array:23 [
  "pii" => "S1130147390709359"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(90)70935-9"
  "estado" => "S300"
  "fechaPublicacion" => "1990-01-01"
  "aid" => "70935"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1990"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1990;1:375-83"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2314
    "formatos" => array:3 [
      "EPUB" => 7
      "HTML" => 853
      "PDF" => 1454
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147390709360"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(90)70936-0"
    "estado" => "S300"
    "fechaPublicacion" => "1990-01-01"
    "aid" => "70936"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1990;1:384-90"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2366
      "formatos" => array:3 [
        "EPUB" => 9
        "HTML" => 1019
        "PDF" => 1338
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Hematoma subdural crónico. Estudio de la expansión cerebral utilizando la inyección espinal de suero fisiológico durante la cirugía"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "384"
          "paginaFinal" => "390"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.A. Gómez-Moreta, F. Morales, J. Hernández, P. Díaz, A. Maillo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J.A."
              "apellidos" => "Gómez-Moreta"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Morales"
            ]
            2 => array:2 [
              "nombre" => "J."
              "apellidos" => "Hernández"
            ]
            3 => array:2 [
              "nombre" => "P."
              "apellidos" => "Díaz"
            ]
            4 => array:2 [
              "nombre" => "A."
              "apellidos" => "Maillo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390709360?idApp=UINPBA00004B"
    "url" => "/11301473/0000000100000006/v1_201305151002/S1130147390709360/v1_201305151002/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147390709347"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(90)70934-7"
    "estado" => "S300"
    "fechaPublicacion" => "1990-01-01"
    "aid" => "70934"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1990;1:367-74"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2592
      "formatos" => array:3 [
        "EPUB" => 12
        "HTML" => 953
        "PDF" => 1627
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Malformaciones vasculares cerebrales angiograficamente ocultas. Informe sobre cinco casos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "367"
          "paginaFinal" => "374"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "A. Bárcena Orbe, C. Mestre Moreiro, J.M. Cañizal García, J. Rodríguez Hernández"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Bárcena Orbe"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Mestre Moreiro"
            ]
            2 => array:2 [
              "nombre" => "J.M."
              "apellidos" => "Cañizal García"
            ]
            3 => array:2 [
              "nombre" => "J."
              "apellidos" => "Rodríguez Hernández"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "F. Esteban Alonso"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "F."
              "apellidos" => "Esteban Alonso"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390709347?idApp=UINPBA00004B"
    "url" => "/11301473/0000000100000006/v1_201305151002/S1130147390709347/v1_201305151002/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Clipaje transitorio de la arteria aferente al saco aneurismático en la cirugía de aneurismas intracraneales"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "375"
        "paginaFinal" => "383"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "E. Rubio, C.H. Castaño, J. Vilalta, J. García Díez, J. Sahuquillo"
        "autores" => array:5 [
          0 => array:2 [
            "nombre" => "E."
            "apellidos" => "Rubio"
          ]
          1 => array:2 [
            "nombre" => "C.H."
            "apellidos" => "Castaño"
          ]
          2 => array:2 [
            "nombre" => "J."
            "apellidos" => "Vilalta"
          ]
          3 => array:2 [
            "nombre" => "J."
            "apellidos" => "García Díez"
          ]
          4 => array:2 [
            "nombre" => "J."
