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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las t&#233;cnicas de imagen son el pilar del diagn&#243;stico de la hipertensi&#243;n pulmonar trobmboemb&#243;lica cr&#243;nica &#40;HPTEC&#41;&#46; Actualmente&#44; se dispone de una serie de t&#233;cnicas de imagen de indudable utilidad&#58; gammagraf&#237;a ventilaci&#243;n&#47;perfusi&#243;n&#44; ecocardiograf&#237;a&#44; tomograf&#237;a computarizada &#40;TC&#41; multicorte&#44; resonancia magn&#233;tica y arteriograf&#237;a pulmonar&#44; aunque no todas est&#225;n indicadas de rutina en todos los pacientes&#46; La gammagraf&#237;a y la ecograf&#237;a se utilizan como m&#233;todo de cribado de HPTEC tras un tromboembolismo pulmonar agudo&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La TC con multidetector &#40;TCMD&#41; es una herramienta eficaz en el estudio de la HPTBEC&#44; ya que demuestra la localizaci&#243;n&#44; extensi&#243;n y caracter&#237;sticas de los trombos arteriales centrales y perif&#233;ricos&#44; adem&#225;s de ofrecer un estudio del vaso distal a la obstrucci&#243;n&#46; Permite valorar otros hallazgos que pueden condicionar el tratamiento m&#233;dico o quir&#250;rgico&#44; como circulaci&#243;n sist&#233;mica colateral&#44; patolog&#237;a parenquimatosa coincidente&#44; patolog&#237;a coronaria o card&#237;aca&#46; Es un m&#233;todo no invasivo y bien tolerado por los pacientes&#44; por lo que puede emplearse en el seguimiento de la enfermedad o para valorar resultados posquir&#250;rgicos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La arteriograf&#237;a pulmonar ha precedido al resto de t&#233;cnicas de imagen&#44; siendo la t&#233;cnica de elecci&#243;n para el diagn&#243;stico de HPTEC durante muchos a&#241;os&#46; Un acceso limitado a esta t&#233;cnica&#44; un riesgo bajo pero existente&#44; y el desarrollo de t&#233;cnicas de diagn&#243;stico no invasivas&#44; fundamentalmente la TCMD&#44; han hecho que en la actualidad su principal indicaci&#243;n sea la valoraci&#243;n de la accesibilidad quir&#250;rgica en los pacientes en los que la cirug&#237;a de tromboendarterectom&#237;a pulmonar se considera una opci&#243;n terap&#233;utica&#46; Realizada por hemodinamistas expertos&#44; de forma estandarizada en el laboratorio de hemodin&#225;mica&#44; es un procedimiento seguro&#44; incluso en pacientes con hipertensi&#243;n pulmonar severa&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Imaging tests are the cornerstone of the diagnosis of chronic thromboembolic pulmonary hypertension &#40;CTEPH&#41;&#46; A series of imaging tests of unquestionable utility is currently available&#58; ventilation-perfusion scintigraphy&#44; echocardiography&#44; multislice computed tomography &#40;CT&#41;&#44; magnetic resonance imaging&#44; and pulmonary arteriography&#46; However&#44; not all of these techniques are routinely indicated in all patients&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Scintigraphy and echography are used to screen for CTEPH after an acute pulmonary thromboembolism&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Multidetector CT is effective in the study of CTEPH since this procedure reveals the localization&#44; extension and characteristics of the central and peripheral arterial thrombi as well as providing data on the vessel distal to the obstruction&#46; Other findings that can affect medical or surgical treatment can be assessed with this technique&#44; such as collateral systemic circulation&#44; concurrent parenchymatous abnormalities&#44; and coronary or cardiac disease&#46; Multidetector CT is a non-invasive method that is well tolerated by patients and consequently can be used in the follow-up of the disease or to evaluate postsurgical results&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Pulmonary arteriography predated other imaging techniques and was the technique of choice for the diagnosis of CTEPH for many years&#46; Because of limited access to this procedure&#44; a low but nevertheless present risk&#44; and the development of non-invasive diagnostic techniques&#44; mainly multidetector CT&#44; the main indication of pulmonary arteriography is currently assessment of surgical accessibility in candidates for pulmonary thromboendarterectomy&#46; When performed by expert hemodynamists using a standardized technique in the hemodynamic laboratory&#44; this procedure is safe even in patients with severe pulmonary hypertension&#46;</p>"
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                      "titulo" => "Can CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism&#63;&#46; What the radiologist needs to know"
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                        "paginaFinal" => "40"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                      "titulo" => "Pulmonary hypertension&#58; ECG- gated 64-section angiographic evaluation of new functional parameters as diagnostic criteria"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:6 [
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                            1 => "J-B&#46; Faivre"
                            2 => "M&#46; Remy-Jardin"
                            3 => "V&#46; Delannoy-Deken"
                            4 => "A&#46; Duhamel"
                            5 => "J&#46; Remy"
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                    0 => array:2 [
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                        "paginaInicial" => "558"
                        "paginaFinal" => "566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19188324"
                            "web" => "Medline"
                          ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary embolism&#58; radiation dose with multi-detector row CT and digital angiography for diagnosis"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:3 [
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                            2 => "Octave-Prignot"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16857975"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib12"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Image quality and radiation exposure at pulmonary CT angiography with 100-or-120-KVp protocol&#58; prospective randomized study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46;M&#46; Heyer"
                            1 => "P&#46;S&#46; Mohr"
