Conscious Sedation versus General Anesthesia during Endovascular Acute Ischemic Stroke Treatment: A Systematic Review and Meta-Analysis

W. Brinjikji; M.H. Murad; A.A. Rabinstein; H.J. Cloft; G. Lanzino; D.F. Kallmes

doi:10.3174/ajnr.A4159

REFERENCES

1.↵
2. Brinjikji W,
3. Rabinstein AA,
4. Kallmes DF, et al
. Patient outcomes with endovascular embolectomy therapy for acute ischemic stroke: a study of the National Inpatient Sample: 2006 to 2008. Stroke 2011;42:1648–52
Abstract/FREE Full Text
2.↵
2. Saver JL
. Time is brain–quantified. Stroke 2006;37:263–66
Abstract/FREE Full Text
3.↵
2. McDonagh DL,
3. Olson DM,
4. Kalia JS, et al
. Anesthesia and sedation practices among neurointerventionalists during acute ischemic stroke endovascular therapy. Front Neurol 2010;1:118
PubMed
4.↵
2. Molina CA,
3. Selim MH
. General or local anesthesia during endovascular procedures: sailing quiet in the darkness or fast under a daylight storm. Stroke 2010;41:2720–21
FREE Full Text
5.↵
2. Brekenfeld C,
3. Mattle HP,
4. Schroth G
. General is better than local anesthesia during endovascular procedures. Stroke 2010;41:2716–17
FREE Full Text
6.↵
2. Gupta R
. Local is better than general anesthesia during endovascular acute stroke interventions. Stroke 2010;41:2718–19
FREE Full Text
7.↵
2. Deeks JJ,
3. Dinnes J,
4. D'Amico R, et al
. Evaluating non-randomised intervention studies. Health Technol Assess 2003;7:iii–x, 1–173
PubMed
8.↵
2. DerSimonian R,
3. Laird N
. Meta-analysis in clinical trials. Control Clin Trials 1986;7:177–88
CrossRef PubMed Web of Science
9.↵
2. Higgins JP,
3. Thompson SG,
4. Deeks JJ, et al
. Measuring inconsistency in meta-analyses. BMJ 2003;327:557–60
FREE Full Text
10.↵
2. Messick JM Jr.,
3. Newberg LA,
4. Nugent M, et al
. Principles of neuroanesthesia for the nonneurosurgical patient with CNS pathophysiology. Anesth Analg 1985;64:143–74
PubMed Web of Science
11.↵
2. Steen PA
. Inhalational versus intravenous anesthesia: cerebral effects. Acta Anaesthesiol Scand Suppl 1982;75:32–35
PubMed
12.↵
2. Davis MJ,
3. Menon BK,
4. Baghirzada LB, et al
. Anesthetic management and outcome in patients during endovascular therapy for acute stroke. Anesthesiology 2012;116:396–405
CrossRef PubMed Web of Science
13.↵
2. Petersen KD,
3. Landsfeldt U,
4. Cold GE, et al
. Intracranial pressure and cerebral hemodynamic in patients with cerebral tumors: a randomized prospective study of patients subjected to craniotomy in propofol-fentanyl, isoflurane-fentanyl, or sevoflurane-fentanyl anesthesia. Anesthesiology 2003;98:329–36
CrossRef PubMed Web of Science
14.↵
2. Rosenberg M,
3. Weaver J
. General anesthesia. Anesth Prog 1991;38:172–86
PubMed
15.↵
2. Rossitti S,
3. Pfister M
. 3D road-mapping in the endovascular treatment of cerebral aneurysms and arteriovenous malformations. Interv Neuroradiol 2009;15:283–90
Abstract/FREE Full Text
16.↵
2. Abou-Chebl A,
3. Lin R,
4. Hussain MS, et al
. Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke: preliminary results from a retrospective, multicenter study. Stroke 2010;41:1175–79
Abstract/FREE Full Text
17.↵
2. Jumaa MA,