            "apellidos" => "Sahuquillo"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirugía. Ciudad Sanitaria Vall d’Hebrón. Barcelona"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec156576"
          "palabras" => array:3 [
            0 => "Hemorragia subaracnoidea"
            1 => "aneurismas intracraneales"
            2 => "clipaje transitorio"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Durante 6 a&#241;os &#40;1983&#8211;1989&#41;&#44; se operaron 166 aneurismas intracraneales en la Ciudad Sanitaria de Vall d&#8217;Hebr&#243;n&#44; de los que 117 se abordaron directamente &#40;CD&#41; y en 49 se clip&#243; el saco aneurism&#225;tico despu&#233;s de mantener clipadas trasitoriamente&#44; durante la disecci&#243;n&#44; las arterias aferentes y a veces tambi&#233;n las eferentes al aneurisma &#40;CT&#41;&#46; Las edades&#44; sexo y clinica de ambos grupos fueron similares&#46; La tomograf&#237;a computarizada &#40;TC&#41;&#44; fue normal o exist&#237;a sangre en las cisternas de la base&#44; en la mayor&#237;a de los casos&#46; Los aneurismas CD se localizaban de preferencia en las regiones de las arterias&#58; comunicante anterior 41&#37;&#44; posterior 16&#44;2&#37; y cerebral media 13&#44;7&#37;&#46; En los CT los aneurismas se situaban preferentemente en la regi&#243;n de la arteria comunicante anterior 40&#44;8&#37; y cerebral media 38&#44;8&#37;&#46; Durante el CT el enfermo fue mantenido con hipertensi&#243;n arterial&#44; hiperventilaci&#243;n con O<span class="elsevierStyleInf">2</span> al 100&#37; y barbit&#250;ricos a altas dosis&#46; Los resultados inmediatos&#44; a los 7 d&#237;as de operados&#44; fueron muy similares&#46; Tuvieron una buena recuperaci&#243;n el 56&#44;4&#37; de los CD y el 40&#44;8&#37; de los CT&#44; persisti&#243; el d&#233;ficit previo en 11&#44;1&#37; de los CD y en el 10&#44;2&#37; de los CT&#46; Aument&#243; el d&#233;ficit en el 0&#44;9&#37; de los CD y en el 4&#44;1&#37; de los CT&#46; Apareci&#243; alg&#250;n d&#233;ficit neurol&#243;gico en el 21&#44;4&#37; del CD y en el 32&#44;7&#37; en el CT&#46; Hubo deterioro grave en el 4&#44;3&#37; del CD yen el 8&#44;2&#37; del CT&#46; La mortalidad fue del 6&#37; en el CD y 4&#44;1&#37; en el CT&#46; Los tiempos del CT oscilaron entre menos de 5 minutos y 110 minutos&#46; Siendo el promedio de 16&#44;7 minutos en el primer tiempo&#44; 3&#44;51 minutos en el segundo tiempo y de 0&#44;10 el tercer tiempo&#46; Los intervalos medios de descanso en el CT fueron de 0&#44;45 minutos entre el primero y segundo CT y 0&#44;20 minutos entre el segundo y tercer CT&#46; Los resultados a los 6 meses de la intervenci&#243;n&#44; no son diferentes en ambos grupos y no pueden ser relacionados con las t&#233;cnicas empleadas&#46; En los CD&#44; el 8&#37; no pudo ser clipado y se hizo &#171;wrapping&#187;&#44; mientras que todos los CT fueron clipados&#46; Se explican las causas de muerte&#46; En conclusi&#243;n&#44; el CT no modifica sustancialmente los resultados en la cirug&#237;a de los aneurismas y permite una mejor disecci&#243;n del saco aneurism&#225;tico y facilita el acto operatorio&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">During 6 years &#40;1983&#8211;1989&#41; we have operated on 166 cases of cerebral aneurysms in the Ciudad Sanitaria Vall d&#8217;Hebron&#44; 117 cases have been aproached directly &#40;CD&#41; and 49 cases have been operated through a transitory clipping of the aferent and sometimes too the eferent artery of the aneurysmal sac&#44; in the dissection &#40;CT&#41;&#46; The age&#44; sex and clinical pictures were similar in both groups&#46; The CT were normal in both groups or show blood in cerebral cisterns of the cranial base in the majority of the patients&#46; The aneurysm CD were localized preferently&#44; in the anterior communicating artery 41&#37;&#44; posterior communicating artery 16&#44;2&#37; and middle cerebral artery 13&#44;7&#37;&#46; In the CT the aneurysms were situated preferently&#44; in the anterior communicating artery 40&#44;8&#37; and in the middle cerebral artery 38&#44;8&#37;&#46; During the intervention of the CT aneurysms&#44; the patients have been supported with arterial hypertension&#44; hyperventilation with 0<span class="elsevierStyleInf">2</span> to 100&#37; and barbiturics to high dosis&#46; The immediate results&#44; 7th day of surgery&#44; were similar&#46; They have a good recuperation on 56&#44;4&#37; of the CD&#44; and 40&#44;8&#37; of the CT&#44; the previous deficit persisted on 11&#44;1&#37; of the CD&#44; and 10&#44;2&#37; of the CT&#44; the deficit increased on 0&#44;9&#37; of the CD&#44; and 4&#44;1&#37; of the CT&#46; A neurology deficit appear on 21&#44;4&#37; of the CD and 32&#44;7&#37; of the CT&#46; A serious deterioration on 4&#44;3&#37; of the CD and 8&#44;2&#37; of CT&#46; The mortality was 6&#37; on CD and 4&#44;1&#37; on CT&#46; The CT time oscillated between less 5 minutes to 110 minutes&#46; The averaged time of CT was 16&#44;7<span class="elsevierStyleHsp" style=""></span>min in the first time&#44; 3&#44;51<span class="elsevierStyleHsp" style=""></span>min in the second time and 0&#44;10<span class="elsevierStyleHsp" style=""></span>min in the third time&#46; The average of intervals clipping time was 0&#44;45<span class="elsevierStyleHsp" style=""></span>min between the first and second time&#44; 0&#44;20<span class="elsevierStyleHsp" style=""></span>min between the second and third time&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The results&#44; 6 months after surgery&#44; weren&#8217;t different in each group and can&#8217;t be related to the tecnics used&#46; In the CD the 8&#37; could&#8217;t be clipped and we had to wrapping them&#44; while all of the CD were clipped&#46; We explain the causes of death&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In conclusion&#44; the CT don&#8217;t modify sustantially the results of aneurysms surgery&#44; and permit a best dissection of the aneurismal sac and facilitate the surgery&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Rubio&#44; E&#46;&#59; Casta&#241;o&#44; C&#46; H&#46;&#59; Vilalta J&#46;&#59; Garc&#237;a D&#237;ez J&#46;&#59; Sahuquillo J&#46;&#58; Clipaje transitorio de la arteria aferente al saco aneurism&#225;tico en la cirug&#237;a de aneurismas intracraneales&#46; Neurocirug&#237;a&#44; 1990&#59; 1&#58; 375&#8211;383&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:34 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A follow-up examination of 138 cases of subarachnoid hemorrhage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "E&#46;A&#46; Ask-Upmark"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Med Scand"
