Letter by Tang et al Regarding Article, “General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The Anstroke Trial (Anesthesia During Stroke)”
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To the Editor:
We read the study by Löwhagen Hendén et al1 with great interest. The authors concluded that no difference in neurological outcomes was found between general anesthesia and conscious sedation 3 months after endovascular treatment for acute ischemic stroke. However, we have 2 main points of concern, time and blood pressure.
Time is effectivity. Every 5-minute delay before endovascular reperfusion worsens clinical outcome in 1 out of 100 patients.2 Although general anesthesia may increase the time to require to begin the procedure, it …