3. Zhang F,
4. Ruiz-Ares G, et al
. Comparison of safety and clinical and radiographic outcomes in endovascular acute stroke therapy for proximal middle cerebral artery occlusion with intubation and general anesthesia versus the nonintubated state. Stroke 2010;41:1180–84
Abstract/FREE Full Text
18.↵
2. Jabre P,
3. Avenel A,
4. Combes X, et al
. Morbidity related to emergency endotracheal intubation: a substudy of the KETAmine SEDation trial. Resuscitation 2011;82:517–22
CrossRef PubMed Web of Science
19.↵
2. Li J,
3. Murphy-Lavoie H,
4. Bugas C, et al
. Complications of emergency intubation with and without paralysis. Am J Emerg Med 1999;17:141–43
CrossRef PubMed Web of Science
20.↵
2. Chamczuk AJ,
3. Ogilvy CS,
4. Snyder KV, et al
. Elective stenting for intracranial stenosis under conscious sedation. Neurosurgery 2010;67:1189–93; discussion 1194
CrossRef PubMed Web of Science
21.↵
2. Hassan AE,
3. Chaudhry SA,
4. Zacharatos H, et al
. Increased rate of aspiration pneumonia and poor discharge outcome among acute ischemic stroke patients following intubation for endovascular treatment. Neurocrit Care 2012;16:246–50
CrossRef PubMed Web of Science
22.↵
2. Qureshi AI,
3. Suri MF,
4. Khan J, et al
. Endovascular treatment of intracranial aneurysms by using Guglielmi detachable coils in awake patients: safety and feasibility. J Neurosurg 2001;94:880–85
CrossRef PubMed Web of Science
23.↵
2. Abou-Chebl A,
3. Krieger DW,
4. Bajzer CT, et al
. Intracranial angioplasty and stenting in the awake patient. J Neuroimaging 2006;16:216–23
CrossRef PubMed Web of Science
24.↵
2. Ogawa Y,
3. Iwasaki K,
4. Aoki K, et al
. The different effects of midazolam and propofol sedation on dynamic cerebral autoregulation. Anesth Analg 2010;111:1279–84
CrossRef PubMed Web of Science
25.↵
2. Li F,
3. Deshaies EM,
4. Singla A, et al
. Impact of anesthesia on mortality during endovascular clot removal for acute ischemic stroke. J Neurosurg Anesthesiol 2014;26:286–90
CrossRef PubMed
26.↵
2. Langner S,
3. Khaw AV,
4. Fretwurst T, et al
. Endovascular treatment of acute ischemic stroke under conscious sedation compared to general anesthesia: safety, feasibility and clinical and radiological outcome [in German]. Rofo 2013;185:320–27
CrossRef PubMed
27.↵
2. Nichols C,
3. Carrozzella J,
4. Yeatts S, et al
. Is periprocedural sedation during acute stroke therapy associated with poorer functional outcomes? J Neurointerv Surg 2010;2:67–70
Abstract/FREE Full Text
28.↵
2. Abou-Chebl A,
3. Zaidat OO,
4. Castonguay AC, et al
. North American SOLITAIRE Stent-Retriever Acute Stroke Registry: choice of anesthesia and outcomes. Stroke 2014;45:1396–401
Abstract/FREE Full Text
29.↵
2. Soize S,
3. Kadziolka K,
4. Estrade L, et al
. Mechanical thrombectomy in acute stroke: prospective pilot trial of the Solitaire FR device while under conscious sedation. AJNR Am J Neuroradiol 2013;34:360–65
Abstract/FREE Full Text
30.
2. Sugg RM,
3. Jackson AS,
4. Holloway W, et al
. Is mechanical embolectomy performed in nonanesthetized patients effective? AJNR Am J Neuroradiol 2010;31:1533–35
Abstract/FREE Full Text

