In recent years, the neuroradiological treatment of cerebral and spinal arteriovenous
malformations (AVMs) has undergone significant evolution and improvement. Endovascular
embolisation procedures of AVMs are mainly performed under general anaesthesia. Different
pathophysiological characteristics of patients with AMVs must be considered for the
choice of the anaesthetic procedures. Anaesthesiological management must aim at maintaining
stable intracranial haemodynamics; thus, the drugs used must be evaluated according
to their effects on brain perfusion, brain metabolism, and intracranial pressure.
Rapid recovery to normal central nervous functions should be obtained postoperatively.
Close-meshed neurological surveillance should be exercised in order to detect immediately
any alteration of neurological state. In summary, anaesthesiological management of
interventional neuroradiology is based on the same well-established principles as
anaesthesia in neurosurgery.
Anaesthesia, General - Anaesthesia, Local - Cerebral Arteriovenous Malformations -
Conscious Sedation - Embolisation, Therapeutic - Intensive Care - Radiology, Interventional
