Anesthesia Type and Outcomes of Thrombectomy for Stroke

In a nonrandomized retrospective analysis, functional outcomes of thrombectomy were best in those who received local anesthesia rather than general anesthesia or conscious sedation.

For patients undergoing endovascular thrombectomy (EVT) for acute ischemic stroke, practices vary regarding anesthesia during the procedure. Some centers prefer local anesthesia (LA) at the puncture site only, others prefer conscious sedation (CS), and still other centers rely on general anesthesia (GA). Previous studies have raised concerns that GA is associated with worse outcomes than CS, perhaps due to blood pressure drop with the use of GA. However, this is controversial.

These authors performed an analysis of outcomes of procedures from 2014 to 2016 in the MR CLEAN Registry. Anesthetic technique was chosen by the local center. The outcome was 90-day modified Rankin scale score, adjusted for relevant variables such as prestroke function…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Anesthesia Type and Outcomes of Thrombectomy for Stroke

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Reviewing Author