                        "fecha" => "1950"
                        "volumen" => "138"
                        "paginaInicial" => "15"
                        "paginaFinal" => "31"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15432136"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intraoperative aneurismal rupture&#58; Incidence&#44; outcome and suggestions for surgical management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Batjer"
                            1 => "D&#46; Sammson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1986"
                        "volumen" => "18"
                        "paginaInicial" => "701"
                        "paginaFinal" => "706"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3736796"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Brain tolerance to middle cerebral artery occlusion during hypotension in primates"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;P&#46; Boisvert"
                            1 => "A&#46;W&#46; Gelb"
                            2 => "C&#46; Tang"
                            3 => "A&#46;M&#46; Lam"
                            4 => "B&#46; Mielke"
                            5 => "R&#46; Dowman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1989"
                        "volumen" => "31"
                        "paginaInicial" => "6"
                        "paginaFinal" => "13"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2919362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Extracellular potassium activity&#44; evoked potential an tissue blood flow"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46;M&#46; Branston"
                            1 => "A&#46;J&#46; Strong"
                            2 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurol Sci&#46;"
                        "fecha" => "1977"
                        "volumen" => "32"
                        "paginaInicial" => "305"
                        "paginaFinal" => "321"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/407332"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tem porary occlusion of the middle cerebral artery in the monkey&#58; Clinical and pathological obervations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;M&#46; Crowell"
                            1 => "Y&#46; Olsson"
                            2 => "I&#46; Klatzo"
                            3 => "A&#46; Ommaya"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "1970"
                        "volumen" => "1"
                        "paginaInicial" => "439"
                        "paginaFinal" => "448"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5001842"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#171;Twin&#187; intracranial aneurysms causing subarachnoid haemorrhage in identical twins"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "B&#46; Fairbun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brit&#46; Med&#46; J&#46;"
                        "fecha" => "1973"
                        "volumen" => "27"
                        "paginaInicial" => "210"
                        "paginaFinal" => "211"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effecs of profound hypotension on cerebral blood flow during surgery for intracranial aneurysms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;K&#46; Farrar"
                            1 => "F&#46;W&#46; Gamache"
                            2 => "G&#46;G&#46; Ferguson"
                            3 => "J&#46; Barber"
                            4 => "G&#46;P&#46; Varkey"
                            5 => "C&#46;G&#46; Drake"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1981.55.6.0857"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1981"
                        "volumen" => "55"
                        "paginaInicial" => "857"
                        "paginaFinal" => "864"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7299461"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;L&#46; Fox"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1983"
                        "editorial" => "Springer-Verlag"
                        "editorialLocalizacion" => "New York"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vascular clips for the microsurgical treatrnent of stroke"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;L&#46; Fox"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "1976"
                        "volumen" => "7"
                        "paginaInicial" => "489"
                        "paginaFinal" => "500"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/960173"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endothelial cell damage by temporary arterial occlusion with surgical clips&#46; Study of the clips side by scaning and trasrnission electron microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;D&#46; Gertz"
                            1 => "M&#46;L&#46; Rennels"
                            2 => "M&#46;S&#46; Forbes"
                            3 => "J&#46; Kawamura"
                            4 => "T&#46; Sunaga"
                            5 => "E&#46; Nelson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1976.45.5.0514"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1976"
                        "volumen" => "45"
                        "paginaInicial" => "514"
                        "paginaFinal" => "519"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/972335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral aneurysms rupture during neurosurgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "I&#46;M&#46; Greenberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1984"
                        "volumen" => "15"
                        "paginaInicial" => "243"
                        "paginaFinal" => "245"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6483142"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous subarachnoid hemorrhage of aneuysmal origin"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46;B&#46; Hamby"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; A&#46; M&#46; A&#46;"
                        "fecha" => "1948"
