Sedation versus general anaesthesia in endovascular therapy for anterior circulation acute ischaemic stroke: the multicentre randomised controlled AMETIS trial study protocol

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Chabanne, Russell | Fernandez-Canal, Charlotte | Degos, Vincent | Lukaszewicz, Anne-Claire | Velly, Lionel | Mrozek, Segolene | Perrigault, Pierre-François | Molliex, Serge | Tavernier, Benoît | Dahyot-Fizelier, Claire | Verdonk, Franck | Caumon, Elodie | Masgrau, Aurelie | Begard, Marc | Chabert, Emmanuel | Ferrier, Anna | Jaber, Samir | Bazin, Jean-Etienne | Pereira, Bruno | Futier, Emmanuel

Edité par CCSD ; BMJ Publishing Group -

International audience. Endovascular thrombectomy is the standard of care for anterior circulation acute ischaemic stroke (AIS) secondary to emergent large vessel occlusion in patients who qualify. General anaesthesia (GA) or conscious sedation (CS) is usually required to ensure patient comfort and avoid agitation and movement during thrombectomy. However, the question of whether the use of GA or CS might influence functional outcome remains debated. Indeed, conflicting results exist between observational studies with better outcomes associated with CS and small monocentric randomised controlled trials favouring GA. Therefore, we aim to evaluate the effect of CS versus GA on functional outcome and periprocedural complications in endovascular mechanical thrombectomy for anterior circulation AIS.

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