El Barbary, M., Zaki, G., Mohamed, M., Mahmoud, N. (2017). Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms. The Egyptian Journal of Hospital Medicine, 69(2), 1864-1873. doi: 10.12816/0040615
Mohamed Metwally El Barbary; Gamal Fouad Saleh Zaki; Mahmoud Hassan Mohamed; Noura Mohamed Mahmoud. "Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms". The Egyptian Journal of Hospital Medicine, 69, 2, 2017, 1864-1873. doi: 10.12816/0040615
El Barbary, M., Zaki, G., Mohamed, M., Mahmoud, N. (2017). 'Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms', The Egyptian Journal of Hospital Medicine, 69(2), pp. 1864-1873. doi: 10.12816/0040615
El Barbary, M., Zaki, G., Mohamed, M., Mahmoud, N. Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms. The Egyptian Journal of Hospital Medicine, 2017; 69(2): 1864-1873. doi: 10.12816/0040615
Anesthetic considerations for Endo-Vascular Management of Intracranial Aneurysms
1Department of Anesthesia, Faculty of Medicine, El Zagazig University
2Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University
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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