Featured Article

Endovascular treatment of non-ruptured intracranial aneurysms with flow diverter devices is a technique that currently has many indications for its use. We present a retrospective review of consecutive cases treated with flow diverters at our institution. Since October 2012 to April 2017, twenty-one patients were treated with a total of 29 non-ruptured aneurysms.

Dural arteriovenous fistulas (DAVF) are vascular lesions that require a high suspicious index for its diagnosis, because of their wide variety of clinical manifestations, moreover, invasive procedures such as digital subtraction angiogram (DSA) is the gold standard and is required for its diagnostic confirmation.

Craniocervical arteriovenous fistulas (AVF) are rare entities. A high index of suspicious is required for its diagnosis. Surgery, embolization or both are available treatments. We present the case of a young woman who presented with syncope. Additional studies revealed the presence of a craniocervical junction AVF.

Arteriovenous malformations (AVM) are typically treated by arterial approach. In selected cases, venous embolization is an option with good results. We present the case of a ruptured thalamic arteriovenous malformation treated successfully with transvenous embolization using Onyx, achieving complete obliteration of the nidus.

Cerebral aneurysms are formed due to a weakness in the arterial wall, this cause a dilation and the subsequent risk of rupture, conditioning subarachnoid hemorrhage, being one of the causes of cerebrovascular disease with higher risk of morbidity or death. We presented the first brain revascularization microsurgery for the treatment of a complex cerebral aneurysm performed at the Dos de Mayo National Hospital.

Mini-pterional Craniotomy is a minimally invasive surgery for brain aneurysms, which maintains the advantages of the standard pterional approach, but it minimizes the exposure of brain parenchyma and soft tissue manipulation. It is a valid surgical alternative in selected cases, mainly from PComA and MCA aneurysms.

Multiple aneurysms in the Guillermo Almenara National Hospital is a frequent pathology, found in 18.33% of patients with aneurysms. They are related to the female sex, history of high blood pressure and the arteries more affected are both Middle Cerebral Artery.

The Transcranial Doppler TCD is a useful tool for the hemodynamic monitoring of the brain when there is cerebral injury due to subarachnoid hemorrhage, it allows us to act in time, since it is a non-invasive tool that is done in the patient's bed.

Fenestrated basilar artery aneurysms are rare and complex vascular diseases. The endovascular treatment by coil embolization is the first option although other endovascular techniques have also been described.

Original Article
Endovascular management of non-ruptured intracranial aneurysms with flow diverter devices. First experience in Peru.
GIANCARLO SAAL-ZAPATA, WALTER DURAND S, RICARDO VALLEJOS T, DANTE VALER G, JESÚS FLORES Q, RODOLFO RODRIGUEZ V.
Jul-sep 2019, Volume 1, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Curative transvenous embolization of a challenging ruptured thalamic arteriovenous malformation using Onyx: Case report.
PAUL CARRANZA V, WALTER DURAND C, RICARDO VALLEJOS T, DANTE VALER G, JESÚS FLORES Q, GIANCARLO SAAL-ZAPATA, RODOLFO RODRÍGUEZ V.
Jul-sep 2019, Volume 1, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Revascularization with first generation bypass plus carotid reconstruction with tandem clipping of complex paraclinoid aneurysm. First case in the Dos de Mayo National Hospital in Lima - Peru.
JOSÉ LUIS ACHA S, HÉCTOR YAYA-LOO, PEDRO SOTO P, JORGE MURA C, JOAQUÍN CORREA, DAVID YABAR B.
Jul-sep 2019, Volume 1, Issue 3, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Mini-pterional craniotomy for clipping of anterior circulation Aneurysms
JERSON FLORES C, ALFREDO FUENTES-DAVILA M †, WESLEY ALABA G.
Apr-Jun 2019, Volume 1, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Epidemiological, clinical and laboratory profile of patients submitted to micro-surgical treatment by multiple aneurysms at the Guillermo Almenara Hospital
JOHN F. VARGAS U, FERNANDO PALACIOS S, ALFREDO TUMI F, DANIEL FLORES S, JOSÉ GARCÍA V, JORGE ROMERO V, JORGE ZUMAETA S, JOSÉ URQUIZO R.
Apr-Jun 2019, Volume 1, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Severe intracranial hypertension treated with 7.5% hypertonic solution in a subarachnoid hemorrhage case by rupture of aneurysm
OSCAR SALDARRIAGA R, ELAR CARI C, GRACIELA NUÑEZ Z.
Apr-Jun 2019, Volume 1, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Aneurysm associated with fenestration of Basilar artery treated by embolization with coils
ZINDYA G. BARRIENTOS M, RODOLFO RODRIGUEZ V, WALTER DURAND C, RICARDO VALLEJOS T, DANTE VALER G, JESUS FLORES Q.
Apr-Jun 2019, Volume 1, Issue 2, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
Endovascular treatment with coil Penumbra of a large aneurysm of the right ophthalmic segment
GONZALO ROJAS D, RODOLFO RODRÍGUEZ V, WALTER DURAND C, RICARDO VALLEJOS T, DANTE VALER G, JESÚS FLORES Q, GIANCARLO SAAL-ZAPATA
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
CSF leakage and bone erosion caused by cysts in basal cistern neurocysticercosis treated by endoscopy
JOHN MALCA B, JOSE-DANIEL FLORES S.
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Case Report
First experience using 5-ALA for high grade gliomas in the Almenara Hospital
JOHN VARGAS U, FERNANDO PALACIOS S, EDUARDO ROMERO V.
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Prognostic factors in the survival of patients operated of astrocytoma grade II
JERSON FLORES C, ALEJANDRO ROSELL O.
Jan-Mar 2019, Volume 1, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | PDF (English) | PDF (Spanish)
Original Article
Decompressive Craniectomy in the Management of Refractory PostTraumatic Intracranial Hypertension
Jean Marcel Castelo V. MD, Aurelio Asto A.MD
Jan 2010, Volume 5, Issue 1, Featured Article
Abstract (English) | Abstract (Spanish) | Full Text | | PDF (Spanish)