                            2 => "S&#46;P&#46; Lemburg"
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                      ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiol.2452061919"
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                        "paginaFinal" => "583"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17940308"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
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                ]
              ]
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              "identificador" => "bib13"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reduced-dose CT&#58; effect on reader evaluation in detection of pulmonary embolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;D&#46; MacKenzie"
                            1 => "J&#46; Nazario-Larrieu"
                            2 => "T&#46; Cai"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.07.2686"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2007"
                        "volumen" => "189"
                        "paginaInicial" => "1371"
                        "paginaFinal" => "1379"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18029873"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How I do it&#58; CT pulmonary angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Wittram"
                          ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.06.1104"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2007"
                        "volumen" => "188"
                        "paginaInicial" => "1255"
                        "paginaFinal" => "1261"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17449768"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            14 => array:3 [
              "identificador" => "bib15"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute and chronic pulmonary emboli&#58; angiography-CT correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Wittram"
                            1 => "M&#46;K&#46; Kalra"
                            2 => "M&#46;M&#46; Maher"
                            3 => "A&#46; Greenfield"
                            4 => "T&#46;h&#46; McLoud"
                            5 => "J-A&#46; Shepard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.04.1955"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2006"
                        "volumen" => "186"
                        "paginaInicial" => "S421"
                        "paginaFinal" => "S429"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16714619"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT diagnosis of chronic pulmonary thromboembolism"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Casta&#241;er"
                            1 => "X&#46; Gallardo"
                            2 => "E&#46; Ballesteros"
                            3 => "M&#46; Andreu"
                            4 => "Y&#46; Pallard&#243;"
                            5 => "J&#46;M&#46; Mata"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/rg.291085061"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "31"
                        "paginaFinal" => "53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19168835"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictors of patient response to pulmonary thromboendarterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;J&#46; Bergin"
                            1 => "C&#46; Sirlin"
                            2 => "R&#46; Deutsch"
                            3 => "P&#46; Fedullo"
                            4 => "J&#46; Hauschildt"
                            5 => "T&#46; Huynh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.174.2.1740509"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2000"
                        "volumen" => "174"
                        "paginaInicial" => "509"
                        "paginaFinal" => "515"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10658732"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spiral CT angiography of the pulmonary circulation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Remy-Jardin"
                            1 => "J&#46; Remy"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.212.3.r99se02615"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1999"
                        "volumen" => "212"
                        "paginaInicial" => "615"
                        "paginaFinal" => "636"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10478224"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchial artery dilatation on MDCT scans of patients with acute pulmonary embolism&#58; Comparison with chronic or recurrent pulmonary embolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Hasegawa"
                            1 => "P&#46;H&#46; Boiselle"
                            2 => "H&#46; Hatabu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.182.1.1820067"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2004"
                        "volumen" => "182"
                        "paginaInicial" => "67"
                        "paginaFinal" => "72"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14684514"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
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            19 => array:3 [
              "identificador" => "bib20"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systemic collateral supply in patients with chronic thromboembolic and primary pulmonary hypertension&#58; assessment with multi-detector row helical CT angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            2 => "V&#46; Deken"
                            3 => "N&#46; Bouaziz"
                            4 => "P&#46;h&#46; Dumont"
                            5 => "J&#46; Remy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiol.2351040335"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2005"
                        "volumen" => "235"
                        "paginaInicial" => "274"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15703314"
                            "web" => "Medline"
                          ]
                        ]
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                    ]
                  ]
                ]
              ]
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            20 => array:3 [
