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

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 FindingsA 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.SummaryRecent 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.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research