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Research ArticleInterventional

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 and D.F. Kallmes
American Journal of Neuroradiology March 2015, 36 (3) 525-529; DOI: https://doi.org/10.3174/ajnr.A4159
W. Brinjikji
aFrom the Departments of Radiology (W.B., H.J.C., G.L., D.F.K.)
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M.H. Murad
dCenter for the Science of Healthcare Delivery and the Division of Preventive Medicine (M.H.M.), Mayo Clinic, Rochester, Minnesota.
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A.A. Rabinstein
bNeurology (A.A.R.)
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H.J. Cloft
aFrom the Departments of Radiology (W.B., H.J.C., G.L., D.F.K.)
cNeurosurgery (H.J.C., G.L., D.F.K.)
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G. Lanzino
aFrom the Departments of Radiology (W.B., H.J.C., G.L., D.F.K.)
cNeurosurgery (H.J.C., G.L., D.F.K.)
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D.F. Kallmes
aFrom the Departments of Radiology (W.B., H.J.C., G.L., D.F.K.)
cNeurosurgery (H.J.C., G.L., D.F.K.)
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American Journal of Neuroradiology: 36 (3)
American Journal of Neuroradiology
Vol. 36, Issue 3
1 Mar 2015
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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
American Journal of Neuroradiology Mar 2015, 36 (3) 525-529; DOI: 10.3174/ajnr.A4159