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More in this TOC Section

Show more INTERVENTIONAL

[1] 1.↵

Brinjikji W,
Rabinstein AA,
Kallmes DF, et al
. Patient outcomes with endovascular embolectomy therapy for acute ischemic stroke: a study of the National Inpatient Sample: 2006 to 2008. Stroke 2011;42:1648–52
Abstract/FREE Full Text

[3] Brinjikji W,

[4] Rabinstein AA,

[5] Kallmes DF, et al

[6] 2.↵

Saver JL
. Time is brain–quantified. Stroke 2006;37:263–66
Abstract/FREE Full Text

[8] Saver JL

[9] 3.↵

McDonagh DL,
Olson DM,
Kalia JS, et al
. Anesthesia and sedation practices among neurointerventionalists during acute ischemic stroke endovascular therapy. Front Neurol 2010;1:118
PubMed

[11] McDonagh DL,

[12] Olson DM,

[13] Kalia JS, et al

[14] 4.↵

Molina CA,
Selim MH
. General or local anesthesia during endovascular procedures: sailing quiet in the darkness or fast under a daylight storm. Stroke 2010;41:2720–21
FREE Full Text

[16] Molina CA,

[17] Selim MH

[18] 5.↵

Brekenfeld C,
Mattle HP,
Schroth G
. General is better than local anesthesia during endovascular procedures. Stroke 2010;41:2716–17
FREE Full Text

[20] Brekenfeld C,

[21] Mattle HP,

[22] Schroth G

[23] 6.↵

Gupta R
. Local is better than general anesthesia during endovascular acute stroke interventions. Stroke 2010;41:2718–19
FREE Full Text

[25] Gupta R

[26] 7.↵

Deeks JJ,
Dinnes J,
D'Amico R, et al
. Evaluating non-randomised intervention studies. Health Technol Assess 2003;7:iii–x, 1–173
PubMed

[28] Deeks JJ,

[29] Dinnes J,

[30] D'Amico R, et al

[31] 8.↵

DerSimonian R,
Laird N
. Meta-analysis in clinical trials. Control Clin Trials 1986;7:177–88
CrossRef PubMed Web of Science

[33] DerSimonian R,

[34] Laird N

[35] 9.↵

Higgins JP,
Thompson SG,
Deeks JJ, et al
. Measuring inconsistency in meta-analyses. BMJ 2003;327:557–60
FREE Full Text

[37] Higgins JP,

[38] Thompson SG,

[39] Deeks JJ, et al

[40] 10.↵

Messick JM Jr.,
Newberg LA,
Nugent M, et al
. Principles of neuroanesthesia for the nonneurosurgical patient with CNS pathophysiology. Anesth Analg 1985;64:143–74
PubMed Web of Science

[42] Messick JM Jr.,

[43] Newberg LA,

[44] Nugent M, et al

[45] 11.↵

Steen PA
. Inhalational versus intravenous anesthesia: cerebral effects. Acta Anaesthesiol Scand Suppl 1982;75:32–35
PubMed

[47] Steen PA

[48] 12.↵

Davis MJ,
Menon BK,
Baghirzada LB, et al
. Anesthetic management and outcome in patients during endovascular therapy for acute stroke. Anesthesiology 2012;116:396–405
CrossRef PubMed Web of Science

[50] Davis MJ,

[51] Menon BK,

[52] Baghirzada LB, et al

[53] 13.↵

Petersen KD,
Landsfeldt U,
Cold GE, et al
. Intracranial pressure and cerebral hemodynamic in patients with cerebral tumors: a randomized prospective study of patients subjected to craniotomy in propofol-fentanyl, isoflurane-fentanyl, or sevoflurane-fentanyl anesthesia. Anesthesiology 2003;98:329–36
CrossRef PubMed Web of Science

[55] Petersen KD,

[56] Landsfeldt U,

[57] Cold GE, et al

[58] 14.↵

Rosenberg M,
Weaver J
. General anesthesia. Anesth Prog 1991;38:172–86
PubMed

[60] Rosenberg M,

[61] Weaver J

[62] 15.↵

Rossitti S,
Pfister M
. 3D road-mapping in the endovascular treatment of cerebral aneurysms and arteriovenous malformations. Interv Neuroradiol 2009;15:283–90
Abstract/FREE Full Text

[64] Rossitti S,

[65] Pfister M

[66] 16.↵

Abou-Chebl A,
Lin R,
Hussain MS, et al
. Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke: preliminary results from a retrospective, multicenter study. Stroke 2010;41:1175–79
Abstract/FREE Full Text

[68] Abou-Chebl A,

[69] Lin R,

[70] Hussain MS, et al

[71] 17.↵

Jumaa MA,
Zhang F,
Ruiz-Ares G, et al
. Comparison of safety and clinical and radiographic outcomes in endovascular acute stroke therapy for proximal middle cerebral artery occlusion with intubation and general anesthesia versus the nonintubated state. Stroke 2010;41:1180–84
Abstract/FREE Full Text

[73] Jumaa MA,

[74] Zhang F,

[75] Ruiz-Ares G, et al

[76] 18.↵

Jabre P,
Avenel A,
Combes X, et al
. Morbidity related to emergency endotracheal intubation: a substudy of the KETAmine SEDation trial. Resuscitation 2011;82:517–22
CrossRef PubMed Web of Science

[78] Jabre P,

[79] Avenel A,

[80] Combes X, et al

[81] 19.↵

Li J,
Murphy-Lavoie H,
Bugas C, et al
. Complications of emergency intubation with and without paralysis. Am J Emerg Med 1999;17:141–43
CrossRef PubMed Web of Science

