Open AccessAnesthetic considerations for endovascular treatment in stroke therapy
Author(s) -
Jeffrey Stolp,
Jonathan M. Coutinho,
Rogier V. Immink,
Benedikt Preckel
Publication year - 2022
Publication title -
current opinion in anesthesiology, with evaluated medline/current opinion in anaesthesiology
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1080-8078
pISSN - 0952-7907
DOI - 10.1097/aco.0000000000001150
Subject(s) - medicine , anesthetic , stroke (engine) , endovascular treatment , intensive care medicine , anesthesia , surgery , aneurysm , mechanical engineering , engineering
The introduction of clot removement by endovascular treatment (EVT) in 2015 has improved the clinical outcome of patients with acute ischemic stroke (AIS) due to a large vessel occlusion (LVO). Anesthetic strategies during EVT vary widely between hospitals, with some departments employing local anesthesia (LA), others performing conscious sedation (CS) or general anesthesia (GA). The optimal anesthetic strategy remains debated. This review will describe the effects of anesthetic strategy on clinical and radiological outcomes and hemodynamic parameters in patients with AIS undergoing EVT.