              "identificador" => "bib21"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary vasculature&#58; hypertension and infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;A&#46; Frazier"
                            1 => "J&#46;R&#46; Galvin"
                            2 => "T&#46;J&#46; Franks"
                            3 => "M&#46; Rosado-de-Christenson"
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                        ]
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.20.2.g00mc17491"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2000"
                        "volumen" => "20"
                        "paginaInicial" => "491"
                        "paginaFinal" => "524"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10715347"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT scan findings in chronic thromboembolism pulmonary hypertension&#58; predictors of hemodynamic improvement after pulmonary thromboendarterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Heinrich"
                            1 => "M&#46; Uder"
                            2 => "D&#46; Tscholl"
                            3 => "A&#46; Grgic"
                            4 => "B&#46; Kramann"
                            5 => "H-J&#46; Sch&#228;fers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.127.5.1606"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2005"
                        "volumen" => "127"
                        "paginaInicial" => "1606"
                        "paginaFinal" => "1613"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15888835"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
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            ]
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              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spiral CT of bronchial arteries in chronic thromboembolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "H-U&#46; Kauczor"
                            1 => "H&#46;C&#46; Schwickert"
                            2 => "E&#46; Mayer"
                            3 => "F&#46; Schweden"
                            4 => "H&#46;H&#46; Schild"
                            5 => "M&#46; Thelen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Comp Assis Tomog"
                        "fecha" => "1994"
                        "volumen" => "18"
                        "paginaInicial" => "855"
                        "paginaFinal" => "861"
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib24"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Airway changes in chronic pulmonary embolism&#58; CT findings in 33 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Remy-Jardin"
                            1 => "J&#46; Remy"
                            2 => "S&#46; Louvegny"
                            3 => "D&#46; Artaud"
                            4 => "F&#46; Deschildre"
                            5 => "A&#46; Duhamel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:7 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1997"
                        "volumen" => "203"
                        "paginaInicial" => "355"
                        "paginaFinal" => "360"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9114088"
                            "web" => "Medline"
                          ]
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                        "itemHostRev" => array:3 [
                          "pii" => "S0140673609613015"
                          "estado" => "S300"
                          "issn" => "01406736"
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                  ]
                ]
              ]
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              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary parenchymal abnormalities of vascular origin&#58; High-Resolution CT findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;L&#46; Primack"
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                            2 => "J&#46;R&#46; Mayo"
                            3 => "M&#46; Remy-Jardin"
                            4 => "J&#46;L&#46; Remy"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.14.4.7938765"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "1994"
                        "volumen" => "14"
                        "paginaInicial" => "739"
                        "paginaFinal" => "746"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7938765"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of CT in chronic pulmonary embolism&#58; comparison with pulmonary angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "A&#46;A&#46; Tardivon"
                            1 => "D&#46; Musset"
                            2 => "S&#46; Maitre"
                            3 => "F&#46; Brenot"
                            4 => "Ph&#46; Dartevelle"
                            5 => "G&#46; Simonneau"
                            6 => "M&#46; Labrune"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Comput Assist Tomogr"
                        "fecha" => "1993"
                        "volumen" => "7"
                        "paginaInicial" => "345"
                        "paginaFinal" => "351"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                        "link" => array:1 [
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                            "web" => "Medline"
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                    0 => array:2 [
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                    0 => array:2 [
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                        "tituloSerie" => "Cardiol Clin"
                        "fecha" => "2004"
                        "volumen" => "22"
                        "paginaInicial" => "431"
                        "paginaFinal" => "440"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302362"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary pulmonary artery sarcoma&#58; report of three cases and review of the literatura"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:5 [
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                            2 => "M&#46; Quintela"
                            3 => "H&#46; Cort&#233;s-Funes"
                            4 => "R&#46; Hitt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3816/CLC.2007.n.007"
