Contribution of the neuro-intensivist in the choice of treatment of patients with aneurysm.
During the last years embolization with Guglielmi detachable coils has provided a new alternative of treatment of intracranial aneurysms. Neuroanesthesiologists and neurointensivists have an important role in the selection of the patients to traditional surgical treatment or endovascular treatment. This selection must be a team decision on the basis of the patient's conditions. The main contribution of neuroanesthesiologists is to evaluate the patient's medical and neurologic conditions and to prospect the anesthesiological problems in each technique, especially when the patient is treated in acute phase after SAH.
Levati
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A
Department of Neuroresuscitation, Niguarda Ca' Granda Hospital, Milan, Italy.
Boselli
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L
D000776:Anesthesiology / Q000379:methods; D003422:Critical Care / Q000379:methods*; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D009462:Neurology / Q000379:methods*