Anesthetic management of endovascular procedures in patients with ischemic stroke

Dovbysh N.Yu.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0001-7222-9224

Shnyakin P.G.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0001-6321-4557

Gorodilov A.V.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0005-0911-6418

Chernetskii O.A.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0007-0888-4348

Danilovich A.V.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0009-6241-5862

Kudinova I.S.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0002-8624-9565

Gritsan A.I.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

SPIN RSCI: 6373-2432
Scopus AuthorID: 57201838816
ResearcherID: M-4261-2014
ORCID: 0000-0002-0500-2887

Anesthetic management of endovascular procedures in patients with ischemic stroke

Authors:

Dovbysh N.Yu., Shnyakin P.G., Gorodilov A.V., Chernetskii O.A., Danilovich A.V., Kudinova I.S., Gritsan A.I.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2025;(2): 20‑25

DOI: 10.17116/anaesthesiology202502120

Downloaded: 6

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To cite this article:

Dovbysh NYu, Shnyakin PG, Gorodilov AV, Chernetskii OA, Danilovich AV, Kudinova IS, Gritsan AI. Anesthetic management of endovascular procedures in patients with ischemic stroke. Russian Journal of Anesthesiology and Reanimatology. 2025;(2):20‑25. (In Russ.)
https://doi.org/10.17116/anaesthesiology202502120

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BACKGROUND

Stroke is one of the main causes leading not only to mortality, but also severe disability even in timely access to medical care. Timely restoration of blood flow in ischemic brain area is essential in ischemic stroke. Over the past decade, active development of endovascular revascularization for ischemic stroke has improved the outcomes in these patients. There are still certain questions regarding the factors influencing the choice of general anesthesia and sedation in patients with ischemic strokes undergoing endovascular intervention.

OBJECTIVE

To assess the incidence of general combined anesthesia and sedation during endovascular interventions in patients with ischemic stroke, the influence of consciousness and verbal contact on the choice of anesthetic support for endovascular procedures, as well as the outcomes of disease after different methods of anesthetic support.

MATERIAL AND METHODS

A single-center retrospective observational study included 47 patients with ischemic strokes who underwent endovascular interventions under general anesthesia or sedation over a 1-year period.

RESULTS

General anesthesia and sedation was used in 42 (91%) and 4 (9%) patients, respectively. General anesthesia was accompanied by higher incidence of adverse outcomes.

CONCLUSION. P

Referable general anesthesia in patients with ischemic stroke undergoing endovascular interventions is due to lower level of consciousness and unavailable verbal communication. Higher incidence of adverse outcomes in patients undergoing general combined anesthesia is also associated with severity of ischemic stroke.

Keywords:

general anesthesia

sedation

ischemic stroke

Glasgow Coma Scale

verbal communication

endovascular intervention

Authors:

Dovbysh N.Yu.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0001-7222-9224

Shnyakin P.G.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0001-6321-4557

Gorodilov A.V.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0005-0911-6418

Chernetskii O.A.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0007-0888-4348

Danilovich A.V.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0009-0009-6241-5862

Kudinova I.S.

Krasnoyarsk Regional Clinical Hospital

ORCID: 0000-0002-8624-9565

Gritsan A.I.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital

SPIN RSCI: 6373-2432
Scopus AuthorID: 57201838816
ResearcherID: M-4261-2014
ORCID: 0000-0002-0500-2887

Received:

24.05.2024

Accepted:

27.08.2024

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