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                        "tituloSerie" => "Clinical Lung Cancer"
                        "fecha" => "2007"
                        "volumen" => "8"
                        "paginaInicial" => "277"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17311694"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intimal sarcoma of the pulmonary artery&#58; a rare cause of pulmonary hipertensi&#243;n"
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                          "autores" => array:3 [
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                            2 => "P&#46; Escribano"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
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                        "volumen" => "42"
                        "paginaInicial" => "148"
                        "paginaFinal" => "150"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16545255"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of primary pulmonary artery sarcoma&#58; Experience of a single center"
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                          "autores" => array:6 [
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                            1 => "P&#46; Escribano"
                            2 => "J&#46; Cortina"
                            3 => "R&#46; Tello"
                            4 => "F&#46; Hern&#225;ndez"
                            5 => "F&#46; L&#243;pez-R&#237;os"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "fecha" => "2008"
                        "volumen" => "X"
                        "paginaInicial" => "1"
                        "paginaFinal" => "4"
                      ]
                    ]
                  ]
                ]
              ]
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            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic thromboembolic occlusion in the adult can mimic pulmonary artery agenesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46;M&#46; Moser"
                            1 => "L&#46;K&#46; Olson"
                            2 => "M&#46; Schlusselberg"
                            3 => "P&#46;O&#46; Daily"
                            4 => "W&#46;P&#46; Dembitsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1989"
                        "volumen" => "95"
                        "paginaInicial" => "503"
                        "paginaFinal" => "508"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2920575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Do patients with primary pulmonary hypertension develop extensive central thrombi&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;M&#46; Moser"
                            1 => "P&#46;F&#46; Fedullo"
                            2 => "W&#46;E&#46; Finkbeiner"
                            3 => "J&#46; Golden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "1995"
                        "volumen" => "91"
                        "paginaInicial" => "741"
                        "paginaFinal" => "745"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7828302"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "In situ central pulmonary artery trombosis in primary pulmonary hipertensi&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            1 => "A&#46;L&#46; Wolfshon"
                            2 => "F&#46;R&#46; Matzinger"
                            3 => "J&#46;M&#46; Seely"
                            4 => "R&#46;A&#46; Peterson"
                            5 => "C&#46; Dennie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Radiologica"
                        "fecha" => "2005"
                        "volumen" => "7"
                        "paginaInicial" => "696"
                        "paginaFinal" => "700"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
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              "etiqueta" => "35&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic mayor-vessel thromboembolic pulmonary artery obstruction&#58; Appearance at angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            2 => "K&#46;M&#46; Moser"
                            3 => "M&#46; Buchbinder"
                            4 => "K&#46;L&#46; Peterson"
                          ]
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                      ]
                    ]
                  ]
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                        "fecha" => "1992"
                        "volumen" => "182"
                        "paginaInicial" => "393"
                        "paginaFinal" => "398"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1732955"
                            "web" => "Medline"
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                ]
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            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Update of chronic thromboembolic pulmonary hypertension&#44; a frequently undiagnosed condition"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "2009"
                        "volumen" => "62"
                        "paginaInicial" => "120"
                        "paginaFinal" => "125"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19232184"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic thromboembolic pulmonary hypertension"
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                    ]
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                        "volumen" => "93"
                        "paginaInicial" => "1152"
                        "paginaFinal" => "1158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17699182"
                            "web" => "Medline"
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                    ]
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                ]
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            ]
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                    0 => array:2 [
                      "titulo" => "Cardiac catheterization techniques in pulmonary hypertension"
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Métodos de imagen en la hipertensión pulmonar tromboembólica crónica
Imaging tests in chronic thromboembolic pulmonary hypertension
María Antonia Sánchez Nistala,
Corresponding author
masani50@yahoo.com

Autor para correspondencia.
