General Anesthesia Versus Conscious Sedation and Local Anesthesia during Thrombectomy for Acute Ischemic Stroke
- Cappellari M.
- Pracucci G.
- Forlivesi S.
- Saia V.
- Nappini S.
- Nencini P.
- Inzitari D.
- Greco L.
- Sallustio F.
- Vallone S.
- Bigliardi G.
- Zini A.
- Pitrone A.
- Grillo F.
- Musolino R.
- Bracco S.
- Tinturini R.
- Tassi R.
- Bergui M.
- Cerrato P.
- Saletti A.
- De Vito A.
- Casetta I.
- Gasparotti R.
- Magoni M.
- Castellan L.
- Malfatto L.
- Menozzi R.
- Scoditti U.
- Causin F.
- Baracchini C.
- Puglielli E.
- Casalena A.
- Ruggiero M.
- Malatesta E.
- Comelli C.
- Chianale G.
- Lauretti D. L.
- Mancuso M.
- Lafe E.
- Cavallini A.
- Cavasin N.
- Critelli A.
- Ciceri E. F. M.
- Bonetti B.
- Chiumarulo L.
- Petruzzelli M.
- Giorgianni A.
- Versino M.
- Ganimede M. P.
- Tinelli A.
- Auteri W.
- Petrone A.
- Guidetti G.
- Nicolini E.
- Allegretti L.
- Tassinari T.
- Filauri P.
- Sacco S.
- Pavia M.
- Invernizzi P.
- Nuzzi N. P.
- Carmela Spinelli M.
- Amista P.
- Russo M.
- Ferrandi D.
- Corraine S.
- Craparo G.
- Mannino M.
- Simonetti L.
- Toni D.
- Mangiafico S.
DOIAbstract
Background and Purpose: As numerous questions remain about the best anesthetic strategy during thrombectomy, we assessed functional and radiological outcomes in stroke patients treated with thrombectomy in presence of general anesthesia (GA) versus conscious sedation (CS) and local anesthesia (LA). Methods: We conducted a cohort study on prospectively collected data from 4429 patients enrolled in the Italian Registry of Endovascular Treatment in Acute Stroke. Results: GA was used in 2013 patients, CS in 1285 patients, and LA in 1131 patients. The rates of 3-month modified Rankin Scale score of 0-1 were 32.7%, 33.7%, and 38.1% in the GA, CS, and LA groups: GA versus CS: odds ratios after adjustment for unbalanced variables (adjusted odds rat...
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