Anesthetic Management of Acute Ischemic Stroke in the Interventional Neuro-Radiology Suite: State of the Art

Sou, Brian S; Aglio, Linda S.; Zhou, Jie

doi:10.1097/aco.0000000000001020

Cited by 2 publications

(1 citation statement)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment of acute stroke with endovascular recanalization remains a key procedure handled in the INR that requires immediate intervention, with even minimal delay having potentially fatal consequences [3]. With abundant data about the best peri-interventional care for stroke patients but a paucity of evidence for elective procedures [4 ▪▪ ,5 ▪▪ ], this review focuses on INR interventions in the later cohort.…”

Section: Spectrum Of Procedures In the Interventional Neuroradiology ...mentioning

confidence: 99%

Anesthesia care in the interventional neuroradiology suite: an update

Bello

Paisansathan

Riva

et al. 2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of reviewThe scope of procedures conducted by neurointerventionalists is expanding quickly, with lacking consensus over the best anesthesia modality. Although the procedures involve all age groups, the interventions may be complex and lengthy and may be provided in hospitals currently not yet familiar with the field. Here we review current literature addressing elective outpatient neurointerventional procedures and aim to provide an update on the management of intervention-specific crises, address special patient populations, and provide key learning points for everyday use in the neurointerventional radiology suite. Recent findingsVarious studies have compared the use of different anesthesia modalities and preinterventional and postinterventional care. Monitored anesthesia care is generally recommended for elderly patients, whereas children are preferably treated with general anesthesia. Additional local anesthesia is beneficial for procedures, such as percutaneous kyphoplasty and vascular access.

show abstract

Section: Spectrum Of Procedures In the Interventional Neuroradiology ...mentioning

confidence: 99%

Anesthesia care in the interventional neuroradiology suite: an update

Bello

Paisansathan

Riva

et al. 2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

show abstract

Anesthetic Management of Acute Ischemic Stroke Undergoing Mechanical Thrombectomy: An Overview

De Cassai,

Sella,

Pettenuzzo

et al. 2024

Diagnostics

View full text Add to dashboard Cite

Ischemic stroke, caused by the interruption of the blood supply to the brain, requires prompt medical intervention to prevent irreversible damage. Anesthetic management is pivotal during surgical treatments like mechanical thrombectomy, where precise strategies ensure patient safety and procedural success. This narrative review highlights key aspects of anesthetic management in ischemic stroke, focusing on preoperative evaluation, anesthetic choices, and intraoperative care. A rapid yet thorough preoperative assessment is crucial, prioritizing essential diagnostic tests and cardiovascular evaluations to determine patient frailty and potential complications. The decision between general anesthesia (GA) and conscious sedation (CS) remains debated, with GA offering better procedural conditions and CS enabling continuous neurological assessment. The selection of anesthetic agents—such as propofol, sevoflurane, midazolam, fentanyl, remifentanil, and dexmedetomidine—depends on local protocols and expertise balancing neuroprotection, hemodynamic stability, and rapid postoperative recovery. Effective blood pressure management, tailored airway strategies, and vigilant postoperative monitoring are essential to optimize outcomes. This review underscores the importance of coordinated care, incorporating multimodal monitoring and maintaining neuroprotection throughout the perioperative period.

show abstract

Anesthetic Management of Acute Ischemic Stroke in the Interventional Neuro-Radiology Suite: State of the Art

Cited by 2 publications

References 35 publications

Anesthesia care in the interventional neuroradiology suite: an update

Anesthesia care in the interventional neuroradiology suite: an update

Anesthetic Management of Acute Ischemic Stroke Undergoing Mechanical Thrombectomy: An Overview

Contact Info

Product

Resources

About