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Intubation und Sedierung bei der endovaskulären Therapie des akuten Hirninfarkts

Intubation and sedation in the endovascular treatment of acute cerebral infarction

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Zusammenfassung

In der Vergangenheit wurden komplexe intrakranielle Behandlungen neurovaskulärer Erkrankungen in der Regel in Intubationsnarkose durchgeführt. Mit steigender Zahl der akuten endovaskulären Hirninfarktbehandlungen häufen sich Beobachtungen, dass lokale Rekanalisationstechniken auch allein in Sedierung sicher durchgeführt werden können. Soweit es die Studienlage zulässt, ist dabei das Risiko iatrogener Gefäßverletzungen nicht nur nicht erhöht, sondern retrospektive Untersuchungen deuten auf bessere Behandlungsergebnisse hin.

Abstract

In the past complex intracranial treatments demanded intubation and general anesthesia of the patient. With increasing rate of endovascular local treatment of acute stroke more and more neurointerventionalists report that recanalisation techniques can be performed in sedation of the patient without the need of additional intubation. Although prospective studies are lacking retrospective studies have shown that the risk of iatrogeneous vessel injuries without global anesthesia is not increased but outcomes in case of conscious sedations are better compared with intubation and general anesthesia.

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  1. Kantonspital Baden, Im Ergel 1, 5404, Baden, Schweiz

    F. J. Ahlhelm

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Ahlhelm, F.J. Intubation und Sedierung bei der endovaskulären Therapie des akuten Hirninfarkts. Radiologe 56, 42–46 (2016). https://doi.org/10.1007/s00117-015-0056-8

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  • DOI: https://doi.org/10.1007/s00117-015-0056-8

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