Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Emergency Conversion to General Anesthesia Is a Tolerable Risk in Patients Undergoing Mechanical Thrombectomy

F. Flottmann, H. Leischner, G. Broocks, T.D. Faizy, A. Aigner, M. Deb-Chatterji, G. Thomalla, J. Krauel, M. Issleib, J. Fiehler and C. Brekenfeld
American Journal of Neuroradiology January 2020, 41 (1) 122-127; DOI: https://doi.org/10.3174/ajnr.A6321
F. Flottmann
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for F. Flottmann
H. Leischner
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for H. Leischner
G. Broocks
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G. Broocks
T.D. Faizy
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for T.D. Faizy
A. Aigner
bInstitute of Medical Biometry and Epidemiology (A.A.)
eInstitute of Public Health (A.A.), Charité–Universitätsmedizin Berlin, Berlin, Germany.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Aigner
M. Deb-Chatterji
cDepartments of Neurology (M.D.-C., G.T.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Deb-Chatterji
G. Thomalla
cDepartments of Neurology (M.D.-C., G.T.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G. Thomalla
J. Krauel
dAnaesthesiology (J.K., M.I.), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J. Krauel
M. Issleib
dAnaesthesiology (J.K., M.I.), University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Issleib
J. Fiehler
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J. Fiehler
C. Brekenfeld
aFrom the Department of Diagnostic and Interventional Neuroradiology (F.F., H.L., G.B., T.D.F., J.F., C.B.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for C. Brekenfeld
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Berkhemer OA,
    2. Fransen PS,
    3. Beumer D, et al
    . A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 2015;372:11–20 doi:10. 1056/NEJMoa1411587 pmid:25517348
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. Saver JL,
    2. Goyal M,
    3. Bonafe A, et al
    . Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 2015;372:2285–95 doi:10.1056/NEJMoa1415061 pmid:25882376
    CrossRefPubMed
  3. 3.↵
    1. Campbell BC,
    2. Mitchell PJ,
    3. Kleinig TJ, et al
    . Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 2015;372:1009–18 doi:10.1056/NEJMoa1414792 pmid:25671797
    CrossRefPubMed
  4. 4.↵
    1. Jovin TG,
    2. Chamorro A,
    3. Cobo E, et al
    . Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 2015;372:2296–2306 doi:10.1056/NEJMoa1503780 pmid:25882510
    CrossRefPubMed
  5. 5.↵
    1. Goyal M,
    2. Demchuk AM,
    3. Menon BK, et al
    . Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 2015;372:1019–30 doi:10.1056/NEJMoa1414905 pmid:25671798
    CrossRefPubMed
  6. 6.↵
    1. Bhogal P,
    2. Andersson T,
    3. Maus V, et al
    . Mechanical thrombectomy-a brief review of a revolutionary new treatment for thromboembolic stroke. Clin Neuroradiol 2018;28:313–26 doi:10.1007/s00062-018-0692-2 pmid:29744519
    CrossRefPubMed
  7. 7.↵
    1. Brinjikji W,
    2. Murad MH,
    3. Rabinstein AA, et al
    . Conscious sedation versus general anesthesia during endovascular acute ischemic stroke treatment: a systematic review and meta-analysis. AJNR Am J Neuroradiol 2015;36:525–29 doi:10.3174/ajnr.A4159 pmid:25395655
    Abstract/FREE Full Text
  8. 8.↵
    1. Brinjikji W,