                        "volumen" => "136"
                        "paginaInicial" => "522"
                        "paginaFinal" => "528"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Temporary vascular occlusion during aneurisms surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Jabre"
                            1 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1987"
                        "volumen" => "27"
                        "paginaInicial" => "47"
                        "paginaFinal" => "63"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3787442"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Monitoring of the somatosensory evoked potentials during aneurysms surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Kidooka"
                            1 => "Y&#46;D&#46; Nakasu"
                            2 => "K&#46; Watanabe"
                            3 => "M&#46; Matsuda"
                            4 => "J&#46; Hauda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol"
                        "fecha" => "1987"
                        "volumen" => "27"
                        "paginaInicial" => "69"
                        "paginaFinal" => "76"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3787445"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Temporary clipping during early operation for rupture aneurysms&#46; Preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "B&#46; Ljunggren"
                            1 => "H&#46; Saveland"
                            2 => "L&#46; Brandt"
                            3 => "E&#46; Castron"
                            4 => "S&#46; Rehncrona"
                            5 => "P&#46;E&#46; Nilsson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1983"
                        "volumen" => "12"
                        "paginaInicial" => "525"
                        "paginaFinal" => "530"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6866234"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The pathology of vascular &#40;&#171;arteriovenous&#187;&#41; malforrnations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46;F&#46; McCormick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1966.24.4.0807"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1966"
                        "volumen" => "24"
                        "paginaInicial" => "807"
                        "paginaFinal" => "816"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5934138"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of temporary arterial occlusion on somatosensory evoked responses in aneruysm surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Monma"
                            1 => "A&#46;D&#46; Wang"
                            2 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol"
                        "fecha" => "1987"
                        "volumen" => "27"
                        "paginaInicial" => "343"
                        "paginaFinal" => "352"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3824140"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral complications following induced hypotension"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46; Pasch"
                            1 => "W&#46; Huk"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur&#46; J&#46; Anesthesiol"
                        "fecha" => "1986"
                        "volumen" => "3"
                        "paginaInicial" => "299"
                        "paginaFinal" => "312"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Aneurysms of the anterior cornmunicating artery Bifrontal craniotomy and routine use of temporary clips"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;L&#46; Pool"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1961.18.1.0098"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1961"
                        "volumen" => "18"
                        "paginaInicial" => "98"
                        "paginaFinal" => "112"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13737059"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Occlusion of the middle cerebral artery under normotension and anemically induced and chernically induced hypotension"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Ralston"
                            1 => "T&#46; Rasmussen"
                            2 => "T&#46; Kennedy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1955.12.1.0026"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1955"
                        "volumen" => "12"
                        "paginaInicial" => "26"
                        "paginaFinal" => "33"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13233980"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Operative Neurosurgical Techniques &#40;lndications Methods and Results&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;H&#46; Schmidek"
                            1 => "W&#46;H&#46; Sweet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1982"
                        "editorial" => "Grune &#38; Stratton"
                        "editorialLocalizacion" => "New York"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A technique of clipping giant intracranial aneurysms with the preservations of the parent artery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;N&#46; Sekhar"
                            1 => "P&#46;B&#46; Nelson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1983"
                        "volumen" => "20"
                        "paginaInicial" => "361"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6635924"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathophysiology and clinical evaluation of subarachnoid hemorrhage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;R&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Neurological Surgery"
                        "paginaInicial" => "1&#46;627"
                        "paginaFinal" => "1&#46;644"
                        "edicion" => "Second edition"
                        "serieFecha" => "1982"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Focal trasient cerebral ischemia in the squirrel monkey&#58; Effect on brain adenosine triphosphate and lactate level with electrocorticographic an pathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;M&#46; Sundt J&#46;R&#46;"
                            1 => "J&#46;D&#46; Mrchenfelder"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Circ Res"
