Anesthetic management of endovascular neurosurgical procedures in acute ischemic stroke patients: A systematic review of meta-analyses
Manejo anestésico de los procedimientos neuroquirúrgicos endovasculares en pacientes con accidente cerebrovascular isquémico: revisión sistemática de metaanálisis
Viderman D. Bilotta F. Badenes R. Abdildin Y.
December 2023Sociedad Espanola de Anestesiologia, Reanimacion Y Terapeutica Del Dolor
Revista Espanola de Anestesiologia y Reanimacion
2023#70Issue 10580 - 592 pp.
Restoration of cerebral circulation in the ischemic area is the most critical treatment task for reducing irreversible neuronal injury in ischemic stroke patients. The recanalización of appropriately selected patients became indispensable for improving clinical outcomes and resulted in the widespread revascularization techniques. There is no clear answer as to which anesthetic modality to use in ischemic stroke patients undergoing neuro-endovascular procedures. The purpose of this systematic review is to conduct a qualitative analysis of systematic reviews and meta-analyses (RSs & MAs) comparing general anesthesia and non-general anesthesia methods for cerebral endovascular interventions in acute ischemic stroke patients. We developed a protocol with the inclusion and exclusion criteria for matched publications and conducted a literature search in PubMed and Google Scholar. The literature search yielded 52 potential publications. Ten relevant RSs & MAs were included and analyzed in this review. The decision about which anesthesia method to use for endovascular procedures in managing acute ischemic stroke patients should be made based on the patients personal characteristics, pathophysiological phenotypes, clinical characteristics, and institutional experience.
Anesthetic management , Endovascular therapy , General anesthesia , Intra-arterial therapy , Ischemic stroke , Sedation
Text of the article Перейти на текст статьи
Department of Biomedical Sciences, Nazarbayev University School of Medicine (NUSOM), Nursultán, Kazakhstan
Departamento de Anestesia y Cuidado Intensivo, Universidad de Roma La Sapienza, Roma, Italy
Departamento de Anestesiología y Cuidado Intensivo, Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, Spain
Department of Mechanical and Aerospace Engineering, School of Engineering and Digital Sciences, Nazarbayev University, Nursultán, Kazakhstan
Department of Biomedical Sciences
Departamento de Anestesia y Cuidado Intensivo
Departamento de Anestesiología y Cuidado Intensivo
Department of Mechanical and Aerospace Engineering
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026