{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:12:45Z","timestamp":1792109565099,"version":"4.4.0"},"reference-count":65,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Ischemic stroke, caused by the interruption of the blood supply to the brain, requires prompt medical intervention to prevent irreversible damage. Anesthetic management is pivotal during surgical treatments like mechanical thrombectomy, where precise strategies ensure patient safety and procedural success. This narrative review highlights key aspects of anesthetic management in ischemic stroke, focusing on preoperative evaluation, anesthetic choices, and intraoperative care. A rapid yet thorough preoperative assessment is crucial, prioritizing essential diagnostic tests and cardiovascular evaluations to determine patient frailty and potential complications. The decision between general anesthesia (GA) and conscious sedation (CS) remains debated, with GA offering better procedural conditions and CS enabling continuous neurological assessment. The selection of anesthetic agents\u2014such as propofol, sevoflurane, midazolam, fentanyl, remifentanil, and dexmedetomidine\u2014depends on local protocols and expertise balancing neuroprotection, hemodynamic stability, and rapid postoperative recovery. Effective blood pressure management, tailored airway strategies, and vigilant postoperative monitoring are essential to optimize outcomes. This review underscores the importance of coordinated care, incorporating multimodal monitoring and maintaining neuroprotection throughout the perioperative period.<\/jats:p>","DOI":"10.3390\/diagnostics14192113","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T08:54:17Z","timestamp":1727168057000},"page":"2113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Anesthetic Management of Acute Ischemic Stroke Undergoing Mechanical Thrombectomy: An Overview"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9773-1832","authenticated-orcid":false,"given":"Alessandro","family":"De Cassai","sequence":"first","affiliation":[{"name":"Sant\u2019Antonio Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9338-4995","authenticated-orcid":false,"given":"Nicol\u00f2","family":"Sella","sequence":"additional","affiliation":[{"name":"UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Pettenuzzo","sequence":"additional","affiliation":[{"name":"UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Boscolo","sequence":"additional","affiliation":[{"name":"UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"},{"name":"Department of Medicine\u2014DIMED, University of Padova, 35131 Padova, Italy"},{"name":"Thoracic Surgery and Lung Transplant Unit, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padua, 35122 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Busetto","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burhan","family":"Dost","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun 55220, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1996-7505","authenticated-orcid":false,"given":"Serkan","family":"Tulgar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University Faculty of Medicine, Samsun 55280, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Cester","sequence":"additional","affiliation":[{"name":"Department of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Scotti","sequence":"additional","affiliation":[{"name":"Department of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7957-3092","authenticated-orcid":false,"given":"Alessandro","family":"di Paola","sequence":"additional","affiliation":[{"name":"Department of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3733-3453","authenticated-orcid":false,"given":"Paolo","family":"Navalesi","sequence":"additional","affiliation":[{"name":"UOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"},{"name":"Department of Medicine\u2014DIMED, University of Padova, 35131 Padova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2865-2429","authenticated-orcid":false,"given":"Marina","family":"Munari","sequence":"additional","affiliation":[{"name":"Sant\u2019Antonio Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.carrev.2022.11.012","article-title":"Treatment of Acute Stroke: Current Practices and Future Horizons","volume":"49","author":"Siddiqi","year":"2023","journal-title":"Cardiovasc. 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