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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
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.
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.
Pannu N, Wiebe N, Tonelli M, Alberta Kidney Disease Network. Prophylaxis strategies for contrast-induced nephropathy. JAMA. 2006;295:2765–79.
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.
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.
Arterial Hypertension
Lee CZ, Young WL. Anesthesia for endovascular neurosurgery and interventional neuroradiology. Anesthesiol Clin. 2012;30(2):127–47.
Osborn IP. Anesthetic considerations for interventional neuroradiology. Int Anesthesiol Clin. 2003;41:69–77.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-030-17410-1_73
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-17408-8
Online ISBN: 978-3-030-17410-1
eBook Packages: MedicineMedicine (R0)