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
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"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 años (1983–1989), se operaron 166 aneurismas intracraneales en la Ciudad Sanitaria de Vall d’Hebrón, de los que 117 se abordaron directamente (CD) y en 49 se clipó el saco aneurismático después de mantener clipadas trasitoriamente, durante la disección, las arterias aferentes y a veces también las eferentes al aneurisma (CT). Las edades, sexo y clinica de ambos grupos fueron similares. La tomografía computarizada (TC), fue normal o existía sangre en las cisternas de la base, en la mayoría de los casos. Los aneurismas CD se localizaban de preferencia en las regiones de las arterias: comunicante anterior 41%, posterior 16,2% y cerebral media 13,7%. En los CT los aneurismas se situaban preferentemente en la región de la arteria comunicante anterior 40,8% y cerebral media 38,8%. Durante el CT el enfermo fue mantenido con hipertensión arterial, hiperventilación con O<span class="elsevierStyleInf">2</span> al 100% y barbitúricos a altas dosis. Los resultados inmediatos, a los 7 días de operados, fueron muy similares. Tuvieron una buena recuperación el 56,4% de los CD y el 40,8% de los CT, persistió el déficit previo en 11,1% de los CD y en el 10,2% de los CT. Aumentó el déficit en el 0,9% de los CD y en el 4,1% de los CT. Apareció algún déficit neurológico en el 21,4% del CD y en el 32,7% en el CT. Hubo deterioro grave en el 4,3% del CD yen el 8,2% del CT. La mortalidad fue del 6% en el CD y 4,1% en el CT. Los tiempos del CT oscilaron entre menos de 5 minutos y 110 minutos. Siendo el promedio de 16,7 minutos en el primer tiempo, 3,51 minutos en el segundo tiempo y de 0,10 el tercer tiempo. Los intervalos medios de descanso en el CT fueron de 0,45 minutos entre el primero y segundo CT y 0,20 minutos entre el segundo y tercer CT. Los resultados a los 6 meses de la intervención, no son diferentes en ambos grupos y no pueden ser relacionados con las técnicas empleadas. En los CD, el 8% no pudo ser clipado y se hizo «wrapping», mientras que todos los CT fueron clipados. Se explican las causas de muerte. En conclusión, el CT no modifica sustancialmente los resultados en la cirugía de los aneurismas y permite una mejor disección del saco aneurismático y facilita el acto operatorio.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">During 6 years (1983–1989) we have operated on 166 cases of cerebral aneurysms in the Ciudad Sanitaria Vall d’Hebron, 117 cases have been aproached directly (CD) and 49 cases have been operated through a transitory clipping of the aferent and sometimes too the eferent artery of the aneurysmal sac, in the dissection (CT). The age, sex and clinical pictures were similar in both groups. The CT were normal in both groups or show blood in cerebral cisterns of the cranial base in the majority of the patients. The aneurysm CD were localized preferently, in the anterior communicating artery 41%, posterior communicating artery 16,2% and middle cerebral artery 13,7%. In the CT the aneurysms were situated preferently, in the anterior communicating artery 40,8% and in the middle cerebral artery 38,8%. During the intervention of the CT aneurysms, the patients have been supported with arterial hypertension, hyperventilation with 0<span class="elsevierStyleInf">2</span> to 100% and barbiturics to high dosis. The immediate results, 7th day of surgery, were similar. They have a good recuperation on 56,4% of the CD, and 40,8% of the CT, the previous deficit persisted on 11,1% of the CD, and 10,2% of the CT, the deficit increased on 0,9% of the CD, and 4,1% of the CT. A neurology deficit appear on 21,4% of the CD and 32,7% of the CT. A serious deterioration on 4,3% of the CD and 8,2% of CT. The mortality was 6% on CD and 4,1% on CT. The CT time oscillated between less 5 minutes to 110 minutes. The averaged time of CT was 16,7<span class="elsevierStyleHsp" style=""></span>min in the first time, 3,51<span class="elsevierStyleHsp" style=""></span>min in the second time and 0,10<span class="elsevierStyleHsp" style=""></span>min in the third time. The average of intervals clipping time was 0,45<span class="elsevierStyleHsp" style=""></span>min between the first and second time, 0,20<span class="elsevierStyleHsp" style=""></span>min between the second and third time.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The results, 6 months after surgery, weren’t different in each group and can’t be related to the tecnics used. In the CD the 8% could’t be clipped and we had to wrapping them, while all of the CD were clipped. We explain the causes of death.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In conclusion, the CT don’t modify sustantially the results of aneurysms surgery, and permit a best dissection of the aneurismal sac and facilitate the surgery.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Rubio, E.; Castaño, C. H.; Vilalta J.; García Díez J.; Sahuquillo J.: Clipaje transitorio de la arteria aferente al saco aneurismático en la cirugía de aneurismas intracraneales. Neurocirugía, 1990; 1: 375–383.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "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.A. 