Anaesthesia for stroke thrombectomy: technical considerations based on outcome evidence.

Published

Journal Article (Review)

PURPOSE OF REVIEW: Stroke 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 FINDINGS: Stroke 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. SUMMARY: An 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.

Full Text

Duke Authors

Cited Authors

  • Nelson, S; Nguyen, H; McDonagh, DL

Published Date

  • October 2019

Published In

Volume / Issue

  • 32 / 5

Start / End Page

  • 585 - 591

PubMed ID

  • 31145199

Pubmed Central ID

  • 31145199

Electronic International Standard Serial Number (EISSN)

  • 1473-6500

Digital Object Identifier (DOI)

  • 10.1097/ACO.0000000000000752

Language

  • eng

Conference Location

  • United States