, María Teresa Velázquez Martínb
a Servicio de Radiodiagnóstico, Hospital Universitario 12 de Octubre, Madrid, España
b Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, España
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las t&#233;cnicas de imagen son el pilar del diagn&#243;stico de la hipertensi&#243;n pulmonar trobmboemb&#243;lica cr&#243;nica &#40;HPTEC&#41;&#46; Actualmente&#44; se dispone de una serie de t&#233;cnicas de imagen de indudable utilidad&#58; gammagraf&#237;a ventilaci&#243;n&#47;perfusi&#243;n&#44; ecocardiograf&#237;a&#44; tomograf&#237;a computarizada &#40;TC&#41; multicorte&#44; resonancia magn&#233;tica y arteriograf&#237;a pulmonar&#44; aunque no todas est&#225;n indicadas de rutina en todos los pacientes&#46; La gammagraf&#237;a y la ecograf&#237;a se utilizan como m&#233;todo de cribado de HPTEC tras un tromboembolismo pulmonar agudo&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La TC con multidetector &#40;TCMD&#41; es una herramienta eficaz en el estudio de la HPTBEC&#44; ya que demuestra la localizaci&#243;n&#44; extensi&#243;n y caracter&#237;sticas de los trombos arteriales centrales y perif&#233;ricos&#44; adem&#225;s de ofrecer un estudio del vaso distal a la obstrucci&#243;n&#46; Permite valorar otros hallazgos que pueden condicionar el tratamiento m&#233;dico o quir&#250;rgico&#44; como circulaci&#243;n sist&#233;mica colateral&#44; patolog&#237;a parenquimatosa coincidente&#44; patolog&#237;a coronaria o card&#237;aca&#46; Es un m&#233;todo no invasivo y bien tolerado por los pacientes&#44; por lo que puede emplearse en el seguimiento de la enfermedad o para valorar resultados posquir&#250;rgicos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">La arteriograf&#237;a pulmonar ha precedido al resto de t&#233;cnicas de imagen&#44; siendo la t&#233;cnica de elecci&#243;n para el diagn&#243;stico de HPTEC durante muchos a&#241;os&#46; Un acceso limitado a esta t&#233;cnica&#44; un riesgo bajo pero existente&#44; y el desarrollo de t&#233;cnicas de diagn&#243;stico no invasivas&#44; fundamentalmente la TCMD&#44; han hecho que en la actualidad su principal indicaci&#243;n sea la valoraci&#243;n de la accesibilidad quir&#250;rgica en los pacientes en los que la cirug&#237;a de tromboendarterectom&#237;a pulmonar se considera una opci&#243;n terap&#233;utica&#46; Realizada por hemodinamistas expertos&#44; de forma estandarizada en el laboratorio de hemodin&#225;mica&#44; es un procedimiento seguro&#44; incluso en pacientes con hipertensi&#243;n pulmonar severa&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Imaging tests are the cornerstone of the diagnosis of chronic thromboembolic pulmonary hypertension &#40;CTEPH&#41;&#46; A series of imaging tests of unquestionable utility is currently available&#58; ventilation-perfusion scintigraphy&#44; echocardiography&#44; multislice computed tomography &#40;CT&#41;&#44; magnetic resonance imaging&#44; and pulmonary arteriography&#46; However&#44; not all of these techniques are routinely indicated in all patients&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Scintigraphy and echography are used to screen for CTEPH after an acute pulmonary thromboembolism&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Multidetector CT is effective in the study of CTEPH since this procedure reveals the localization&#44; extension and characteristics of the central and peripheral arterial thrombi as well as providing data on the vessel distal to the obstruction&#46; Other findings that can affect medical or surgical treatment can be assessed with this technique&#44; such as collateral systemic circulation&#44; concurrent parenchymatous abnormalities&#44; and coronary or cardiac disease&#46; Multidetector CT is a non-invasive method that is well tolerated by patients and consequently can be used in the follow-up of the disease or to evaluate postsurgical results&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Pulmonary arteriography predated other imaging techniques and was the technique of choice for the diagnosis of CTEPH for many years&#46; Because of limited access to this procedure&#44; a low but nevertheless present risk&#44; and the development of non-invasive diagnostic techniques&#44; mainly multidetector CT&#44; the main indication of pulmonary arteriography is currently assessment of surgical accessibility in candidates for pulmonary thromboendarterectomy&#46; When performed by expert hemodynamists using a standardized technique in the hemodynamic laboratory&#44; this procedure is safe even in patients with severe pulmonary hypertension&#46;</p>"
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                            2 => "L&#46;J&#46; Rubin"
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                          ]
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                      "titulo" => "Diagn&#243;stico y clasificaci&#243;n&#46; Avances en Hipertensi&#243;&#63;"
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                          "etal" => true
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                            2 => "P&#46; Garc&#237;a Pav&#237;a"
                          ]
                        ]
                      ]
                    ]
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                        "paginaFinal" => "5"
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                        "tituloSerie" => "Circulation"
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                        "paginaInicial" => "2011"
                        "paginaFinal" => "2020"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16636189"
                            "web" => "Medline"
                          ]
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                            3 => "L&#46;J&#46; Rubin"
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                            4 => "Th&#46; Kramm"
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                        "volumen" => "232"
                        "paginaInicial" => "535"
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                        "paginaFinal" => "9"
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                      "titulo" => "Central pulmonary thromboembolism&#58; diagnosis with spiral volumetric CT with the single- breath-hold technique&#58; comparison with pulmonary angiography"
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                          "autores" => array:3 [
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                        "tituloSerie" => "Radiology"
                        "fecha" => "1992"
                        "volumen" => "185"
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                        "paginaFinal" => "387"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1410342"
