ANAESTHESIA FOR INTERVENTIONAL NEURORADIOLOGY
Abstract
There have been rapid and significant advances in diagnostic and interventional radiology,including interventional neuroradiology, in recent years. Many intracranial vascular pathologies
are being successfully managed by endovascular interventional neuroradiology techniques. These
techniques include procedures like embolization of vascular tumours and arterio-venous
malformations, coiling of cerebral aneurysms, etc. The support of anaesthesia team is requested
for these therapeutic endovascular neuroradiological procedures. The main aims of the
anaesthesiologist during any interventional neuroradiology procedure are provision of a
physiologically stable and immobile patient, alteration of arterial blood pressure as necessary, and
appropriate and timely management of complications. Provision of anaesthesia in remote
locations, such as the radiology suite, has its own inherent risks. In this article the anaesthetic
considerations for therapeutic interventional neuroradiology procedures performed in the radiology
suite have been reviewed, including the preprocedure preparation, monitoring requirements,
suitable anaesthetic techniques, postprocedure management and complications.
Key Words: Anaesthesia; Neuroradiology; Interventional radiolo gy
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