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Current Anesthesiology Reports

, Volume 8, Issue 3, pp 270–278 | Cite as

Anaesthesia for Endovascular Treatment of Acute Ischemic Stroke: Still Controversial?

  • Line K. Rasmussen
  • Claus Z. Simonsen
  • Pia Löwhagen Hendén
  • Julian Bösel
  • Mads RasmussenEmail author
Neuroanesthesia (D Sharma, Section Editor)
  • 110 Downloads
Part of the following topical collections:
  1. Neuroanesthesia

Abstract

Purpose of Review

This article reviews recent research on anaesthetic management of acute ischemic stroke revascularization. With emphasis on the effect of anaesthesia type on outcome, we will discuss controversial discoveries and future perspectives.

Recent Findings

A substantial number of retrospective observational studies have suggested that general anaesthesia (GA) compared to conscious sedation (CS) is associated with worse outcomes after endovascular therapy for acute ischemic stroke. In contrast, recent randomized trials reported no difference in outcomes in ischemic stroke patients receiving either GA or CS during revascularization with signals in favour of general anaesthesia. Peri-procedural hemodynamic management, ventilation, and choice of anaesthetics are discussed.

Summary

Recent evidence suggests that GA may be an equal alternative to CS for stroke thrombectomy. Overall, the optimal anaesthetic technique for the management of endovascular therapy for acute ischemic stroke remains controversial.

Keywords

Anaesthesia Stroke Retrospective studies Randomized studies Endovascular therapy Hemodynamics 

Notes

Compliance with Ethical Standards

Conflict of Interest

Line K. Rasmussen, Claus Z. Simonsen, Pia Löwhagen Hendén, Julian Bösel, and Mads Rasmussen declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Line K. Rasmussen
    • 1
  • Claus Z. Simonsen
    • 2
  • Pia Löwhagen Hendén
    • 3
  • Julian Bösel
    • 4
    • 5
  • Mads Rasmussen
    • 1
    Email author
  1. 1.Department of Anesthesia and Intensive Care, Section of NeuroanesthesiaAarhus University HospitalAarhus CDenmark
  2. 2.Department of NeurologyAarhus University HospitalAarhusDenmark
  3. 3.Department of Anesthesiology and Intensive Care Medicine, Sahlgrenska Academy, Sahlgrenska University HospitalUniversity of GothenburgGothenburgSweden
  4. 4.Department of NeurologyKassel General HospitalKasselGermany
  5. 5.Department of NeurologyUniversity Hospital HeidelbergHeidelbergGermany

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