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Nonoperating Room Anesthesia for Interventional Neuroangiographic Procedures: Outcomes of 105 Patients
Background and Aim: Accurate anesthesia management is of great importance for the success of interventional neuroangiographic procedures (INPs). General anesthesia with endotracheal intubation is the most commonly preferred anesthetic method for these procedures. However, whether laryngeal mask airway (LMA) anesthesia is a suitable and safe option for such cases is unclear. The aims of this study were to report the outcomes of anesthetic management in patients who underwent INP, and to compare endotracheal intubation with LMA anesthesia in terms of anesthesia-related outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - December 1, 2019 Category: Neurology Authors: Yeliz K ılıç, Sema Şanal Baş, Özlem Aykaç, Atilla Özcan Özdemir Source Type: research

Ultra-Early Induction of General Anesthesia for Reducing Rebleeding Rates in Patients with Aneurysmal Subarachnoid Hemorrhage
Rebleeding of aneurysmal subarachnoid hemorrhage (aSAH) is one of the significant risk factors for poor clinical outcome. The rebleeding risk is the highest during the acute phase with an approximate rebleeding rate of 9-17% within the first 24 h. Theoretically, general anesthesia can stabilize a patient's vital signs; however, its effectiveness as initial management for preventing post-aSAH rebleeding remains unclear. The purpose of this study was to determine the feasibility and safety of ultra-early general anesthesia induction for reducing the rebleeding rates among patients with aSAH.
Source: Journal of Stroke and Cerebrovascular Diseases - June 22, 2021 Category: Neurology Authors: Junya Kaneko, Takashi Tagami, Chie Tanaka, Kentaro Kuwamoto, Shin Sato, Ami Shibata, Saori Kudo, Akiko Kitahashi, Masamune Kuno, Shoji Yokobori, Kyoko Unemoto Source Type: research

Efficacy of Carotid Artery Stenting Performed under General Anesthesia with Somatosensory Evoked Potential Monitoring
Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA) for carotid stenosis. Although it can be performed under local anesthesia, due to ischemic intolerance, patients sometimes become uncomfortable during the procedure and cannot maintain rest, rendering it difficult to perform CAS. Moreover, the carotid sinus reflex may cause hemodynamic instability, which has been reported to increase postoperative complications.1 –4
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2021 Category: Neurology Authors: Masayuki Gekka, Toshiya Osanai, Takeshi Aoki, Naoki Nakayama, Ken Kazumata, Kiyohiro Houkin, Miki Fujimura Source Type: research

Comparison of Anesthetic Agents Dexmedetomidine and Midazolam During Mechanical Thrombectomy
The ideal anesthetic for mechanical thrombectomy (MT) is a subject of debate. Recent studies have supported the use of monitored anesthesia care (MAC), but few have attempted to compare MAC neuroanesthetics. Our study directly compares midazolam and dexmedetomidine (DEX) on blood pressure control during thrombectomy and functional outcomes at discharge.
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2021 Category: Neurology Authors: Michael P. Baldassari, Nikolaos Mouchtouris, Lohit Velagapudi, David Nauheim, Ahmad Sweid, Fadi Al Saiegh, Omaditya Khanna, Ritam Ghosh, Mary Herman, David Wyler, M. Reid Gooch, Stavropoula Tjoumakaris, Pascal Jabbour, Robert Rosenwasser, Victor Romo Source Type: research

Dexmedetomidine Alleviates Hypoxic-Ischemic Brain Damage in Neonatal Rats Through Reducing MicroRNA-134-5p-Mediated NLRX1 Downregulation
This study aimed to validate the role of Dex in hypoxic-ischemic brain damage (HIBD) in neonatal rats and the functional molecules.
Source: Journal of Stroke and Cerebrovascular Diseases - March 5, 2022 Category: Neurology Authors: Xiaohong Guan, Wen Zhou, Lin Li, Qingxiong Peng Source Type: research

Clinical application of 3DSlicer and Sina in minimally invasive puncture drainage of elderly patients with spontaneous intracerebral hemorrhage under local anesthesia
This study aimed to compare the treatment efficacy of MIPD conducted under local anesthesia using either 3DSlicer  + Sina application or computer tomography (CT)–guided stereotactic localization of hematomas in elderly patients diagnosed with ICH.
Source: Journal of Stroke and Cerebrovascular Diseases - May 20, 2023 Category: Neurology Authors: Xiaolin Hou, Dingjun Li, Yuan Yao, Lin Zeng, Chengxun Li Source Type: research

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