2024
article
The impact of general anesthesia versus non–general anesthesia on thrombectomy outcomes by occlusion location: insights from the ETIS registry
Mohammad Anadani, Benjamin Gory, Jean‐Marc Olivot, Romain Bourcier, Arturo Consoli, Grégoire Boulouis, Kévin Janot, Raoul Pop, Jean-Philippe Desilles, Lina Hamoud, Mikaël Mazighi, Bertrand Lapergue, Gaultier Marnat, Stephanos Finitsis, Adrien Wang, Oguzhan Coskun, Federico Di Maria, Silvia Pizzuto, Alessandro Sgreccia, Charline Benoit, Lucas Gorza, David Weisenburger‐Lile, Waliyde Jabeur, Tchikviladze Maia, Serge Evrard, Georges Rodesch, Raphaël Blanc, Michel Obadia, Michel Piotin, Pierre Seners, Stanislas Smajda, Simon Escalard, Benjamin Maïer, Candice Sabben, Hocine Redjem, Mikael Mazhigi, Grace Adwane, François Delvoye, Amira Al Raaisi isseau, Altayeb Adnan, M. Thomas, Robichon Erwan, Benjamin Daumas Duport, Pierre Louis Alexandre, Cédric Lenoble, Hubert Desal, Solène de Gaalon, Benoît Guillon, Cécile Preterre, Guillaume Tessier, Arthur Lionnet, Lisa Humbertjean-Selton, René Anxionnat, Anne‐Laure Derelle, Liang Liao, Emmanuelle Schmitt, Sophie Planel, Sébastien Richard, Gioia Mione, Jean‐Christophe Lacour, Marian Douarinou, Emilien Micard, Bailiang Chen, Gérard Audibert, Agnès Masson, Lionel Alb, Marine Beaumont, Adriana Tabarna, Marcela Voicu, Grégoire Barthel, Iona Podar, Madalina Brezeanu, Marie Reitter, François Zhu, René Anxionnat, Jean-Sébastien Liegey, Pierre Briau, Lisa Papillon, Igor Sibon, Xavier Barreau, Jean Papaxanthos, Jérôme Berge, Sabrina Debruxelles, Stéphane Olindo, Mathilde Poli, Pauline Renou, Sharmila Sagnier, Thomas Tourdias, Thomas Courret, Ludovic Lucas, Małgorzata Milnerowicz, Cyril Dargazanli, Vincent Costalat, Isabelle Mourand, Caroline Arquizan, Lucas Corti, Adrien ter Schiphorst, Fédérico Cagnazzo, Imad Derraz, Mehdi Mahmoudi, Pierre-Henri Lefevre, Grégory Gascou, Quentin Varnier, Laurent Spelle, Jildaz Caroff, Christian Denier, Vanessa Chalumeau, Cristian Mihalea, Nicolas Legris, Augustin Ozanne, Léon Ikka, Olivier Chassin, Sophie Gallas, Laura Venditti, Mariana Sarov, Jonathan Cortese, Jean‐Christophe Ferré, Stéphane Vannier, Thomas Ronzière, M. Lassalle, Jean‐Yves Gauvrit, Clément Tracol, Abdelghani Fakhreddine Boustia, Cecile Malrain, Edouard Beaufreton, Thibault Lapotre, Quentin Alias, Julien Hissier, Maud Guillen, François Eugène, Boucherit Julien, Cyril Chivot, Audrey Courselle, Elisa Ouin, Chantal Lamy, Kevin Delaforge, Manuel Fernández, Jérémie Vial, Quentin Laferte, Xavier Desdoit, Serge Timsit, Aurore Jourdain, Jean‐Christophe Gentric, Julien Ognard, Irina Viakhireva, Jordan Coris, Sabine Prud’hon, François-Mathias Merrien, Denis Maréchal, Marie Bruguet, Pierre Yves Rousseau, Philippe Goas, Elise Retho, Caroline Lavenant, Rozenn Le Gal, Leblanc Amelie, Marion Boulanger, Emmanuel Touzé, Denis Vivien, Charlotte Barbier, Romain Schneckenburger, Fabrizio Salaris, Julien Cogez, Sophie Guettier, Estelle La Porte, Jean Bouchart, Charbel Mounayer, Aymeric Rouchaud, Suzana Saleme, Géraud Forestier, Frédéric Clarençon, Charlotte Rosso, Sara Leder, Flore Baronnet, Sophie Crozier, Anne Léger, Kévin Premat, Eimad Shotar, Stéphanie Lenck, Nader Sourour, Laure Bottin, Sam Ghazanfari, Marion Yger, Sonia Alamowitch, Stephen Delorme, Aymeric Wittwer, Christine Vassilev, A. Jeanne Julien, Olivier Naggara, Guillaume Turc, Wagih Ben Hassen, Basile Kerleroux, D. Trystram, Christine Rodriguez-Régent, Finoana Laza-Nomenjanahary, Ozlem Ozkul-Wermester, Chrysanthi Papagiannaki, Evelyne Massardier, Aude Triquenot, Margaux Lefebvre, Julien Burel, Basille Florient, Alain Viguier, Christophe Cognard, Anne Christine Januel, Jean‐François Albucher, Lionel Calvière, Jean Darcourt, Nicolas Raposo, Fabrice Bonneville, Guillaume Bellanger, Louis Fontaine, Philippe Tall, Frédéric Bourdain, Patricia Bernady, Guillaume Ballan, Stéphanie Bannier, Emmanuel Ellie, Olivier Flabeau, Julia Potenza, Antoine Soulages, Laurent Lagoarde-Segot, Hélène Cailliez, Louis Veunac, David Higué, Anthony Lebras, Sarah Adam, Benoit Pegat, Arnaud Le Guen, François Chedeville, Jérémy Jouan, Alexanre Courtois, Sarah Evain, Lescot Lucile, Stéphanie Demasles, Johann Sebastian Richter, Bruno Barroso, Camille Dahan, Alexis Gonnet, Régis Hubrecht, Zoé Lepine, Hélène Castagnet, Raluca