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Although mechanical thrombectomy (MT) is the standard treatment for eligible patients with large vessel occlusion (LVO), the appropriate anesthesia regimen is still an unresolved problem
Thrombotic vascular
During MT, the main goal of sedation management is to enable interventionists to perform operations as quickly and safely as possible
Managing stroke
In contrast, a post-hoc analysis of 797 patients in the "Using Multiple Endovascular Devices for Highly Efficient Reperfusion" (HERMES) cohort showed that patients who did not use GA had better 3 Month curative effect
Another registration data on the anesthesia regimen of 4429 patients showed that GA (General Anesthesia) was associated with poor functional outcomes, especially when compared with local anesthesia
Due to the lack of evidence from large clinical trials on this topic, these results must be interpreted with caution
The success rate of reperfusion was similar in all three groups (83.
Compared with the CA group, the time from admission to the groin in the GA group was delayed (71.
The perioperative complication rate was the lowest in the CS group (15.
The perioperative complication rate was the lowest in the CS group (15.
The practical significance of this study lies in: it further proves that CS during MT has advantages over GA in terms of complications, time interval and functional outcome
The practical significance of this study lies in: it further proves that CS during MT has advantages over GA in terms of complications, time interval and functional outcome
.
The practical significance of this study lies in: it further proves that CS during MT has advantages over GA in terms of complications, time interval and functional outcome
.
Original source
Feil K, Herzberg M, Dorn F, et al.
GSR Investigators.
General Anesthesia versus Conscious Sedation in Mechanical Thrombectomy.
J Stroke.
2021 Jan;23(1):103-112.
doi: 10.
5853/jos.
2020.
02404.
Epub 2021 Jan 31.
PMID: 33600707; PMCID: PMC7900389.
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