Anesthesia for procedures in the neurointerventional suite

Procedures in the neurointerventional suite can be divided into opening procedures and closing procedures, such as angioplasty for stroke, embolization for cerebral arterio-venous malformations or coiling for cerebral aneurysm. Different equipment and medications are available for each type of procedure with unique possible side effects and complications. Anesthesia plans must entail patient and provider safety, including radiation safety. Hemodynamic goals for individual procedures and patients may be very different and should be set and modified as necessary. Neuro-physiological monitoring requires the use and combination of medications that have the least effect on transmitted signals. Neuroprotective measures should be considered. Anticoagulation is often necessary. Various approaches to anticoagulation and reversal are available.