Anesthetic Management of Mechanical Thrombectomy (MT) for Acute Ischemic Stroke (AIS): A current Evidence Review

ABSTRACT: The anesthetic management of mechanical thrombectomy (MT) for acute ischemic stroke (AIS) is a critical factor influencing procedural success and patient outcomes. Anesthetic strategies, including general anesthesia (GA), monitored anesthesia care (MAC), and conscious sedation (CS), are tailored to patient-specific factors such as hemodynamic stability, neurological status, and procedural requirements. GA is often preferred for its ability to secure the airway and ensure procedural immobility, while MAC and CS facilitate real-time neurological monitoring. The anesthesiologist's role encompasses hemodynamic optimization, airway management, and rapid decision-making to ensure patient safety and maximize treatment efficacy. Keyword: anesthetic management, Mechanical thrombectomy, Rapid sequence induction and itubation ,Acute Ischemic stroke.