Intermittent propofol sedation during embolization of cerebral arteriovenous malformations

Anaesthesia for interventional neuroradiology

Neuroradiologists have extended their treatment modalities in the field of vascular neurosurgery. The rapidly emerging and re-engineered neuroradiological techniques confront the anaesthetist with an increasing number of patients with severe neurological disease. More of these patients will need general anaesthesia in order to facilitate the endovascular procedure, including catheter placement, deposition of embolic material, and improved imaging. Anaesthetists are challenged by additional anaesthesiological aspects previously not encountered in neuroanaesthesia. A safe anaesthetic management is based on a broad understanding of pathophysiological and technical issues that arise with the endovascular treatment of cerebral vasculopathy.