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Outcomes of anesthesia selection in endovascular treatment of acute ischemic stroke

Journal of Neurosurgical Anesthesiology Dec 14, 2018

Peng Y, et al. - In this prospective nonrandomized controlled trial, researchers compared the functional independence assessed by the modified Rankin Scale (mRS) 3 months after the receipt of conscious sedation (CS, n=105,70.5%) and general anesthesia (GA, n=44, 29.5%) by 149 consecutive patients with acute anterior circulation stroke who underwent endovascular treatment (EVT). Participants in both groups had similar demographics and basic National Institute of Health Stroke Scale scores. According to findings, the independent outcomes of EVT in patients with anterior circulation occlusion did not alter based on the type of anesthesia used (GA or CS) during EVT. Both of these patient groups exhibited no difference in terms of recanalization time, recanalization rate, the independence (modified Rankin Scale score 0 to 2) at 3 months, as well as the mortality and the morbidity rates.
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