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Is General Anesthesia or Conscious Sedation More Appropriate for Patients Undergoing Endovascular Clot Retrieval for Acute Ischemic Stroke?

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Abstract

A 68-year-old man with history significant for hypertension, hyperlipidemia, and chronic lower back pain presents to the emergency department (ED) with hemiplegia of his left leg. An emergent head computed tomography (CT) scan reveals an anterior cerebral artery occlusion. The patient is brought to the interventional radiology suite for a cerebral angiogram and intra-arterial recanalization. The patient is alert and oriented, comfortable, with a benign airway examination. His last meal was 9 h prior to the procedure.

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References

  1. Brinkji W, Murad MH, Rabinstein AA, Cloft HJ, Lanzino G, Kalmes DF. Conscious sedation versus general anesthesia during endovascular acute ischemic stroke treatment: a systematic review and meta-analysis. Am J Neuroradiol. 2015;36(3):525–9.

    Article  Google Scholar 

  2. Abue-Chebl A, Lin R, Hussain MS, Jovin TG, Levy EI, Liebeskind DS, et al. Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke. Stroke. 2010;41:1175–9.

    Article  CAS  Google Scholar 

  3. Froehler MT, Fifi JT, Majid A, Bhatt A, Ouyang M, Mcdonagh DL. Anesthesia for endovascular treatment of acute ischemic stroke. Neurology. 2012;79(13 Suppl 1):S167–73.

    Article  CAS  PubMed  Google Scholar 

  4. Talke PO, Sharma D, Heyer EJ, Bergese SD, Blackham KA, Stevens RD. Society for Neuroscience in Anesthesiology and Critical Care Expert consensus statement: anesthetic management of endovascular treatment for acute ischemic stroke: endorsed by the Society of NeuroInterventional Surgery and the Neurocritical Care Society. J Neurosurg Anesthesiol. 2014;26(2):95–108.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Mount Sinai West St. Luke’s Hospital, 1000 Tenth Avenue, 5th Floor, New York, New York, 10019, USA

    Elina Abramchayeva & Jinu Kim

Authors
  1. Elina Abramchayeva
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  2. Jinu Kim
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Corresponding author

Correspondence to Elina Abramchayeva .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Abramchayeva, E., Kim, J. (2017). Is General Anesthesia or Conscious Sedation More Appropriate for Patients Undergoing Endovascular Clot Retrieval for Acute Ischemic Stroke?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_55

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_55

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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