Many intracranial vascular pathologies are now being successfully managed
by interventional neuroradiology techniques. The procedures have become increasingly
complex, requiring planning and coordination. Key roles are played by the anesthesiologist
and close collaboration with neuroradiologist is crucial for successful results. The
optimal conduct of anesthesia in a neuroradiology suite requires careful planning of
each procedure and detailed evaluation of the individual patient. The basic principles of
neuroanesthesia cannot be avoided: optimization of cerebral blood flow, perfusion
pressure, control of intracranial pressure and close monitoring of hemodynamic values,
respiratory patterns, fluid status and body temperature are all necessary. Rapid awakening
must be ensured so that the patient’s neurological status can be assessed quickly. The
provision of anesthesia outside the operating room has its own inherent risks. This
chapter will focus on perioperative anesthesiologic care and strategies to avoid or deal
with complications if they do occur.
Keywords: Anesthesiologist, endovascular neurosurgeon, neuroanesthetist,
neurointerventionalist.
