Anaesthesia for stroke thrombectomy: Technical considerations based on outcome evidence

Seth Nelson, Huong Nguyen, David L. McDonagh

Research output: Contribution to journalReview article

Abstract

Purpose of reviewStroke is the second leading cause of death and the third leading cause of disability worldwide. Treatment is time limited and delays cost lives. This review discusses modern stroke management, during a time when treatments and guidelines are rapidly evolving.Recent findingsStroke thrombectomy has become the therapy of choice for large vessel occlusion (LVO) strokes. Perfusion imaging techniques, both computed tomography (CT) and MRI, now allow treatment beyond a set time window in specific patients. Both general anaesthesia and conscious sedation are options for patients undergoing stroke thrombectomy.SummaryAn individualized approach to the patient's anaesthetic management is optimal, and depends on close communication with the neurointerventionalist regarding patient and procedure-specific variables. No specific anaesthetic agent is preferred. Guiding principles are minimization of time delay, and maintenance of cerebral perfusion pressure.

Original languageEnglish (US)
Pages (from-to)585-591
Number of pages7
JournalCurrent opinion in anaesthesiology
Volume32
Issue number5
DOIs
StatePublished - Oct 1 2019

Keywords

  • anaesthesia
  • stroke
  • thrombectomy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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