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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intraoperative aneurismal rupture: Incidence, outcome and suggestions for surgical management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H. Batjer" 1 => "D. 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." "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.P. Boisvert" 1 => "A.W. Gelb" 2 => "C. Tang" 3 => "A.M. Lam" 4 => "B. Mielke" 5 => "R. Dowman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg. Neurol." "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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extracellular potassium activity, evoked potential an tissue blood flow" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N.M. Branston" 1 => "A.J. Strong" 2 => "L. Symon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J. Neurol Sci." "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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tem porary occlusion of the middle cerebral artery in the monkey: Clinical and pathological obervations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.M. Crowell" 1 => "Y. Olsson" 2 => "I. Klatzo" 3 => "A. 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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "«Twin» intracranial aneurysms causing subarachnoid haemorrhage in identical twins" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. Fairbun" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Brit. Med. J." "fecha" => "1973" "volumen" => "27" "paginaInicial" => "210" "paginaFinal" => "211" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "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.K. Farrar" 1 => "F.W. Gamache" 2 => "G.G. Ferguson" 3 => "J. Barber" 4 => "G.P. Varkey" 5 => "C.G. Drake" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1981.55.6.0857" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "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.L. 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." "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.L. 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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endothelial cell damage by temporary arterial occlusion with surgical clips. Study of the clips side by scaning and trasrnission electron microscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.D. Gertz" 1 => "M.L. Rennels" 2 => "M.S. Forbes" 3 => "J. Kawamura" 4 => "T. Sunaga" 5 => "E. Nelson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1976.45.5.0514" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "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.M. 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." "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.B. Hamby" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J. A. M. A." "fecha" => "1948" "volumen" => "136" "paginaInicial" => "522" "paginaFinal" => "528" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "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. Jabre" 1 => "L. Symon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg. Neurol." "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." "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. Kidooka" 1 => "Y.D. Nakasu" 2 => "K. Watanabe" 3 => "M. Matsuda" 4 => "J. Hauda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg. 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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Temporary clipping during early operation for rupture aneurysms. Preliminary report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B. Ljunggren" 1 => "H. Saveland" 2 => "L. Brandt" 3 => "E. Castron" 4 => "S. Rehncrona" 5 => "P.E. 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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The pathology of vascular («arteriovenous») malforrnations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.F. McCormick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1966.24.4.0807" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "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. Monma" 1 => "A.D. Wang" 2 => "L. Symon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg. 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." "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. Pasch" 1 => "W. Huk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Eur. J. Anesthesiol" "fecha" => "1986" "volumen" => "3" "paginaInicial" => "299" "paginaFinal" => "312" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "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.L. Pool" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1961.18.1.0098" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "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. Ralston" 1 => "T. Rasmussen" 2 => "T. Kennedy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1955.12.1.0026" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Operative Neurosurgical Techniques (lndications Methods and Results)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H.H. Schmidek" 1 => "W.H. Sweet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1982" "editorial" => "Grune & Stratton" "editorialLocalizacion" => "New York" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "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.N. Sekhar" 1 => "P.B. Nelson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg. Neurol." "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." "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.R. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Neurological Surgery" "paginaInicial" => "1.627" "paginaFinal" => "1.644" "edicion" => "Second edition" "serieFecha" => "1982" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Focal trasient cerebral ischemia in the squirrel monkey: 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.M. Sundt J.R." 1 => "J.D. 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." "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. Suzuki" 1 => "R. Kwak" 2 => "Y. Okudairo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Tohoku J. Exp. Med." "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." "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. Suzuki" 1 => "T. Yoshimoto" 2 => "T. Kayama" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1984.61.1.0017" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "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. Symon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Neurochir (Wien)" "fecha" => "1978" "volumen" => "41" "paginaInicial" => "7" "paginaFinal" => "22" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib28" "etiqueta" => "28." "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. Symon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1984.61.6.1107" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "fecha" => "1984" "volumen" => "61" "paginaInicial" => "1.009" "paginaFinal" => "1.020" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6542131" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib29" "etiqueta" => "29." "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. Symon" 1 => "A.D. Wang" 2 => "E. Costa" 3 => "I.E. Silva" 4 => "F. Gentili" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1984.60.2.0269" "Revista" => array:6 [ "tituloSerie" => "J. Neurosurg." "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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnóstico Neurorradiológico, Editorial Médica Panamericana" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.M. Taveras" 1 => "E.H. 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." "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.G. Waltz" 1 => "T.M. Sundt Jr." ] ] ] ] ] "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." "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.G. 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." "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.G. Yasargil" 1 => "R.D. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Neurological Surgery" "paginaInicial" => "1.627" "paginaFinal" => "1.662" "edicion" => "Secand edition" "serieFecha" => "1982" ] ] ] ] ] ] 33 => array:3 [ "identificador" => "bib34" "etiqueta" => "34." "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.G. Yasargil" 1 => "R.D. Smith" 2 => "J.L. Firth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Operative Surgery (Neurosurgery)" "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" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 1 | 1 | 2 |
| 2018 Noviembre | 0 | 2 | 2 |
| 2018 Febrero | 5 | 19 | 24 |
| 2018 Enero | 10 | 20 | 30 |
| 2017 Diciembre | 11 | 17 | 28 |
| 2017 Noviembre | 60 | 34 | 94 |
| 2017 Octubre | 8 | 14 | 22 |
| 2017 Septiembre | 13 | 37 | 50 |
| 2017 Agosto | 11 | 24 | 35 |
| 2017 Julio | 7 | 18 | 25 |
| 2017 Junio | 16 | 24 | 40 |
| 2017 Mayo | 16 | 18 | 34 |
| 2017 Abril | 13 | 17 | 30 |
| 2017 Marzo | 6 | 44 | 50 |
| 2017 Febrero | 3 | 35 | 38 |
| 2017 Enero | 11 | 20 | 31 |
| 2016 Diciembre | 30 | 26 | 56 |
| 2016 Noviembre | 21 | 27 | 48 |
| 2016 Octubre | 24 | 34 | 58 |
| 2016 Septiembre | 49 | 60 | 109 |
| 2016 Agosto | 53 | 27 | 80 |
| 2016 Julio | 35 | 31 | 66 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 4 | 5 | 9 |
| 2015 Junio | 9 | 26 | 35 |
| 2015 Mayo | 15 | 45 | 60 |
| 2015 Abril | 11 | 23 | 34 |
| 2015 Marzo | 15 | 33 | 48 |
| 2015 Febrero | 12 | 32 | 44 |
| 2015 Enero | 13 | 24 | 37 |
| 2014 Diciembre | 13 | 26 | 39 |
| 2014 Noviembre | 10 | 23 | 33 |
| 2014 Octubre | 18 | 32 | 50 |
| 2014 Septiembre | 19 | 35 | 54 |
| 2014 Agosto | 13 | 35 | 48 |
| 2014 Julio | 10 | 25 | 35 |
| 2014 Junio | 16 | 33 | 49 |
| 2014 Mayo | 27 | 29 | 56 |
| 2014 Abril | 18 | 34 | 52 |
| 2014 Marzo | 13 | 34 | 47 |
| 2014 Febrero | 19 | 25 | 44 |
| 2014 Enero | 9 | 19 | 28 |
| 2013 Diciembre | 11 | 18 | 29 |
| 2013 Noviembre | 9 | 19 | 28 |
| 2013 Octubre | 18 | 21 | 39 |
| 2013 Septiembre | 20 | 33 | 53 |
| 2013 Agosto | 21 | 47 | 68 |
| 2013 Julio | 17 | 35 | 52 |
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| 2013 Mayo | 15 | 37 | 52 |
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| 2013 Marzo | 9 | 25 | 34 |
| 2013 Febrero | 15 | 14 | 29 |
| 2013 Enero | 12 | 14 | 26 |
| 2012 Diciembre | 9 | 20 | 29 |
| 2012 Noviembre | 0 | 11 | 11 |
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