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      General anesthesia or conscious sedation for endovascular therapy of basilar artery occlusions: ETIS registry results.

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          Abstract

          Acute basilar artery occlusions (BAO) are associated with poor outcome despite modern endovascular treatment (EVT). The best anesthetic management during EVT is not known and may affect the procedure and clinical outcome. We compared the efficacy and safety of general anesthesia (GA) and conscious sedation/local anesthesia (CS/LA) in a large cohort of stroke patients with BAO treated with EVT in current clinical practice.

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          Author and article information

          Journal
          Rev Neurol (Paris)
          Revue neurologique
          Elsevier BV
          0035-3787
          0035-3787
          Oct 2022
          : 178
          : 8
          Affiliations
          [1 ] Department of Anesthesiology and Surgical Intensive Care, CHRU-Nancy, Université de Lorraine, 54000 Nancy, France.
          [2 ] Aristotle University of Thessaloniki, Ahepa Hospital, Thessaloniki, Greece. Electronic address: stefanosfin@yahoo.com.
          [3 ] Department of Diagnostic and Interventional Neuroradiology, Versailles Saint-Quentin en Yvelines University, Foch Hospital, Suresnes, France.
          [4 ] Department of Neurology, Versailles Saint-Quentin en Yvelines University, Foch Hospital, Suresnes, France.
          [5 ] Department of Interventional Neuroradiology, Rothschild Foundation, Paris, France.
          [6 ] Inserm 1087, Department of Diagnostic and Therapeutic Neuroradiology, University Hospital of Nantes, CNRS, University of Nantes, Nantes, France.
          [7 ] Department of Neurology, Stroke Center, University Hospital of Bordeaux, Bordeaux, France.
          [8 ] Department of Neuroradiology, University Hospital of Rennes, Rennes, France.
          [9 ] Stroke Unit, Department of Neurology, University Hospital of Rennes, Rennes, France.
          [10 ] Department of Interventional Neuroradiology, CHRU Gui-de-Chauliac, Montpellier, France.
          [11 ] Department of Neurology, CHRU Gui-de-Chauliac, Montpellier, France.
          [12 ] Department of Diagnostic and Therapeutic Neuroradiology, 54000 Nancy, France; Inserm U1254, IADI, Université de Lorraine, 54000 Nancy, France.
          [13 ] Stroke Unit, Department of Neurology, CHRU-Nancy, Université de Lorraine, 54000 Nancy, France; CIC 1433 Plurithematic, Nancy University Hospital, Université de Lorraine, Nancy, France.
          [14 ] Department of Medicine, Division of Neurology, The Ottawa Hospital, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
          [15 ] Diagnostic and Interventional Neuroradiology, University Hospital of Bordeaux, Bordeaux, France.
          Article
          S0035-3787(22)00646-4
          10.1016/j.neurol.2022.03.020
          35871014
          e1b0d837-eaff-413f-bf18-0a8f27f856e0
          History

          Basilar artery occlusion,Anesthesia,Endovascular treatment,Posterior circulation,Stroke

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