Purpose of review
In the last decade, there has been a rapid development in new endovascular treatment options for cerebral aneurysms. These techniques have their own inherent risk and can be challenging for the attending anesthetist.
The recent developments of stent-assisted aneurysm coiling, flow-diverting stents and gel embolization, have implications for the attending anesthesiologist and the patient. These developments allow embolization of more complex aneurysms, but require anticoagulation with its inherent risks.
The different endovascular techniques relevant to the anesthetist, the anesthetic options and complications that can occur during endovascular treatment of these patients will be discussed. This article can be a guidance to the anesthesiologist attending endovascular procedures for cerebral aneurysms.