7 | 36 |
| 2013 Octubre | 46 | 5 | 51 |
| 2013 Septiembre | 28 | 12 | 40 |
| 2013 Agosto | 36 | 8 | 44 |
| 2013 Julio | 22 | 10 | 32 |
| 2013 Junio | 1 | 3 | 4 |
| 2013 Mayo | 3 | 2 | 5 |
| 2013 Abril | 2 | 3 | 5 |
| 2013 Marzo | 3 | 3 | 6 |
| 2013 Febrero | 14 | 1 | 15 |
| 2013 Enero | 2 | 2 | 4 |
| 2012 Diciembre | 4 | 1 | 5 |
| 2012 Noviembre | 6 | 1 | 7 |
| 2012 Octubre | 4 | 2 | 6 |
| 2012 Agosto | 2 | 3 | 5 |
| 2012 Julio | 1 | 0 | 1 |
| 2001 Marzo | 398 | 0 | 398 |
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