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J Neuroanaesth Crit Care 2015; 02(02): 104-109
DOI: 10.4103/2348-0548.154226
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Anaesthetic considerations for patients undergoing pre-surgical embolization of intracranial and spinal tumours: An overview

Suparna Bharadwaj
1   Department of Anesthesiology, Toronto Western Hospital, Toronto, Ontario, Canada
,
Rebecca Moga
1   Department of Anesthesiology, Toronto Western Hospital, Toronto, Ontario, Canada
,
Pirjo Manninen
1   Department of Anesthesiology, Toronto Western Hospital, Toronto, Ontario, Canada
,
Lakshmikumar Venkatraghavan
1   Department of Anesthesiology, Toronto Western Hospital, Toronto, Ontario, Canada
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Publikationsdatum:
02. Mai 2018 (online)

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Abstract

Pre-surgical embolization of vascular brain and spinal tumours is an effective method of reducing intraoperative bleeding. Many technological developments of the microcatheters and embolic materials that are used have led to better outcomes in tumour embolization. Pre-operative embolization has become a standard of practice in the management of many vascular brain and spinal tumours. Anaesthesiologists are generally involved with these procedures which may be performed with general anaesthesia, conscious sedation or monitored anaesthesia care. The choice of the anaesthetic technique usually depends on the patient characteristics, tumour location, vascularity of the tumour and most importantly the neuroradiologist and/or institutional preferences. There is limited information in the literature on the anaesthetic considerations for these patients. The aim of this review is to provide a brief overview of the indications, techniques, complications and relevant anaesthetic considerations for patients undergoing pre-surgical embolization of intracranial and spinal tumours.

Keywords

Anaesthesia - brain and spinal tumours - complications - presurgical embolization
 

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