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                      "titulo" => "Pulmonary hypertension&#58; ECG- gated 64-section angiographic evaluation of new functional parameters as diagnostic criteria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            5 => "J&#46; Remy"
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                        "paginaFinal" => "566"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19188324"
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              ]
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                        "paginaInicial" => "690"
                        "paginaFinal" => "697"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16857975"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                      "titulo" => "Image quality and radiation exposure at pulmonary CT angiography with 100-or-120-KVp protocol&#58; prospective randomized study"
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                          "etal" => true
                          "autores" => array:3 [
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                        "paginaFinal" => "583"
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                            "web" => "Medline"
                          ]
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              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2007"
                        "volumen" => "189"
                        "paginaInicial" => "1371"
                        "paginaFinal" => "1379"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18029873"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How I do it&#58; CT pulmonary angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Wittram"
                          ]
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                    0 => array:2 [
                      "doi" => "10.2214/AJR.06.1104"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2007"
                        "volumen" => "188"
                        "paginaInicial" => "1255"
                        "paginaFinal" => "1261"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17449768"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute and chronic pulmonary emboli&#58; angiography-CT correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Wittram"
                            1 => "M&#46;K&#46; Kalra"
                            2 => "M&#46;M&#46; Maher"
                            3 => "A&#46; Greenfield"
                            4 => "T&#46;h&#46; McLoud"
                            5 => "J-A&#46; Shepard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.04.1955"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2006"
                        "volumen" => "186"
                        "paginaInicial" => "S421"
                        "paginaFinal" => "S429"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16714619"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT diagnosis of chronic pulmonary thromboembolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Casta&#241;er"
                            1 => "X&#46; Gallardo"
                            2 => "E&#46; Ballesteros"
                            3 => "M&#46; Andreu"
                            4 => "Y&#46; Pallard&#243;"
                            5 => "J&#46;M&#46; Mata"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/rg.291085061"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "31"
                        "paginaFinal" => "53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19168835"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictors of patient response to pulmonary thromboendarterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;J&#46; Bergin"
                            1 => "C&#46; Sirlin"
                            2 => "R&#46; Deutsch"
                            3 => "P&#46; Fedullo"
                            4 => "J&#46; Hauschildt"
                            5 => "T&#46; Huynh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.174.2.1740509"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2000"
                        "volumen" => "174"
                        "paginaInicial" => "509"
                        "paginaFinal" => "515"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10658732"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spiral CT angiography of the pulmonary circulation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Remy-Jardin"
                            1 => "J&#46; Remy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.212.3.r99se02615"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1999"
                        "volumen" => "212"
                        "paginaInicial" => "615"
                        "paginaFinal" => "636"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10478224"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchial artery dilatation on MDCT scans of patients with acute pulmonary embolism&#58; Comparison with chronic or recurrent pulmonary embolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Hasegawa"
                            1 => "P&#46;H&#46; Boiselle"
                            2 => "H&#46; Hatabu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.182.1.1820067"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2004"
                        "volumen" => "182"
                        "paginaInicial" => "67"
                        "paginaFinal" => "72"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14684514"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Systemic collateral supply in patients with chronic thromboembolic and primary pulmonary hypertension&#58; assessment with multi-detector row helical CT angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Remy-Jardin"
                            1 => "A&#46; Duhamel"
                            2 => "V&#46; Deken"
                            3 => "N&#46; Bouaziz"
                            4 => "P&#46;h&#46; Dumont"
                            5 => "J&#46; Remy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiol.2351040335"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2005"
                        "volumen" => "235"
                        "paginaInicial" => "274"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15703314"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary vasculature&#58; hypertension and infarction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;A&#46; Frazier"
                            1 => "J&#46;R&#46; Galvin"
                            2 => "T&#46;J&#46; Franks"
                            3 => "M&#46; Rosado-de-Christenson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.20.2.g00mc17491"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2000"
                        "volumen" => "20"
                        "paginaInicial" => "491"
