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Open Access Special Issue

Anesthetics management strategy for endovascular treatment of acute ischemic stroke. A proposal for anesthetic approach

  • Emanuele Russo1
  • Daniele Bellantonio1
  • Marco Benni1
  • Emiliano Gamberini1
  • Alessandro Circelli1
  • Lorenzo Viola1
  • Alessio Cittadini1
  • Luca Bissoni1
  • Dell’Amore Cristian1
  • Martino Costanza1
  • Giuliano Bolondi1
  • Domenico Pietro Santonastaso1
  • Marco Longoni2
  • Maria Ruggiero3
  • Vanni Agnoletti on the behalf of the Medical Emergency Team of Ospedale Bufalini Cesena1

1U.O. Anestesia e Rianimazione, Ospedale “M. Bufalini” AUSL della Romagna Hospital, 286, Viale Ghirotti, Cesena, Italy

2U.O. Neurologia, Ospedale “M. Bufalini” AUSL della Romagna Hospital, 286, Viale Ghirotti, Cesena, Italy

3U.O. Neuroradiologia, Ospedale “M. Bufalini” AUSL della Romagna Hospital, 286, Viale Ghirotti, Cesena, Italy

DOI: 10.22514/sv.2021.031 Vol.17,Issue 3,May 2021 pp.234-237

Submitted: 31 December 2020 Accepted: 19 January 2021

Published: 08 May 2021

(This article belongs to the Special Issue Advances in the Management of Acute Ischemic Stroke)

*Corresponding Author(s): Emanuele Russo E-mail:


Acute ischemic stroke is one of the leading causes of death and long-term disability for adults.

Endovascular therapy is the standard of care for severe acute ischemic stroke, caused by large-vessel occlusion in the anterior circulation; however, the optimal anaesthetic management during the procedure is still a matter of debate. The best anesthetic treatment should mainly be related to patients’ clinical conditions and the site of arterial occlusion. With this article, we share our experience based on the use of ketamine as the choosen hypnotic drug for general anesthesia, in order to avoid a sudden drop in blood pressure. The core of our proposal approach is the general anesthesia management by the medical emergency team with skills on both time-dependent diseases and neurocritical care.


Acute ischemic stroke; Anesthesia; Blood pressure; Endovascular trombectomy; Sedation; Neurocritical care

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Emanuele Russo,Daniele Bellantonio,Marco Benni,Emiliano Gamberini,Alessandro Circelli,Lorenzo Viola,Alessio Cittadini,Luca Bissoni,Dell’Amore Cristian,Martino Costanza,Giuliano Bolondi,Domenico Pietro Santonastaso,Marco Longoni,Maria Ruggiero,Vanni Agnoletti on the behalf of the Medical Emergency Team of Ospedale Bufalini Cesena. Anesthetics management strategy for endovascular treatment of acute ischemic stroke. A proposal for anesthetic approach. Signa Vitae. 2021. 17(3);234-237.


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