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Effect of anesthesia on mechanical thrombectomy in uncooperative patients with acute anterior circulation occlusionChinese Full Text

LI Zhen-yu;MENG Hua-xing;LI Zuo-peng;ZHANG Jin;The First Clinical Medical College,Shanxi Medical University;Department of Neurology, The First Hospital of Shanxi Medical University;

Abstract: Objective To explore the effects of general anesthesia(GA) and sedation anesthesia(SA) on mechanical thrombectomy in uncooperative patients with acute anterior circulation occlusion. Methods The clinical data of 41 patients with acute anterior circulation occlusion who were admitted to our hospital from January 2017 to May 2019 were retrospectively analyzed. The patients received intravenous thrombolysis bridge intravascular treatment or direct intravascular treatment, but the patients could not cooperate with the treatment due to agitation, aphasia, delirium, etc. Of these 41 patients, 21 patients received GA(GA group) and 20 patients received SA(SA group). Results There was no significant difference in the time from puncture to recanalization, the time from admission to recanalization, the number of thrombectomy, the rate of vascular recanalization, the NIHSS score 7 days after the operation, the rate of symptomatic intracranial hemorrhage, and the mortality between the two groups(P>0.05). The recanalization rate of one operation and the rate of good prognosis at 90 days in the GA group were significantly higher than those in the SA group(P<0.05). Conclusion If the patient with acute anterior circulation occlusion can not cooperate with mechanical thrombectomy, the GA can increase the recanalization rate compared with the SA, which is helpful to the long-term neural function recovery. The safety is similar between the GA and the SA.
  • DOI:

    10.13798/j.issn.1009-153X.2020.05.008

  • Series:

    (E) Medicine & Public Health

  • Subject:

    Surgery

  • Classification Code:

    R651.1

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