General Anesthesia versus Conscious Sedation in Mechanical Thrombectomy.

ABSTRACT:

Background and purpose

Anesthesia regimen in patients undergoing mechanical thrombectomy (MT) is still an unresolved issue.

Methods

We compared the effect of anesthesia regimen using data from the German Stroke Registry-Endovascular Treatment (GSR-ET) between June 2015 and December 2019. Degree of disability was rated by the modified Rankin Scale (mRS), and good outcome was defined as mRS 0-2. Successful reperfusion was assumed when the modified thrombolysis in cerebral infarction scale was 2b-3.

Results

Out of 6,635 patients, 67.1% (n=4,453) patients underwent general anesthesia (GA), 24.9% (n=1,650) conscious sedation (CS), and 3.3% (n=219) conversion from CS to GA. Rate of successful reperfusion was similar across all three groups (83.0% vs. 84.2% vs. 82.6%, P=0.14

SUBMITTER: Feil K 

PROVIDER: S-EPMC7900389 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature