Comparison of safety and clinical and radiographic outcomes in endovascular acute stroke therapy for proximal middle cerebral artery occlusion with intubation and general anesthesia versus the nonintubated state

Stroke

Volumn 41, Issue 6, 2010, Pages 1180-1184

  Jumaa, Mouhammad A ^a   Zhang, Fan ^b   Ruiz Ares, Gerardo ^d   Gelzinis, Theresa ^a   Malik, Amer M ^a   Aleu, Aitziber ^c   Oakley, Jennifer I ^a   Jankowitz, Brian ^a   Lin, Ridwan ^a   Reddy, Vivek ^a   Zaidi, Syed F ^a   Hammer, Maxim D ^a   Wechsler, Lawrence R ^a   Horowitz, Michael ^a   Jovin, Tudor G ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^d HOSPITAL UNIVERSITARIO LA PAZ   (Spain)

Author keywords

General anesthesia; Intra arterial therapy; Intubation; Sedation; Stroke

Indexed keywords

TISSUE PLASMINOGEN ACTIVATOR;

ACUTE DISEASE; AGED; ARTICLE; CONSCIOUS SEDATION; CONSERVATIVE TREATMENT; CONTROLLED STUDY; ENDOVASCULAR THERAPY; FEMALE; FOLLOW UP; GENERAL ANESTHESIA; HUMAN; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; INTUBATION; LENGTH OF STAY; LOW DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MIDDLE CEREBRAL ARTERY OCCLUSION; MORTALITY; PATIENT SAFETY; PERCUTANEOUS THROMBECTOMY; PNEUMONIA; PRIORITY JOURNAL; STROKE;

AGED; ANESTHESIA, GENERAL; CEREBRAL ANGIOGRAPHY; CEREBRAL ARTERIAL DISEASES; CONSCIOUS SEDATION; DATABASES, FACTUAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTENSIVE CARE UNITS; INTUBATION; LENGTH OF STAY; MALE; RETROSPECTIVE STUDIES; STROKE;

EID: 77953131990     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/STROKEAHA.109.574194     Document Type: Article

References (15)

1. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke. 2007;38:967-973.
2. Furlan A, Higashida R, Wechsler L, Gent M, Rowley H, Kase C, Pessin M, Ahuja A, Callahan F, Clark WM, Silver F, Rivera F. Intra-arterial prourokinase for acute ischemic stroke: the PROACT II study: a randomized controlled trial. Prolyse in acute cerebral thromboembolism. J Am Med Assoc. 1999;282:2003-2011.
3. Smith WS, Sung G, Saver J, Budzik R, Duckwiler G, Liebeskind DS, Lutsep HL, Rymer MM, Higashida RT, Starkman S, Gobin YP, Frei D, Grobelny T, Hellinger F, Huddle D, Kidwell C, Koroshetz W, Marks M, Nesbit G, Silverman IE. Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trial. Stroke. 2008;39:1205-1212.
4. Bose A, Henkes H, Alfke K, Reith W, Mayer TE, Berlis A, Branca V, Sit SP. The penumbra system: a mechanical device for the treatment of acute stroke due to thromboembolism. AJNR Am J Neuroradiol. 2008;29:1409-1413.
5. The Interventional Management of Stroke (IMS) II study. Stroke. 2007; 38:2127-2135.
6. Foerch C, Kessler KR, Steckel DA, Steinmetz H, Sitzer M. Survival and quality of life outcome after mechanical ventilation in elderly stroke patients. J Neurol Neurosurg Psychiatry. 2004;75:988-993.
7. Mayer SA, Copeland D, Bernardini GL, Boden-Albala B, Lennihan L, Kossoff S, Sacco RL. Cost and outcome of mechanical ventilation for life-threatening stroke. Stroke. 2000;31:2346-2353.
8. Sims JR, Gharai LR, Schaefer PW, Vangel M, Rosenthal ES, Lev MH, Schwamm LH. ABC/2 for rapid clinical estimate of infarct, perfusion, and mismatch volumes. Neurology. 2009;72:2104-2110.
9. Yoo AJ, Verduzco LA, Schaefer PW, Hirsch JA, Rabinov JD, Gonzalez RG. MRI-based selection for intra-arterial stroke therapy: value of pre-treatment diffusion-weighted imaging lesion volume in selecting patients with acute stroke who will benefit from early recanalization. Stroke. 2009;40:2046-2054.
10. Ginsberg MD, Pulsinelli WA. The ischemic penumbra, injury thresholds, and the therapeutic window for acute stroke. Ann Neurol. 1994;36:553-554.
11. Alexandrov AV, Sharma VK, Lao AY, Tsivgoulis G, Malkoff MD, Alexandrov AW. Reversed Robin Hood syndrome in acute ischemic stroke patients. Stroke. 2007;38:3045-3048.
12. Ruta TS, Drummond JC, Cole DJ. The effect of acute hypocapnia on local cerebral blood flow during middle cerebral artery occlusion in isoflurane anesthetized rats. Anesthesiology. 1993;78:134-140.
13. Lee CZ, Litt L, Hashimoto T, Young WL. Physiologic monitoring and anesthesia considerations in acute ischemic stroke. J Vasc Interv Radiol. 2004;15:S13-S19.
14. Bustillo MA, Lazar RM, Finck AD, Fitzsimmons B, Berman MF, Pile-Spellman J, Heyer EJ. Dexmedetomidine may impair cognitive testing during endovascular embolization of cerebral arteriovenous malformations: a retrospective case report series. J Neurosurg Anesthesiol. 2002;14:209-212.
15. Varma MK, Price K, Jayakrishnan V, Manickam B, Kessell G. Anaesthetic considerations for interventional neuroradiology. Br J Anaesth. 2007;99:75-85.