A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population
Background: The increasing incidence of cerebrovascular accidents represents an emerging problem. The rise in risk factors such as lifestyle choices—smoking, poor nutrition, and metabolic diseases—poses a significant challenge for the global healthcare system. The female population, due to physiolog...
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MDPI AG
2024-11-01
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| author | Filadelfo Coniglione Francesco Giuseppe Martire Rudin Domi Claudia d’Abate Giulia Donadel Gentian Huti Asead Abdyli Krenar Lilaj Emilio Piccione |
| author_facet | Filadelfo Coniglione Francesco Giuseppe Martire Rudin Domi Claudia d’Abate Giulia Donadel Gentian Huti Asead Abdyli Krenar Lilaj Emilio Piccione |
| author_sort | Filadelfo Coniglione |
| collection | DOAJ |
| description | Background: The increasing incidence of cerebrovascular accidents represents an emerging problem. The rise in risk factors such as lifestyle choices—smoking, poor nutrition, and metabolic diseases—poses a significant challenge for the global healthcare system. The female population, due to physiological conditions and iatrogenic risks, may be at a greater risk of developing ischemic accidents. In addition to these acquired conditions, life phases such as pregnancy or puerperium, and medical conditions like surgical treatments and hormone therapy, may elevate this risk. Methods: This narrative aims to assess the various risk factors specific to the female population and evaluate the appropriate management strategies, including anesthetic support. Anesthesia plays a crucial role in enabling pharmacological procedures, such as thrombolysis, or surgical procedures like thrombectomy, in the management of ischemic cerebrovascular events. Results: The review emphasizes the importance of early recognition of risk factors to ensure prompt diagnosis and the most appropriate treatment options for ischemic events. Anesthesia support has become essential for carrying out necessary medical interventions effectively. Choosing the right anesthesia technique for endovascular thrombectomy is particularly significant, requiring consideration of the patient’s characteristics, the timing of diagnosis, and the preferences of the interventional neuroradiologists. Conclusions: It is vital to identify risk factors in the female population early to facilitate timely diagnosis and optimize treatment outcomes. Anesthetic support plays a key role in ensuring that critical procedures, such as thrombolysis and thrombectomy, are carried out effectively. Tailoring anesthesia choices to the patient’s individual needs is critical for a successful intervention. |
| format | Article |
| id | doaj-art-d7c7cccf3b9a4b69b28e03085380b1cc |
| institution | DOAJ |
| issn | 2673-4095 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgeries |
| spelling | doaj-art-d7c7cccf3b9a4b69b28e03085380b1cc2025-08-20T02:43:54ZengMDPI AGSurgeries2673-40952024-11-01541056107110.3390/surgeries5040085A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female PopulationFiladelfo Coniglione0Francesco Giuseppe Martire1Rudin Domi2Claudia d’Abate3Giulia Donadel4Gentian Huti5Asead Abdyli6Krenar Lilaj7Emilio Piccione8Department of Clinical Sciences and Translation Medicine, Section of Anesthesiology and Intensive Care, University of Rome “Tor Vergata”, 00175 Rome, ItalyDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, ItalyDepartment of Surgery, University of Medicine, 1031 Tirana, AlbaniaDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, ItalyDepartment of Clinical Sciences and Translation Medicine, Section of Anesthesiology and Intensive Care, University of Rome “Tor Vergata”, 00175 Rome, ItalyAmerican Hospital, 1031 Tirana, AlbaniaAmerican Hospital, 1031 Tirana, AlbaniaDepartment of Surgery, University of Medicine, 1031 Tirana, AlbaniaDepartment of Surgical Sciences, Catholic University “Our Lady of Good Counsel”, 1031 Tirana, AlbaniaBackground: The increasing incidence of cerebrovascular accidents represents an emerging problem. The rise in risk factors such as lifestyle choices—smoking, poor nutrition, and metabolic diseases—poses a significant challenge for the global healthcare system. The female population, due to physiological conditions and iatrogenic risks, may be at a greater risk of developing ischemic accidents. In addition to these acquired conditions, life phases such as pregnancy or puerperium, and medical conditions like surgical treatments and hormone therapy, may elevate this risk. Methods: This narrative aims to assess the various risk factors specific to the female population and evaluate the appropriate management strategies, including anesthetic support. Anesthesia plays a crucial role in enabling pharmacological procedures, such as thrombolysis, or surgical procedures like thrombectomy, in the management of ischemic cerebrovascular events. Results: The review emphasizes the importance of early recognition of risk factors to ensure prompt diagnosis and the most appropriate treatment options for ischemic events. Anesthesia support has become essential for carrying out necessary medical interventions effectively. Choosing the right anesthesia technique for endovascular thrombectomy is particularly significant, requiring consideration of the patient’s characteristics, the timing of diagnosis, and the preferences of the interventional neuroradiologists. Conclusions: It is vital to identify risk factors in the female population early to facilitate timely diagnosis and optimize treatment outcomes. Anesthetic support plays a key role in ensuring that critical procedures, such as thrombolysis and thrombectomy, are carried out effectively. Tailoring anesthesia choices to the patient’s individual needs is critical for a successful intervention.https://www.mdpi.com/2673-4095/5/4/85anesthesiagynecologyischemic strokeobstetricsthrombectomy |
| spellingShingle | Filadelfo Coniglione Francesco Giuseppe Martire Rudin Domi Claudia d’Abate Giulia Donadel Gentian Huti Asead Abdyli Krenar Lilaj Emilio Piccione A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population Surgeries anesthesia gynecology ischemic stroke obstetrics thrombectomy |
| title | A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population |
| title_full | A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population |
| title_fullStr | A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population |
| title_full_unstemmed | A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population |
| title_short | A Narrative Review of the Best Anesthesia Care for Endovascular Thrombectomy: Early Diagnosis of the Ischemic Stroke and Evaluation of Risk Factors in Female Population |
| title_sort | narrative review of the best anesthesia care for endovascular thrombectomy early diagnosis of the ischemic stroke and evaluation of risk factors in female population |
| topic | anesthesia gynecology ischemic stroke obstetrics thrombectomy |
| url | https://www.mdpi.com/2673-4095/5/4/85 |
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