Anesthesia Approaches in the Interventional Radiology Unit: A Retrospective Single-Center Study

Main Article Content

Ayşe Neslihan Balkaya
Canan Yılmaz
Aycan Kurtarangil
Filiz Ata
İmran Karaca
Şermin Eminoğlu
Tirdat Setayeshi

Abstract

Objective: This study aimed to examine the anesthesia management in patients who underwent radiological intervention in the interventional radiology unit.


Materials and Methods: 536 patients who underwent intervention in the interventional radiology unit between 2015-2021 were evaluated retrospectively. Demographic data, American Society of Anesthesiology classification, diagnoses, interventional procedure, anesthesia method, anesthesia and interventional procedure times, anesthetic agents, intraoperative complications and postoperative hospitalization areas were recorded.


Results: Of 536 patients with a mean age of 60.06±18.19, 4.3% were <18 years old, and 53.4% were male. 397 (74.1%) patients were admitted under emergency conditions, and ASA III (54.5%) was most commonly admitted. The most common intervention was thrombectomy (66%). General anesthesia (GA) (63.6%) was the most preferred anesthesia method in interventions, sedoanalgesia at 34.1% and monitored anesthesia care at 2.3%. Propofol was the most frequently preferred iv anesthetic in GA induction (79.5%), and sevoflurane, one of the inhaled agents, was used at a rate of 81.2%. The intubation exit rate of cases was 46.4%. The intensive care unit and postoperative care unit exit rate was 89.9% (n=482). The most common complication was hypotension (15.3%).


Conclusion: The most appropriate anesthesia method should be selected for the patient's general condition, and the interventional procedure to improve the treatment results of patients,

Downloads

Download data is not yet available.

Article Details

How to Cite
Balkaya, A. N., Yılmaz, C., Kurtarangil, A. ., Ata, F. ., Karaca, İmran, Eminoğlu, Şermin ., & Setayeshi, T. . (2023). Anesthesia Approaches in the Interventional Radiology Unit: A Retrospective Single-Center Study. Medical Science and Discovery, 10(2), 45–51. https://doi.org/10.36472/msd.v10i2.866
Section
Research Article
Received 2023-01-22
Accepted 2023-02-05
Published 2023-02-08

References

Murphy TP, Soares GM. The evolution of interventional radiology. Semin Intervent Radiol. 2005;22(1):6-9.

Aypar Ü, Pamuk AG.. Girişimsel radyoloji ve anestezik yaklaşım. Anestezi Dergisi. 2007,15(3):149-60.

Laflı Tunay D. Anesthesıa management ın ınterventıonal neuroradıology. J Cukurova Anesth Surg. 2019;2(2):188-98.

Van de Velde M. Interventional neuroradiology. Curr Opin Anaesthesiol. 2003;16(4):417-20.

Guercio JR, Nimjee SM, James ML, McDonagh DL. Anesthesia for interventional neuroradiology. Int Anesthesiol Clin. 2015;53(1):87–106.

Patel S, Reddy U. Anaesthesia for interventional neuroradiology, BJA Education. 2016;16(5):147-15.

Mlekusch W, Schillinger M, Sabeti S, Nachtmann T, Lang W, Ahmadi R, et al. Hypotension and bradycardia after elective carotid stenting: frequency and risk factors. J Endovasc Ther 2003;10(5):851-9.

Campbell BCV, van Zwam WH, Goyal M, Menon BK, Dippel DWJ, Demchuk AM, et al; HERMES collaborators. Effect of general anaesthesia on functional outcome in patients with anterior circulation ischaemic stroke having endovascular thrombectomy versus standard care: a meta-analysis of individual patient data. Lancet Neurol. 2018;17(1):47-53.

Campbell D, Butler E, Barber PA. End the confusion: general anaesthesia improves patient outcomes in endovascular thrombectomy. Br J Anaesth. 2022;129(4):461-4. doi: 10.1016/j.bja.2022.06.018.

Brinjikji W, Murad MH, Rabinstein AA, Cloft HJ, Lanzino G, Kallmes DF. Conscious sedation versus general anesthesia during endovascular acute ischemic stroke treatment: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2015;36(3):525-9.

Newton MC. Anaesthesia for neuroimaging and interventional neuroradiology. Anaesth Inten Care Med 2007:8(10):423-6

Guercio JR, Nimjee SM, James ML, McDonagh DL. Anesthesia for interventional neuroradiology. Int Anesthesiol Clin. 2015;53(1):87–106.