[83] Li J,

[84] Murphy-Lavoie H,

[85] Bugas C, et al

[86] 20.↵

Chamczuk AJ,
Ogilvy CS,
Snyder KV, et al
. Elective stenting for intracranial stenosis under conscious sedation. Neurosurgery 2010;67:1189–93; discussion 1194
CrossRef PubMed Web of Science

[88] Chamczuk AJ,

[89] Ogilvy CS,

[90] Snyder KV, et al

[91] 21.↵

Hassan AE,
Chaudhry SA,
Zacharatos H, et al
. Increased rate of aspiration pneumonia and poor discharge outcome among acute ischemic stroke patients following intubation for endovascular treatment. Neurocrit Care 2012;16:246–50
CrossRef PubMed Web of Science

[93] Hassan AE,

[94] Chaudhry SA,

[95] Zacharatos H, et al

[96] 22.↵

Qureshi AI,
Suri MF,
Khan J, et al
. Endovascular treatment of intracranial aneurysms by using Guglielmi detachable coils in awake patients: safety and feasibility. J Neurosurg 2001;94:880–85
CrossRef PubMed Web of Science

[98] Qureshi AI,

[99] Suri MF,

[100] Khan J, et al

[101] 23.↵

Abou-Chebl A,
Krieger DW,
Bajzer CT, et al
. Intracranial angioplasty and stenting in the awake patient. J Neuroimaging 2006;16:216–23
CrossRef PubMed Web of Science

[103] Abou-Chebl A,

[104] Krieger DW,

[105] Bajzer CT, et al

[106] 24.↵

Ogawa Y,
Iwasaki K,
Aoki K, et al
. The different effects of midazolam and propofol sedation on dynamic cerebral autoregulation. Anesth Analg 2010;111:1279–84
CrossRef PubMed Web of Science

[108] Ogawa Y,

[109] Iwasaki K,

[110] Aoki K, et al

[111] 25.↵

Li F,
Deshaies EM,
Singla A, et al
. Impact of anesthesia on mortality during endovascular clot removal for acute ischemic stroke. J Neurosurg Anesthesiol 2014;26:286–90
CrossRef PubMed

[113] Li F,

[114] Deshaies EM,

[115] Singla A, et al

[116] 26.↵

Langner S,
Khaw AV,
Fretwurst T, et al
. Endovascular treatment of acute ischemic stroke under conscious sedation compared to general anesthesia: safety, feasibility and clinical and radiological outcome [in German]. Rofo 2013;185:320–27
CrossRef PubMed

[118] Langner S,

[119] Khaw AV,

[120] Fretwurst T, et al

[121] 27.↵

Nichols C,
Carrozzella J,
Yeatts S, et al
. Is periprocedural sedation during acute stroke therapy associated with poorer functional outcomes? J Neurointerv Surg 2010;2:67–70
Abstract/FREE Full Text

[123] Nichols C,

[124] Carrozzella J,

[125] Yeatts S, et al

[126] 28.↵

Abou-Chebl A,
Zaidat OO,
Castonguay AC, et al
. North American SOLITAIRE Stent-Retriever Acute Stroke Registry: choice of anesthesia and outcomes. Stroke 2014;45:1396–401
Abstract/FREE Full Text

[128] Abou-Chebl A,

[129] Zaidat OO,

[130] Castonguay AC, et al

[131] 29.↵

Soize S,
Kadziolka K,
Estrade L, et al
. Mechanical thrombectomy in acute stroke: prospective pilot trial of the Solitaire FR device while under conscious sedation. AJNR Am J Neuroradiol 2013;34:360–65
Abstract/FREE Full Text

[133] Soize S,

[134] Kadziolka K,

[135] Estrade L, et al

[136] 30.

Sugg RM,
Jackson AS,
Holloway W, et al
. Is mechanical embolectomy performed in nonanesthetized patients effective? AJNR Am J Neuroradiol 2010;31:1533–35
Abstract/FREE Full Text

[138] Sugg RM,

[139] Jackson AS,

[140] Holloway W, et al

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Conscious Sedation versus General Anesthesia during Endovascular Acute Ischemic Stroke Treatment: A Systematic Review and Meta-Analysis

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Conscious Sedation versus General Anesthesia during Endovascular Acute Ischemic Stroke Treatment: A Systematic Review and Meta-Analysis

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