Anaesthesia for endovascular management of cerebral aneurysms

Eur J Anaesthesiol. 2006 Nov;23(11):902-13. doi: 10.1017/S0265021506000901. Epub 2006 May 24.

Abstract

Subarachnoid haemorrhage due to rupture of cerebral aneurysms is a multisystem disease. Treatment of the condition in the past has relied on craniotomy and clipping of the aneurysm to prevent a recurrent haemorrhage. There is now emerging evidence to suggest that endovascular treatment of cerebral aneurysms may reduce the morbidity associated with open surgery. The anaesthetic management of interventional neuroradiology also creates new challenges due to the novel approach to treatment. Anaesthetists need to be familiar with this procedure and the management of potential complications. This review provides an overview such considerations.

Publication types

  • Review

MeSH terms

  • Anesthesia / methods*
  • Humans
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / surgery*
  • Monitoring, Physiologic
  • Perioperative Care / adverse effects
  • Perioperative Care / methods
  • Preoperative Care / standards
  • Radiology, Interventional
  • Subarachnoid Hemorrhage / etiology
  • Subarachnoid Hemorrhage / prevention & control*
  • Ultrasonography
  • Vascular Surgical Procedures / methods*
  • Vascular Surgical Procedures / statistics & numerical data