Open AccessDisparities among neurointerventionalists suggest further investigation of conscious sedation versus general anesthesia during thrombectomy for acute stroke
Author(s) -
Mehmet Enes Inam,
Elvira Lekka,
Faheem Sheriff,
Aditya Sanzgiri,
Victor LopezRivera,
Andrew D Barreto,
Sunil A Sheth,
Carlos A. Artime,
Allison Engstrom,
Alexander Ambrocik,
Claudia Pedroza,
Sean I Savitz,
Peng R. Chen
Publication year - 2021
Publication title -
brain circulation
Language(s) - English
Resource type - Journals
eISSN - 2455-4626
pISSN - 2394-8108
DOI - 10.4103/bc.bc_19_21
Subject(s) - medicine , sedation , randomized controlled trial , stroke (engine) , neurology , acute stroke , clinical trial , clinical equipoise , anesthesia , emergency medicine , surgery , psychiatry , emergency department , mechanical engineering , engineering
Prior retrospective and case-control studies have shown that the use of general anesthesia (GA) during endovascular therapy (EVT) for acute ischemic stroke with large vessel occlusion (AIS-LVO) was independently associated with poor clinical outcomes compared with cases performed under conscious sedation (CS). Conversely, recent small randomized clinical trials (RCT) demonstrated a trend toward better outcome in cases performed under GA.