                        "paginaFinal" => "524"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10715347"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT scan findings in chronic thromboembolism pulmonary hypertension&#58; predictors of hemodynamic improvement after pulmonary thromboendarterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Heinrich"
                            1 => "M&#46; Uder"
                            2 => "D&#46; Tscholl"
                            3 => "A&#46; Grgic"
                            4 => "B&#46; Kramann"
                            5 => "H-J&#46; Sch&#228;fers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.127.5.1606"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2005"
                        "volumen" => "127"
                        "paginaInicial" => "1606"
                        "paginaFinal" => "1613"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15888835"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spiral CT of bronchial arteries in chronic thromboembolism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "H-U&#46; Kauczor"
                            1 => "H&#46;C&#46; Schwickert"
                            2 => "E&#46; Mayer"
                            3 => "F&#46; Schweden"
                            4 => "H&#46;H&#46; Schild"
                            5 => "M&#46; Thelen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Comp Assis Tomog"
                        "fecha" => "1994"
                        "volumen" => "18"
                        "paginaInicial" => "855"
                        "paginaFinal" => "861"
                      ]
                    ]
                  ]
                ]
              ]
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            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Airway changes in chronic pulmonary embolism&#58; CT findings in 33 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Remy-Jardin"
                            1 => "J&#46; Remy"
                            2 => "S&#46; Louvegny"
                            3 => "D&#46; Artaud"
                            4 => "F&#46; Deschildre"
                            5 => "A&#46; Duhamel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.203.2.9114088"
                      "Revista" => array:7 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1997"
                        "volumen" => "203"
                        "paginaInicial" => "355"
                        "paginaFinal" => "360"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9114088"
                            "web" => "Medline"
                          ]
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                        "itemHostRev" => array:3 [
                          "pii" => "S0140673609613015"
                          "estado" => "S300"
                          "issn" => "01406736"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary parenchymal abnormalities of vascular origin&#58; High-Resolution CT findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;L&#46; Primack"
                            1 => "N&#46;L&#46; M&#252;ller"
                            2 => "J&#46;R&#46; Mayo"
                            3 => "M&#46; Remy-Jardin"
                            4 => "J&#46;L&#46; Remy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.14.4.7938765"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "1994"
                        "volumen" => "14"
                        "paginaInicial" => "739"
                        "paginaFinal" => "746"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7938765"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of CT in chronic pulmonary embolism&#58; comparison with pulmonary angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "A&#46;A&#46; Tardivon"
                            1 => "D&#46; Musset"
                            2 => "S&#46; Maitre"
                            3 => "F&#46; Brenot"
                            4 => "Ph&#46; Dartevelle"
                            5 => "G&#46; Simonneau"
                            6 => "M&#46; Labrune"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Comput Assist Tomogr"
                        "fecha" => "1993"
                        "volumen" => "7"
                        "paginaInicial" => "345"
                        "paginaFinal" => "351"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pericardial thickening or effusion in patients with pulmonary artery hypertension&#58; A CT study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;C&#46; Baque-Juston"
                            1 => "A&#46;U&#46; Wells"
                            2 => "D&#46;M&#46; Hansell"
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                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.172.2.9930782"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "1999"
                        "volumen" => "172"
                        "paginaInicial" => "361"
                        "paginaFinal" => "364"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9930782"
                            "web" => "Medline"
                          ]
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                ]
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              "identificador" => "bib28"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tumors of the pulmonary vasculature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Eunhee"
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccl.2004.05.001"
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                        "tituloSerie" => "Cardiol Clin"
                        "fecha" => "2004"
                        "volumen" => "22"
                        "paginaInicial" => "431"
                        "paginaFinal" => "440"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302362"
                            "web" => "Medline"
                          ]
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                    ]
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                ]
              ]
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            28 => array:3 [
              "identificador" => "bib29"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary pulmonary artery sarcoma&#58; report of three cases and review of the literatura"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            1 => "E&#46; &#193;lvarez"
                            2 => "M&#46; Quintela"
                            3 => "H&#46; Cort&#233;s-Funes"
                            4 => "R&#46; Hitt"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3816/CLC.2007.n.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clinical Lung Cancer"
                        "fecha" => "2007"
                        "volumen" => "8"
                        "paginaInicial" => "277"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17311694"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intimal sarcoma of the pulmonary artery&#58; a rare cause of pulmonary hipertensi&#243;n"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:3 [
