Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms

El Barbary, Mohamed Metwally; Zaki, Gamal Fouad Saleh; Mohamed, Mahmoud Hassan; Mahmoud, Noura Mohamed

doi:10.12816/0040615

Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms

Document Type : Original Article

Authors

¹ Department of Anesthesia, Faculty of Medicine, El Zagazig University

² Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University

10.12816/0040615

Abstract

Intra cranial aneurysms are acquired lesions responsible for about 80% of non-traumatic sub arachnoid hemorrhage. Treatment of the condition in the past has relied on craniotomy and clipping of the aneurysm to prevent a recurrent hemorrhage. Nowadays endovascular coiling is the best primary treatment. The anesthesia in interventional radiology room has special arrangement and precautions. Intra operative management of endovascular cerebral aneurysm from the start including: arrangement of the room, monitoring, induction, maintenance and emergence of the patients. Post-operative care is very important and good management of potential perioperative complications like: aneurysm rupture, cerebral infarction, cerebral vasospasm, contrast reaction and nephropathy is mandatory.
Aim of the Study: reviewing the current medical literature as regards the anesthetic considerations and problems of endo-vascular management of intracranial aneurysm.
Conclusion: anesthesia in interventional radiology room should have special arrangements and precautions. Intra operative management of endovascular cerebral aneurysm from the start including: arrangement of the room, monitoring, induction, maintenance and emergence of the patients. Post-operative care plays a key role in mitigating potential perioperative complications like: aneurysm rupture, cerebral infarction, cerebral vasospasm, contrast reaction and nephropathy are mandatory.

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