Marasescu, Olivier Heck, Pauline Cuisenier, Olivier Detante, Isabelle Favre Wiki, Clémentine Bonaz, Garambois Katia, Loïc Legris, Adrian Kastler, Kamel Boubagra, Corentin Berthet, Stéphane Charara, Víctor Dumas, Neau Jean Philippe, Stéphane Velasco, Valérie Wolff, Raoul Pop, Véronique Quenardelle, Valérie Lauer, Irène Pierre-Paul, Roxana Gheoca, Malwina Trzeciak, Bindila Perisse Daniella, Bonnart Camille, Solène Moulin, Hua Vi Tuan, Paolo Pagano, Alexandre Doucet, Christophe Gelmini, Pierre-François Manceau, Laurentiu Pajusan, Isabelle Serre, Sébastien Soize, Thi Ngoc Phuong Nguyen, Maher Sahnoun, Nathalie Caucheteux, Pablo Lebindsky, Nader Vanessa, Federico Bolignini, F. Vuillemet, José Rodregues, Anna Ferrier, Abderrahim Zerroug, Ricardo Moreno, Emmanuel Chabert, Elie Lteif, P. Paris, Nathalie Bourgois, Marie Raquin, A. Pasco-Papon, Jean-Baptiste Girot, Aldéric Lecluse, Sophie Godard, Vincent L’Allinec, Corfu Alice, Kévin Janot, Richard Bibi, Marie Gaudron, Arnaud Bretonnière, Mariam Annan, Héloïse Ifergan, Marco Pasi, Séverine Debiais, Elisabeth Molinier, Denis Herbretau, Romain Doung, Fouzi Bala, Clemencie Hoche, Anthony Wietrich, Valérie Ruche, Karine Lavandier, Yannick Béjot, Brivale Lemogne, Fédéric Ricolfi, Laura Baptiste, Pierre Thouant, Gaulthier Duloquin, Pierre Olivier Comby, Guillaume Charbonnier, Louise Bonnet, Nicolas Raybaud, Benjamin Bouamra, Thierry Moulin, Alessandra Biondi, Fernando Pico, Dano Benjamin, Patcas Carmen, Chaari Dhouha, Stanciu Daniela, Duang Duc Long, Hmida Intissar, Marie‐Laure Chadenat, Suissa Laurent, Hak Jean-François, Reyre Anthony, Carle Xavier, Laksiri Nadia, Osman Ophélie, Peres Roxane, Robinet-Borgomano Emmanuelle, Dulau Cécile, Kerleroux Basile, Rey Caroline, F. Bing
2Citations signalées, ce qui n’est pas une note de qualité
13Institutions déclarées
3Pays d’affiliation déclarés
Rattachement africain : fr, us, gr.
Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Identifying the optimal anesthetic technique for mechanical thrombectomy (MT) remains an unresolved issue. Prior research has not considered the influence of occlusion site when comparing general anesthesia (GA) with non-GA. This study evaluates the differential impacts of the anesthetic technique (GA vs non-GA) on outcomes according to the location of occlusion. METHODS: This is a retrospective analysis of the ETIS (Endovascular Treatment in Ischemic Stroke) registry. Patients with anterior circulation large-vessel occlusion treated with MT were included. Patients were divided into groups according to the location of occlusion. Inverse propensity score weighting analysis was used. RESULTS: Among 2783 patients included in the propensity score analysis, 669 (24%) received GA. In the total cohort, GA was not associated with favorable outcome, excellent outcome, successful reperfusion, or complete reperfusion. GA was associated with higher odds of parenchymal hemorrhage (OR 1.42, 95% 1.05-1.92) but not symptomatic intracranial hemorrhage. GA was associated with Alberta Stroke Program Early CT Score progression (OR 1.36, 95% CI 1.11-1.68). In the internal carotid artery occlusion group, GA was associated with higher odds of mortality (OR 1.94, 95% CI 1.15-3.27). In the M1 group, GA was associated with lower odds of complications (OR 0.41, 95% CI 0.19-0.92). In the M2 group, GA was associated with successful reperfusion (OR 2.79, 95% CI 1.02-7.64). In addition, the complication rate was lower with GA (2.7% vs 7%), although the association was not significant in adjusted analysis. CONCLUSIONS: While GA and non-GA techniques did not differ significantly in functional outcomes, the influence of GA on angiographic and procedural safety outcomes was location dependent, underscoring the importance of a tailored anesthesia technique in MT procedures.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The impact of general anesthesia versus non–general anesthesia on thrombectomy outcomes by occlusion location: insights from the ETIS registry
- Date Crossref
- 01/08/2024
- Éditeur
- Journal of Neurosurgery Publishing Group (JNSPG)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Les sujets associés
Acute Ischemic Stroke ManagementCerebrovascular and Carotid Artery DiseasesIntracranial Aneurysms: Treatment and Complications