    2. Pasternak J,
    3. Murad MH, et al
    . Anesthesia-related outcomes for endovascular stroke revascularization. Stroke 2017;48:2784–91 doi:10.1161/STROKEAHA.117.017786 pmid:28904228
    Abstract/FREE Full Text
  9. 9.↵
    1. Ilyas A,
    2. Chen CJ,
    3. Ding D, et al
    . Endovascular mechanical thrombectomy for acute ischemic stroke under general anesthesia versus conscious sedation: a systematic review and meta-analysis. World Neurosurg 2018;12:e355–67 doi:10.1016/j.wneu.2018.01.049 pmid:29355808
    CrossRefPubMed
  10. 10.↵
    1. Campbell BV,
    2. van Zwam WH,
    3. Goyal M, et al
    . 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;17:47–53 doi:10.1016/S1474-4422(17)30407-6 pmid:29263006
    CrossRefPubMed
  11. 11.↵
    1. Schönenberger S,
    2. Uhlmann L,
    3. Hacke W, et al
    . Effect of conscious sedation vs general anesthesia on early neurological improvement among patients with ischemic stroke undergoing endovascular thrombectomy. JAMA 2016;316:1986 doi:10.1001/jama.2016.16623 pmid:27785516
    CrossRefPubMed
  12. 12.↵
    1. Löwhagen Hendén P,
    2. Rentzos A,
    3. Karlsson JE, et al
    . General anesthesia versus conscious sedation for endovascular treatment of acute ischemic stroke. Stroke 2017;48:1601–07 doi:10.1161/STROKEAHA.117.016554 pmid:28522637
    Abstract/FREE Full Text
  13. 13.↵
    1. Simonsen CZ,
    2. Yoo AJ,
    3. Sørensen LH, et al
    . Effect of general anesthesia and conscious sedation during endovascular therapy on infarct growth and clinical outcomes in acute ischemic stroke. JAMA Neurol 2018;75:470–77 doi:10.1001/jamaneurol.2017.4474 pmid:29340574
    CrossRefPubMed
  14. 14.↵
    1. Brekenfeld C,
    2. Mattle HP,
    3. Schroth G
    . General is better than local anesthesia during endovascular procedures. Stroke 2010;41:2716–17 doi:10.1161/STROKEAHA.110.594622 pmid:20930156
    FREE Full Text
  15. 15.↵
    1. Barber PA,
    2. Demchuk AM,
    3. Zhang J, et al
    . Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy: ASPECTS Study Group—Alberta Stroke Programme Early CT Score. Lancet 2000;355:1670–74 doi:10.1016/S0140-6736(00)02237-6 pmid:10905241
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Maas MB,
    2. Lev MH,
    3. Ay H, et al
    . Collateral vessels on CT angiography predict outcome in acute ischemic stroke. Stroke 2009;40:3001–05 doi:10.1161/STROKEAHA.109.552513 pmid:19590055
    Abstract/FREE Full Text
  17. 17.↵
    1. Canty A,
    2. Ripley BD
    . Bootstrap R (S-Plus) Functions. 2019. https://astrostatistics.psu.edu/su07/R/html/boot/html/00Index.html. Accessed ????????
  18. 18.↵
    1. Davison AC,
    2. Hinkley DV
    . Bootstrap Methods and Their Applications. Cambridge: Cambridge University Press; 1997
  19. 19.↵
    1. Fox J,
    2. Weisberg S
    . An R Companion to Applied Regression. Thousand Oaks: Sage Publication; 2011
  20. 20.↵
    1. Hothorn T,
    2. Bretz F,
    3. Westfall P
    . Simultaneous inference in general parametric models. Biom J 2008;50:346–63 doi:10.1002/bimj.200810425 pmid:18481363
    CrossRefPubMedWeb of Science
  21. 21.↵
    1. Wickham H
    . Ggplot2 Elegant Graphics for Data Analysis. New York: Springer-Verlag; 2016
  22. 22.↵
    R Core Team. R: A Language and Environment for Statistical Computing. https://cran.r-project.org/doc/manuals/fullrefman.pdf. Accessed ?????
