Key result
Anesthesia for interventional neuroradiology requires specific considerations for each procedure, including maintaining cerebral perfusion, managing anticoagulation, and allowing for rapid neurologic assessment.
Successful intraoperative management of neurointerventional procedures requires a basic understanding of pathophysiology and specific anesthetic demands, tailored to the procedure.
Highlights need for individualized anesthesia in neurointerventions; leaves open prospective trials to define optimal protocols.
Interventional neuroradiology (INR) has been a rapidly expanding and advancing clinical area during the past few decades. As the complexity and diversity of INR procedures increases, the demand for anesthesia also increases. Anesthesia for interventional neuroradiology is a challenge for the anesthesiologist due to the unfamiliar working environment which the anesthesiologist must consider, as well as the unique neuro-interventional components. This review provides an overview of the anesthetic options and specific consideration of the anesthesia requirements for each procedure. We also introduce the anesthetic management for interventional neuroradiology performed in our medical institution.
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Joung et al. (2014) conducted a review in Neurointerventional procedures. Anesthetic management was evaluated. Anesthesia for interventional neuroradiology requires specific considerations for each procedure, including maintaining cerebral perfusion, managing anticoagulation, and allowing for rapid neurologic assessment.
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