Anesthesiology and Perioperative Science
Oxygenation and perfusion in large vessel occlusion stroke: rethinking periprocedural management in the endovascular era
By Ozan Akça and Jonathan Gomez.
Abstract
Acute ischemic stroke remains a leading cause of death and long-term disability worldwide. In patients with large vessel occlusion (LVO), endovascular thrombectomy (EVT) has revolutionized care by achieving high rates of vessel recanalization. However, successful reperfusion does not guarantee good neurologic outcomes, which emphasizes the importance of periprocedural physiologic optimization. This Commentary argues that oxygenation and perfusion should be considered together when managing patients undergoing EVT, and that the physiologic targets appropriate for patients with LVO may differ from those applicable to non-LVO stroke and broader acute ischemic stroke (AIS) populations.
Keywords
- Acute Ischemic Stroke Management
- Oxygenation
- Stroke (engine)
- Occlusion
- Perfusion
- Perfusion scanning
- Acute stroke
- Open access
Source
Published in Anesthesiology and Perioperative Science. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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