                        "fecha" => "1972"
                        "volumen" => "30"
                        "paginaInicial" => "703"
                        "paginaFinal" => "712"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4623629"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The safety time limit of temporary clamping of cerebral arteries in the direct surgical treatrnent of intracranial aneurysms under moderate hypotherrnia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Suzuki"
                            1 => "R&#46; Kwak"
                            2 => "Y&#46; Okudairo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Tohoku J&#46; Exp&#46; Med&#46;"
                        "fecha" => "1979"
                        "volumen" => "127"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/760246"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical tratament of middle cerebral artery aneurysm"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Suzuki"
                            1 => "T&#46; Yoshimoto"
                            2 => "T&#46; Kayama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.61.1.0017"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "17"
                        "paginaFinal" => "23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6726392"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disordered cerebrovascular physiology in aneurysmal subarachnoid haemorrhage"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Neurochir &#40;Wien&#41;"
                        "fecha" => "1978"
                        "volumen" => "41"
                        "paginaInicial" => "7"
                        "paginaFinal" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical experiences with intracranial aneurysms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Symon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.61.6.1107"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "1&#46;009"
                        "paginaFinal" => "1&#46;020"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6542131"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perioperative use of somatosensory evoked responses in aneurysms suruerv"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Symon"
                            1 => "A&#46;D&#46; Wang"
                            2 => "E&#46; Costa"
                            3 => "I&#46;E&#46; Silva"
                            4 => "F&#46; Gentili"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.60.2.0269"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg&#46;"
                        "fecha" => "1984"
                        "volumen" => "60"
                        "paginaInicial" => "269"
                        "paginaFinal" => "275"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6693955"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagn&#243;stico Neurorradiol&#243;gico&#44; Editorial M&#233;dica Panamericana"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Taveras"
                            1 => "E&#46;H&#46; Wood"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Argentina"
                        "fecha" => "1978"
                        "paginaInicial" => "571"
                        "paginaFinal" => "572"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The microvasculature and microcirculation of the cerebral cortex after arterial occlusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;G&#46; Waltz"
                            1 => "T&#46;M&#46; Sundt Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brain"
                        "fecha" => "1967"
                        "volumen" => "90"
                        "paginaInicial" => "681"
                        "paginaFinal" => "696"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4964526"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;G&#46; Yasargil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1984"
                        "editorial" => "Georg Thieme Verlag"
                        "editorialLocalizacion" => "Stuttgart"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of aneurysms of anterior circulation by intracranial procedures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;G&#46; Yasargil"
                            1 => "R&#46;D&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Neurological Surgery"
                        "paginaInicial" => "1&#46;627"
                        "paginaFinal" => "1&#46;662"
                        "edicion" => "Secand edition"
                        "serieFecha" => "1982"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The principies of microsurgery applied to aneurysm surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;G&#46; Yasargil"
                            1 => "R&#46;D&#46; Smith"
                            2 => "J&#46;L&#46; Firth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Operative Surgery &#40;Neurosurgery&#41;"
                        "paginaInicial" => "146"
                        "paginaFinal" => "153"
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000000100000006/v1_201305151002/S1130147390709359/v1_201305151002/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000000100000006/v1_201305151002/S1130147390709359/v1_201305151002/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147390709359?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Clipaje transitorio de la arteria aferente al saco aneurismático en la cirugía de aneurismas intracraneales
E. Rubio, C.H. Castaño, J. Vilalta, J. García Díez, J. Sahuquillo
Servicio de Neurocirugía. Ciudad Sanitaria Vall d’Hebrón. Barcelona

Comprar documento

Para la compra de este documento es necesario que rellene el siguiente formulario:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- No procede --
Deseo recibir información sobre productos y promociones especiales de Elsevier por correo electrónico
Deseo recibir información sobre productos y promociones especiales de los partners de Elsevier por correo electrónico
* Campos obligatorios
Además del acceso temporal al documento, este le será enviado por correo electrónico.
Atención al cliente
Teléfono
Llamadas desde España
932 415 960
Llamadas desde el extranjero
+34 932 415 960
Horario de 9 a 18h. excepto los meses de julio y agosto que será de 9 a 15h.
Idiomas
Neurocirugía
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?