Talke PO, Sharma D, Heyer EJ, Bergese SD, Blackham KA, Stevens RD. Society for Neuroscience in Anesthesiology and Critical Care Expert consensus statement: anesthetic management of endovascular treatment for acute ischemic stroke*: endorsed by the Society of NeuroInterventional Surgery and the Neurocritical Care Society. J Neurosurg Anesthesiol. 2014;26(2):95-108.

Nadjat-Haiem C, Ziv K, Osborn I. Anesthesia for carotid and cerebrovascular procedures in interventional neuroradiology. Int Anesthesiol Clin. 2009;47(2):29-43.

Malcharek MJ, Loeffler S, Schiefer D, Manceur MA, Sablotzki A, Gille J, Pilge S, Schneider G. Transcranial motor evoked potentials during anesthesia with desflurane versus propofol--A prospective randomized trial. Clin Neurophysiol. 2015;126(9):1825-32.

Varma MK, Price K, Jayakrishnan V, Manickam B, Kessell G. Anaesthetic considerations for interventional neuroradiology. Br J Anaesth. 2007;99(1):75-85.

Ogilvy CS, Yang X, Jamil OA, Hauck EF, Hopkins LN, Siddiqui AH et al. Neurointerventional procedures for unruptured intracranial aneurysms under procedural sedation and local anesthesia: a large-volume, single-center experience. J Neurosurg 2011; 114:120-8.

Hayman MW, Paleologos MS, Kam PC. Interventional neuroradiological procedures-a review for anaesthetists. Anaesth Intensive Care. 2013;41(2):184-201.

Nadjat-Haiem C, Ziv K, Osborn I. Anesthesia for carotid and cerebrovascular procedures in interventional neuroradiology. Int Anesthesiol Clin. 2009;47(2):29-43.

Sharma MU, Ganjoo P, Singh D, Tandon MS, Agarwal J, Sharma DP, et al. Perioperative complications in endovascular neurosurgery: Anesthesiologist's perspective. Asian J Neurosurg. 2017;12(1):6-12.

Perritt E, Mahalingam G. The Principles of Anaesthesia for Neuroradiology (ATOTW 308), London: WFSA; 23/06/2014. https://resources.wfsahq.org/atotw/the-principles-of-anaesthesia-for-neuroradiology-anaesthesia-tutorial-of-the-week-308.

Kaya Z, Karaman S, Süren M, Arıcı S, Doğru S, Kahveci M. Evaluation of anesthesia applications in interventional neuroradiology cases. Journal of Clinical and Experimental Investigations. 2012;3(4),493-4.

Chia M, See JJ, Lee KE. Endovascular treatment for acute ischemic stroke: Is immediate post-procedural extubation a new prognostic factor? Journal of the Neurological Sciences, 2013;333(1), e222.

Athiraman U, Sultan-Qurraie A, Nair B, Tirschwell DL, Ghodke B, Havenon AD, et al. Endovascular treatment of acute ıschemic stroke under general anesthesia: predictors of good outcome. J Neurosurg Anesthesiol. 2018;30(3):223-30.

Nikoubashman O, Schürmann K, Probst T, Müller M, Alt JP, Othman AE, et al. Clinical ımpact of ventilation duration in patients with stroke undergoing ınterventional treatment under general anesthesia: The shorter the better? AJNR Am J Neuroradiol. 2016;37(6):1074-9.

Kang E, Lee KH, Park JH. Comparison of two methods of anesthesia using patient state ındex: propofol versus sevoflurane during ınterventional neuroradiology procedure. Anesth Pain Med. 2019;9(2):e87518.

Choi ES, Shin JY, Oh AY, Park HP, Hwang JW, Lim YJ, et al. Sevoflurane versus propofol for interventional neuroradiology: a comparison of the maintenance and recovery profiles at comparable depths of anesthesia. Korean J Anesthesiol. 2014;66(4):290-4.

Li X, Trerotola SO. Local anesthesia in ınterventional radiology. Semin intervent Radiol. 2022;39(04):381-6.

Cashman, JN, Ng L. The management of peri-and postprocedural pain in interventional radiology: A narrative review. Pain management. 2017;7(6):523-35.