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Anesthesiological Challenges During Neuroradiological Interventions

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Essentials of Neurosurgical Anesthesia & Critical Care
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Abstract

Anesthesiologists are asked with increasing frequency to assist with cases involving interventional neuroradiology (INR). The anesthesia team should be aware of potential complications. Rarely, problems such as stroke from coil dislodgement, glue embolization, cranial vessel dissection, acute hemorrhage from occult large vessel dissection, undiagnosed coagulopathy, groin hematoma, and reperfusion edema may occur. This section will focus on three more common complications associated with neuroradiologic procedures: (1) acute reactions to contrast medium, (2) contrast-induced nephropathy, and (3) periprocedural arterial hypertension.

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Suggested Reading

Contrast Reaction

  • Bush WH, Swanson DP. Acute reactions to intravascular contrast media: types, risk factors, recognition, and specific treatment. AJR Am J Roentgenol. 1991;157:1153–61.

    Article  CAS  Google Scholar 

Contrast-Induced Nephropathy

  • Merten GJ, Burgess WP, Gray LV, Holleman JH, Roush TS, Kowalchuk GJ, et al. Prevention of contrast-induced nephropathy with sodium bicarbonate: a randomized controlled trial. JAMA. 2004;291:2328–34.

    Article  CAS  Google Scholar 

  • Pannu N, Wiebe N, Tonelli M, Alberta Kidney Disease Network. Prophylaxis strategies for contrast-induced nephropathy. JAMA. 2006;295:2765–79.

    Article  CAS  Google Scholar 

  • Stenstrom DA, Muldoon LL, Armijo-Medina H, Watnick S, Doolittle ND, Kaufman JA, et al. N-acetylcysteine use to prevent contrast medium-induced nephropathy: premature phase III trials. J Vasc Interv Radiol. 2008;19:309–18.

    Article  Google Scholar 

  • Tepel M, van der Giet M, Schwarzfeld C, Laufer U, Liermann D, Zidek W. Prevention of radiographic-contrast-agent-induced reductions in renal function by acetylcysteine. N Engl J Med. 2000;343:180–4.

    Article  CAS  Google Scholar 

Arterial Hypertension

  • Lee CZ, Young WL. Anesthesia for endovascular neurosurgery and interventional neuroradiology. Anesthesiol Clin. 2012;30(2):127–47.

    Article  Google Scholar 

  • Osborn IP. Anesthetic considerations for interventional neuroradiology. Int Anesthesiol Clin. 2003;41:69–77.

    Article  Google Scholar 

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Correspondence to Michael Aziz .

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Aziz, M., Brambrink, A.M. (2020). Anesthesiological Challenges During Neuroradiological Interventions. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_73

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  • DOI: https://doi.org/10.1007/978-3-030-17410-1_73

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