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                            1 => "M&#46; Mar&#237;n"
                            2 => "P&#46; Escribano"
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                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2006"
                        "volumen" => "42"
                        "paginaInicial" => "148"
                        "paginaFinal" => "150"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16545255"
                            "web" => "Medline"
                          ]
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                  ]
                ]
              ]
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            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of primary pulmonary artery sarcoma&#58; Experience of a single center"
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Fern&#225;ndez-Golf&#237;n"
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                            2 => "J&#46; Cortina"
                            3 => "R&#46; Tello"
                            4 => "F&#46; Hern&#225;ndez"
                            5 => "F&#46; L&#243;pez-R&#237;os"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Angiology"
                        "fecha" => "2008"
                        "volumen" => "X"
                        "paginaInicial" => "1"
                        "paginaFinal" => "4"
                      ]
                    ]
                  ]
                ]
              ]
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            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic thromboembolic occlusion in the adult can mimic pulmonary artery agenesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "K&#46;M&#46; Moser"
                            1 => "L&#46;K&#46; Olson"
                            2 => "M&#46; Schlusselberg"
                            3 => "P&#46;O&#46; Daily"
                            4 => "W&#46;P&#46; Dembitsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1989"
                        "volumen" => "95"
                        "paginaInicial" => "503"
                        "paginaFinal" => "508"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2920575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Do patients with primary pulmonary hypertension develop extensive central thrombi&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;M&#46; Moser"
                            1 => "P&#46;F&#46; Fedullo"
                            2 => "W&#46;E&#46; Finkbeiner"
                            3 => "J&#46; Golden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "1995"
                        "volumen" => "91"
                        "paginaInicial" => "741"
                        "paginaFinal" => "745"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7828302"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "In situ central pulmonary artery trombosis in primary pulmonary hipertensi&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46;P&#46; Agarwal"
                            1 => "A&#46;L&#46; Wolfshon"
                            2 => "F&#46;R&#46; Matzinger"
                            3 => "J&#46;M&#46; Seely"
                            4 => "R&#46;A&#46; Peterson"
                            5 => "C&#46; Dennie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Radiologica"
                        "fecha" => "2005"
                        "volumen" => "7"
                        "paginaInicial" => "696"
                        "paginaFinal" => "700"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic mayor-vessel thromboembolic pulmonary artery obstruction&#58; Appearance at angiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;R&#46; Auger"
                            1 => "P&#46;F&#46; Fedullo"
                            2 => "K&#46;M&#46; Moser"
                            3 => "M&#46; Buchbinder"
                            4 => "K&#46;L&#46; Peterson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.182.2.1732955"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1992"
                        "volumen" => "182"
                        "paginaInicial" => "393"
                        "paginaFinal" => "398"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1732955"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Update of chronic thromboembolic pulmonary hypertension&#44; a frequently undiagnosed condition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46;M&#46; Lang"
                            1 => "W&#46; Klepetko"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Cardiol"
                        "fecha" => "2009"
                        "volumen" => "62"
                        "paginaInicial" => "120"
                        "paginaFinal" => "125"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19232184"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic thromboembolic pulmonary hypertension"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46; McNeil"
                            1 => "J&#46; Dunning"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/hrt.2004.053603"
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart"
                        "fecha" => "2007"
                        "volumen" => "93"
                        "paginaInicial" => "1152"
                        "paginaFinal" => "1158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17699182"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiac catheterization techniques in pulmonary hypertension"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Guillinta"
                            1 => "K&#46;L&#46; Peterson"
                            2 => "O&#46; Ben-Yehuda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccl.2004.04.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cardiol Clin"
                        "fecha" => "2004"
                        "volumen" => "22"
                        "paginaInicial" => "401"
                        "paginaFinal" => "415"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302360"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chronic thromboembolic pulmonary hypertension&#58; an updated review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46;M&#46; Lang"
                            1 => "W&#46; Klepetko"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/HCO.0b013e328311f254"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Cardiol"
                        "fecha" => "2008"
                        "volumen" => "23"
                        "paginaInicial" => "555"
                        "paginaFinal" => "559"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18830069"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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ISSN: 03002896
Original language: Spanish
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