De Sloovere Veerle Tineke
Department of Anesthesia, University Hospitals Leuven, KU Leuven, Belgium.
Curr Opin Anaesthesiol. 2014 Aug;27(4):431-6. doi: 10.1097/ACO.0000000000000096.
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.
在过去十年中，脑动脉瘤的新型血管内治疗选择迅速发展。这些技术有其自身固有的风险，对主麻麻醉医生来说可能具有挑战性。
支架辅助动脉瘤栓塞、血流导向支架和凝胶栓塞的最新进展，对主麻麻醉医生和患者都有影响。这些进展使更复杂的动脉瘤能够进行栓塞，但需要抗凝，而抗凝存在其固有的风险。
将讨论与麻醉医生相关的不同血管内技术、麻醉选择以及这些患者在血管内治疗过程中可能出现的并发症。本文可为参与脑动脉瘤血管内手术的麻醉医生提供指导。
