CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2018; 05(03): 133-140
DOI: 10.1055/s-0038-1670930
Review article
Indian Society of Neuroanaesthesiology and Critical Care

Making Endovascular Neurosurgery Safer: Role of the Neuroanesthesiologist

Megha Uppal Sharma
1   Department of Anaesthesiology, Artemis Hospital, Gurugram, Haryana, India
,
Pragati Ganjoo
2   Department of Anaesthesiology and Intensive Care, GB Pant Institute of Postgraduate Medical Education and Research (GIPMER) and Maulana Azad Medical College, New Delhi, India
,
Sachin Jain
3   Department of Neuroanaesthesia, Fortis Hospital, Noida, Uttar Pradesh, India
› Author Affiliations
Funding None.
Further Information

Publication History

Received: 21 June 2018

Accepted after revision: 08 August 2018

Publication Date:
20 September 2018 (online)

Abstract

The increasing use of endovascular technique for treating neurovascular diseases underscores the need for the neuroanesthesiologist to be aware of its potentially serious perioperative complications that can directly impact the anesthetic outcome. These unique complications, including intracranial thromboembolism, hemorrhage, and vasospasm, and significant non-neurological complications that necessitate deft handling by experienced anesthesiologists. However, anesthesia for endovascular neurosurgery is generally being managed in remote hospital locations by relatively junior anesthesiologists who are likely to underestimate the importance of these closed-cranium procedures. This review reacquaints the anesthetist with the periprocedural complications of endovascular neurosurgery that would enable their anticipation, prompt diagnosis, and effective management.