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 pathologiesare being successfully managed by endovascular interventional neuroradiology techniques. Thesetechniques include procedures like embolization of vascular tumours and arterio-venousmalformations, coiling of cerebral aneurysms, etc. The support of anaesthesia team is requestedfor these therapeutic endovascular neuroradiological procedures. The main aims of theanaesthesiologist during any interventional neuroradiology procedure are provision of aphysiologically stable and immobile patient, alteration of arterial blood pressure as necessary, andappropriate and timely management of complications. Provision of anaesthesia in remotelocations, such as the radiology suite, has its own inherent risks. In this article the anaestheticconsiderations for therapeutic interventional neuroradiology procedures performed in the radiologysuite have been reviewed, including the preprocedure preparation, monitoring requirements,suitable anaesthetic techniques, postprocedure management and complications.Key Words: Anaesthesia; Neuroradiology; Interventional radiolo gyReferences
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