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array:23 [ "pii" => "S1130147300707548" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70754-8" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70754" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:23-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1922 "formatos" => array:3 [ "EPUB" => 16 "HTML" => 809 "PDF" => 1097 ] ] "itemSiguiente" => array:18 [ "pii" => "S113014730070755X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70755-X" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70755" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 2000;11:30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1279 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 647 "PDF" => 615 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "COMENTARIO al trabajo titulado “Experiencia inicial con la angio-TC-3D en el manejo de la hemorragia subaracnoidea y de los aneurismas cerebrales”" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "30" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Clavel Escribano" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Clavel Escribano" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014730070755X?idApp=UINPBA00004B" "url" => "/11301473/0000001100000001/v1_201305151021/S113014730070755X/v1_201305151021/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147300707536" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70753-6" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70753" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:7-22" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5301 "formatos" => array:3 [ "EPUB" => 20 "HTML" => 1145 "PDF" => 4136 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Malformaciones arteriovenosas durales intracraneales. Revisión de una serie de 38 casos. Actualización del diagnóstico y tratamiento" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "7" "paginaFinal" => "22" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intracranial dural arteriovenous malformations. A review of 38 cases. An update of diagnosis and treatment" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "F. Alvarez Ruiz, A. Isla, J.M. Pascual" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Alvarez Ruiz" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Isla" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Pascual" ] ] ] 1 => array:2 [ "autoresLista" => "R. Frutos, P. García Raya" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Frutos" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "García Raya" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300707536?idApp=UINPBA00004B" "url" => "/11301473/0000001100000001/v1_201305151021/S1130147300707536/v1_201305151021/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Experiencia inicial con la angio-TC-3D en el manejo de la hemorragia subaracnoidea y de los aneurismas cerebrales" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "23" "paginaFinal" => "30" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "J.M. González-Darder, J.V. Pesudo-Martínez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "González-Darder" ] 1 => array:2 [ "nombre" => "J.V." "apellidos" => "Pesudo-Martínez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Neurocirugía. Hosp. Gral. de Castellón. Servicio Valenciano de Salud. Castellón de la Plana" ] ] ] 1 => array:3 [ "autoresLista" => "J. Cervera-Deval, R. Gómez-Melchor, J. Tudela, J. GarcíaVila" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Cervera-Deval" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Gómez-Melchor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Tudela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "GarcíaVila" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico. Hosp. Gral. de Castellón. Servicio Valenciano de Salud. Castellón de la Plana" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156853" "palabras" => array:3 [ 0 => "Hemorragia subaracnoidea" 1 => "Aneurisma cerebral" 2 => "Angiografía por tomografía computada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156854" "palabras" => array:3 [ 0 => "Subarachnoid hemorrhage" 1 => "Cerebral aneurysm" 2 => "Computed tomography angiography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Demostrar el valor de la exploración mediante angiotomografía computarizada helicoidal con reconstrucción tridimensional (angio-TC-3D) en el manejo de los pacientes que han sufrido una hemorragia subaracnoidea (HSA) aguda.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 20 pacientes con HSA aguda. Se realiza un TC helicoidal 20 s tras el inicio de la administración intravenosa de 90<span class="elsevierStyleHsp" style=""></span>ml de contraste no iónico mediante bomba a un flujo de 2.5<span class="elsevierStyleHsp" style=""></span>ml/s. Las imágenes se envían a una “workstation” donde se procesan para obtener imágenes del árbol vascular en modos SSP o “shadow surface display” y MIP o “maximal intensity process”.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">No se obtuvieron falsos positivos en relación a los hallazgos angiográficos o quirúrgicos. Un aneurisma infraclinoideo de carótida interna no roto no fue detectado mediante angio-TC-3D. Dos aneurismas no diagnosticados con fiabilidad mediante angiografía fueron identificados con angio-TC-3D. Finalmente, un pequeño aneurisma del territorio de comunicante posterior no roto fue encontrado durante la cirugía sin ser identificable ni en la angiografía ni angioTC-3D. La angio-TC-3D demostró todos los aneurismas que habían sido responsables de la HSA. Cinco pacientes con HSA fueron intervenidos de su aneurisma sólo con los datos aportados por: la angio-TC-3D.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nuestra experiencia sugiere que la angio-TC-3D puede ser útil en el diagnóstico inmediato del aneurisma cerebral como causa de la HSA y que en casos seleccionados puede plantearse el tratamiento quirúrgico del mismo basándose únicamente en los datos aportados por la angio-TC-3D.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To demonstrate the usefulness of threedimensional helicoidal computed tomographic angiography (angio-CT-3D) in the management of patients with acute subarachnoid hemorrhage (SAH).</p> <span class="elsevierStyleSectionTitle">Materials and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A CT helicoidal acquisition was obtained 20 s after the starting of an intravenous administration of 90<span class="elsevierStyleHsp" style=""></span>ml of non-ionic contrast injected at arate of 2.5<span class="elsevierStyleHsp" style=""></span>ml/min. Axial images were transferred on a workstation obtaining images of the vascular tree in SSP (shadow surface display) and MIP (maximal intensity process) modes. A total of 20 patients with acute SAH were studied.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There were no false positive findings. One intact infraclinoidal carotid aneurysm was missed but two lesions not clearly showed in angiography were shown in angio-CT-3D study. One intact microaneurysm not seen in angiography nor in angio-CT-3D was found at surgery in the posterior communicating area. AIl bleeding lesions were found in angio-CT-3D. Five patients with acute HSA were operated on based only on angio-CT-3D findings.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our experience suggest that angio-CT3D is useful in the rapid and accurate diagnosis of the cerebral aneurysm as the cause of SAH. In selected cases it is possible to operate on the lesion based only on angio-CT-3D findings.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">González-Darder, J.M.; Cervera-Deval, J.; Gómez-Melchor, R.; Pesudo-Martínez, I.V.; Tudela, J.; García-Vila, J.: Experiencia inicial con la angio-TC-3D en el manejo de la hemorragia subaracnoidea y de los aneurismas cerebrales. 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