  23. 23.↵
    1. Treurniet KM,
    2. Berkhemer OA,
    3. Immink RV, et al
    . A decrease in blood pressure is associated with unfavorable outcome in patients undergoing thrombectomy under general anesthesia. J Neurointerv Surg 2018;10:107–11 doi:10.1136/neurintsurg-2017-012988 pmid:28404769
    Abstract/FREE Full Text
  24. 24.↵
    1. Goyal M,
    2. Menon BK,
    3. van Zwam WH, et al
    ; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet 2016;387:1723–31 doi:10.1016/S0140-6736(16)00163-X pmid:26898852
    CrossRefPubMed
  25. 25.↵
    1. Abou-Chebl A,
    2. Yeatts SD,
    3. Yan B, et al
    . Impact of general anesthesia on safety and outcomes in the endovascular arm of Interventional Management of Stroke (IMS) III Trial. Stroke 2015;46:2142–48 doi:10.1161/STROKEAHA.115.008761 pmid:26138125
    Abstract/FREE Full Text
  26. 26.↵
    1. van den Berg LA,
    2. Koelman DH,
    3. Berkhemer OA, et al
    . Type of anesthesia and differences in clinical outcome after intra-arterial treatment for ischemic stroke. Stroke 2015;46:1257–62 doi:10.1161/STROKEAHA.115.008699 pmid:25851766
    Abstract/FREE Full Text
  27. 27.↵
    1. Berkhemer OA,
    2. van den Berg LA,
    3. Fransen PSS, et al
    . The effect of anesthetic management during intra-arterial therapy for acute stroke in MR CLEAN. Neurology 2016;87:656–64 doi:10.1212/WNL.0000000000002976 pmid:27421546
    CrossRefPubMed
  28. 28.↵
    1. Maegerlein C,
    2. Berndt MT,
    3. Mönch S, et al
    . Further development of combined techniques using stent retrievers, aspiration catheters and BGC: the PROTECTPLUS technique. Clin Neuroradiol 2018; Nov 9. [Epub ahead of print] doi:10.1007/s00062-018-0742-9 pmid:30413831
    CrossRefPubMed
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 41 (1)
American Journal of Neuroradiology
Vol. 41, Issue 1
1 Jan 2020
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Emergency Conversion to General Anesthesia Is a Tolerable Risk in Patients Undergoing Mechanical Thrombectomy
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
F. Flottmann, H. Leischner, G. Broocks, T.D. Faizy, A. Aigner, M. Deb-Chatterji, G. Thomalla, J. Krauel, M. Issleib, J. Fiehler, C. Brekenfeld
Emergency Conversion to General Anesthesia Is a Tolerable Risk in Patients Undergoing Mechanical Thrombectomy
American Journal of Neuroradiology Jan 2020, 41 (1) 122-127; DOI: 10.3174/ajnr.A6321

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Emergency Conversion to General Anesthesia Is a Tolerable Risk in Patients Undergoing Mechanical Thrombectomy
F. Flottmann, H. Leischner, G. Broocks, T.D. Faizy, A. Aigner, M. Deb-Chatterji, G. Thomalla, J. Krauel, M. Issleib, J. Fiehler, C. Brekenfeld
American Journal of Neuroradiology Jan 2020, 41 (1) 122-127; DOI: 10.3174/ajnr.A6321
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Acknowledgment
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Impact of anesthetic strategy on outcomes for patients with acute basilar artery occlusion undergoing mechanical thrombectomy
  • Local anesthesia as a distinct comparator versus conscious sedation and general anesthesia in endovascular stroke treatment: a systematic review and meta-analysis
  • Monitored anesthesia care during mechanical thrombectomy for stroke: need for data-driven and individualized decisions
  • The continuous quest for a more tailored approach to anesthetic management of patients undergoing endovascular therapy for acute stroke
  • Patients Requiring Conversion to General Anesthesia during Endovascular Therapy Have Worse Outcomes: A Post Hoc Analysis of Data from the SAGA Collaboration
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • A Retrospective Study in Tentorial DAVFs
  • Proximal Protection Devices for Carotid Stenting
  • Rescue Reentry in Carotid Near-Occlusion
Show more NEUROINTERVENTION

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire