Anesthesia and the Periprocedural Management of Large Vessel Occlusion Stroke Treated with Mechanical Thrombectomy: A Narrative Review

The authors review the current evidence regarding the use of anesthesia in the management of large vessel occlusion strokes treated with mechanical thrombectomy, questioning whether procedural sedation or general anesthesia yields better functional outcomes. They highlight that while general anesthesia may enhance reperfusion rates, careful hemodynamic and ventilatory management is essential for optimizing patient outcomes. The paper calls for further research to identify the best anesthetic strategies based on patient characteristics and stroke subtypes.