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Anesthesia for embolization of cerebral aneurysms

Sloovere, Veerle Tineke De

Current Opinion in Anaesthesiology: August 2014 - Volume 27 - Issue 4 - p 431–436
doi: 10.1097/ACO.0000000000000096
ANESTHESIA OUTSIDE THE OPERATING ROOM: Edited by Marc Van de Velde

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.

Recent findings: 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.

Summary: 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.

Department of Anesthesia, University Hospitals Leuven, KU Leuven, Belgium

Correspondence to Veerle De Sloovere, MD, Anesthesiology Department, Universitary Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Tel: +32 16 348 654; fax: +32 16 34 42 45; e-mail: Veerle.desloovere@uzleuven.be

© 2014 Lippincott Williams & Wilkins, Inc.