Berlis A
Klinik für Diagnostische Radiologie und Neuroradiologie, Klinikum Augsburg, Stenglinstr. 2, 85156, Augsburg, Deutschland,
Anaesthesist. 2013 Sep;62(9):692-706. doi: 10.1007/s00101-013-2227-1.
In the last 10 years interventional neuroradiology has become established especially in the endovascular treatment of aneurysms as the preferred treatment according to level 1 evidence and more recently in the treatment of acute ischemic stroke. These interventions are performed as routine procedures in an increasing number of centers. This, however, necessitates that anesthesiologists and neuroradiologists become increasingly more familiar with the complementary expectations and potential pitfalls in working together to maximise efficiency and patient safety. As a further challenge there are different aspects to be considered in elective procedures and emergency procedures where time is brain. This article highlights these aspects for the two most common procedures: aneurysm treatment and multimodal recanalization treatment for acute ischemic stroke.
在过去十年中，介入神经放射学已逐渐确立，尤其是在动脉瘤的血管内治疗方面，根据一级证据，它已成为首选治疗方法，最近在急性缺血性中风的治疗中也是如此。这些干预措施在越来越多的中心作为常规程序进行。然而，这就要求麻醉医生和神经放射医生越来越熟悉彼此的互补期望以及合作过程中可能出现的陷阱，以最大限度地提高效率和保障患者安全。另一个挑战是，在择期手术和争分夺秒的急诊手术中，需要考虑不同的方面。本文重点介绍了两种最常见手术的这些方面：动脉瘤治疗和急性缺血性中风的多模式再通治疗。