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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
American Journal of Neuroradiology Mar 2015, 36 (3) 525-529; DOI: 10.3174/ajnr.A4159
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  • The impact of general anesthesia, baseline ASPECTS, time to treatment, and IV tPA on intracranial hemorrhage after neurothrombectomy: pooled analysis of the SWIFT PRIME, SWIFT, and STAR trials
  • Emergency Conversion to General Anesthesia Is a Tolerable Risk in Patients Undergoing Mechanical Thrombectomy
  • Safety and quality of endovascular therapy under general anesthesia and conscious sedation are comparable: results from the GOLIATH trial
  • Equal performance of aspiration and stent retriever thrombectomy in daily stroke treatment
  • Microcatheter navigation through the clot: does size matter?
  • Current evidence for anesthesia management during endovascular stroke therapy: updated systematic review and meta-analysis
  • Anaesthetic management during intracranial mechanical thrombectomy: systematic review and meta-analysis of current data
  • Feasibility, Safety, and Periprocedural Complications Associated with Endovascular Treatment of Ruptured Intracranial Aneurysms according to the Depth of Anesthesia
  • AHA/ASA 2018 AIS guidelines: impact and opportunity for endovascular stroke care
  • Association of Blood Pressure With Short- and Long-Term Functional Outcome After Stroke Thrombectomy: Post Hoc Analysis of the SIESTA Trial
  • Neuroendovascular management of emergent large vessel occlusion: update on the technical aspects and standards of practice by the Standards and Guidelines Committee of the Society of NeuroInterventional Surgery
  • Letter by Rasmussen et al Regarding Article, "Anesthesia-Related Outcomes for Endovascular Stroke Revascularization: A Systematic Review and Meta-Analysis"
  • Wide Variability in Prethrombectomy Workflow Practices in the United States: A Multicenter Survey
  • Anesthesia-Related Outcomes for Endovascular Stroke Revascularization: A Systematic Review and Meta-Analysis
  • The Impact of Conscious Sedation versus General Anesthesia for Stroke Thrombectomy on the Predictive Value of Collateral Status: A Post Hoc Analysis of the SIESTA Trial
  • Impact of Anesthesia on the Outcome of Acute Ischemic Stroke after Endovascular Treatment with the Solitaire Stent Retriever
  • General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The AnStroke Trial (Anesthesia During Stroke)
  • Mechanical thrombectomy in patients with M1 occlusion and NIHSS score <=5: a single-centre experience
  • Admission systolic blood pressure and outcomes in large vessel occlusion strokes treated with endovascular treatment
  • A survey of neurointerventionalists on thrombectomy practices for emergent large vessel occlusions
  • Hemodynamics during anesthesia for intra-arterial therapy of acute ischemic stroke
  • The effect of anesthetic management during intra-arterial therapy for acute stroke in MR CLEAN
  • Mechanical thrombectomy with the Trevo ProVue device in ischemic stroke patients: does improved visibility translate into a clinical benefit?
  • Third European Stroke Science Workshop
  • Clinical Impact of Ventilation Duration in Patients with Stroke Undergoing Interventional Treatment under General Anesthesia: The Shorter the Better?
  • 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
  • Role of Anesthesia for Endovascular Treatment of Ischemic Stroke: Do We Need Neurophysiological Monitoring?
  • Interventionalist Perspective on the New Endovascular Trials
  • Type of Anesthesia and Differences in Clinical Outcome After Intra-Arterial Treatment for Ischemic Stroke
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This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
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    Stroke 2018 49 3
  • Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
    William J. Powers, Alejandro A. Rabinstein, Teri Ackerson, Opeolu M. Adeoye, Nicholas C. Bambakidis, Kyra Becker, José Biller, Michael Brown, Bart M. Demaerschalk, Brian Hoh, Edward C. Jauch, Chelsea S. Kidwell, Thabele M. Leslie-Mazwi, Bruce Ovbiagele, Phillip A. Scott, Kevin N. Sheth, Andrew M. Southerland, Deborah V. Summers, David L. Tirschwell
    Stroke 2019 50 12
  • 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment
    William J. Powers, Colin P. Derdeyn, José Biller, Christopher S. Coffey, Brian L. Hoh, Edward C. Jauch, Karen C. Johnston, S. Claiborne Johnston, Alexander A. Khalessi, Chelsea S. Kidwell, James F. Meschia, Bruce Ovbiagele, Dileep R. Yavagal
    Stroke 2015 46 10
  • General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke
    Pia Löwhagen Hendén, Alexandros Rentzos, Jan-Erik Karlsson, Lars Rosengren, Birgitta Leiram, Henrik Sundeman, Dennis Dunker, Kunigunde Schnabel, Gunnar Wikholm, Mikael Hellström, Sven-Erik Ricksten
    Stroke 2017 48 6
  • Management of acute ischemic stroke
    Michael S Phipps, Carolyn A Cronin
    BMJ 2020
  • Reperfusion therapy in acute ischemic stroke: dawn of a new era?
    Sonu Bhaskar, Peter Stanwell, Dennis Cordato, John Attia, Christopher Levi
    BMC Neurology 2018 18 1
  • Type of Anesthesia and Differences in Clinical Outcome After Intra-Arterial Treatment for Ischemic Stroke
    Lucie A. van den Berg, Diederik L.H. Koelman, Olvert A. Berkhemer, Anouk D. Rozeman, Puck S.S. Fransen, Debbie Beumer, Diederik W. Dippel, Aad van der Lugt, Robert J. van Oostenbrugge, Wim H. van Zwam, Patrick A. Brouwer, Sjoerd Jenniskens, Jelis Boiten, Geert A. Lycklama à Nijeholt, Jan Albert Vos, Wouter J. Schonewille, Charles B.L.M. Majoie, Yvo B.W.E.M. Roos, Sebastiaan de Bruijn, Lukas van Dijk, Jaap Kappelle, Rob Lo, Paul de Kort, Willem Jan van Rooij, Jeannette Hofmeijer, Jacques van Oostayen, Ewoud van Dijk, Joost de Vries, Tobien Schreuder, Roel Heijboer, Patrick Vroomen, Omid Eshghi, Leo Aerden, René Dallinga, Jan van den Berg, Boudewijn van Hasselt, Heleen den Hertog, Alexander Tielbeek, Marieke Wermer, Marianne van Walderveen
    Stroke 2015 46 5
  • Anesthesia-Related Outcomes for Endovascular Stroke Revascularization
    Waleed Brinjikji, Jeffrey Pasternak, Mohammad H. Murad, Harry J. Cloft, Tasha L. Welch, David F. Kallmes, Alejandro A. Rabinstein
    Stroke 2017 48 10
  • Association of General Anesthesia vs Procedural Sedation With Functional Outcome Among Patients With Acute Ischemic Stroke Undergoing Thrombectomy
    Silvia Schönenberger, Pia Löwhagen Hendén, Claus Z. Simonsen, Lorenz Uhlmann, Christina Klose, Johannes A. R. Pfaff, Albert J. Yoo, Leif H. Sørensen, Peter A. Ringleb, Wolfgang Wick, Meinhard Kieser, Markus A. Möhlenbruch, Mads Rasmussen, Alexandros Rentzos, Julian Bösel
    JAMA 2019 322 13
  • A decrease in blood pressure is associated with unfavorable outcome in patients undergoing thrombectomy under general anesthesia
    Kilian M Treurniet, Olvert A Berkhemer, Rogier V Immink, Hester F Lingsma, Vivian M C Ward-van der Stam, Markus W Hollmann, Jaap Vuyk, Wim H van Zwam, Aad van der Lugt, Robert J van Oostenbrugge, Diederik W J Dippel, Jonathan M Coutinho, Yvo B W E M Roos, Henk A Marquering, Charles B L M Majoie
    Journal of NeuroInterventional Surgery 2018 10 2

More in this TOC Section

  • Partial (SAVE) versus Complete (Solumbra) Stent Retriever Retraction Technique for Mechanical Thrombectomy: A Randomized In Vitro Study
  • Contrast Injection from an Intermediate Catheter Placed in an Intradural Artery is Associated with Contrast-Induced Encephalopathy following Neurointervention
  • CT Perfusion Does Not Modify the Effect of Reperfusion in Patients with Acute Ischemic Stroke Undergoing Endovascular Treatment in the ESCAPE-NA1 Trial
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