Perioperative complications in endovascular neurosurgery: Anesthesiologist's perspective

Background: Endovascular neurosurgery is known to be associated with potentially serious perioperative complications that can impact the course and outcome of anesthesia. We present here our institutional experience in the anesthetic management of various endovascular neurosurgical procedures and their related complications over a 10-year period. Methods: Data was obtained in 240 patients pertaining to their preoperative status, details of anesthesia and surgery, perioperative course and surgery-related complications. Information regarding hemodynamic alterations, temperature variability, fluid-electrolyte imbalance, coagulation abnormalities and alterations in the anesthesia course was specifically noted. Results: Among the important complications observed were aneurysm rupture (2.5%), vasospasm (6.67%), thromboembolism (4.16%), contrast reactions, hemodynamic alterations, electrolyte abnormalities, hypothermia, delayed emergence from anesthesia, groin hematomas and early postoperative mortality (5.14%). Conclusion: Awareness of the unique challenges of endovascular neurosurgery and prompt and appropriate management of the associated complications by an experienced neuroanesthesiologist is vital to the outcome of these procedures.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Perioperative complications in endovascular neurosurgery: Anesthesiologist's perspective ; volume:12 ; number:01 ; year:2017 ; pages:6-12
Asian journal of neurosurgery ; 12, Heft 01 (2017), 6-12

Contributor
Sharma, Megha
Ganjoo, Pragati
Singh, Daljit
Tandon, Monica
Agarwal, Jyotsna
Sharma, Durga
Jagetia, Anita

DOI
10.4103/1793-5482.145106
URN
urn:nbn:de:101:1-2022112412021947337629
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:30 AM CEST

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Associated

  • Sharma, Megha
  • Ganjoo, Pragati
  • Singh, Daljit
  • Tandon, Monica
  • Agarwal, Jyotsna
  • Sharma, Durga
  • Jagetia, Anita

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