| Sumario: | Abstract: Background: Neuro-endovascular procedures have transformed the treatment of pediatric cerebrovascular pathologies. While safety concerns regarding neuro-endovascular procedures in pediatric patients are increasingly addressed, data on anesthesia-related complications in this population remains limited. This retrospective study aimed to analyze the anesthesia regimens and periprocedural complications in pediatric neuro-endovascular cases. Materials and Methods: A retrospective chart review was conducted on pediatric patients (aged <18 years) undergoing neuro-endovascular procedures over 7 years. Data encompassing demographics, procedures, anesthesia details, complications, and outcomes were retrieved. Complications were categorized as intraprocedural and postprocedural, including anesthesia-related and procedure-related events. Statistical analysis was performed using Statistical Package for Social Sciences comparing categorical and continuous variables. Results: Out of 390 pediatric patient records screened, 325 underwent 352 procedures. The majority of procedures (95%) utilized balanced general anesthesia, with extubation achieved on-table in 77.5% of cases. Anesthesia-related complications were seen in 18 (5.1%) patients. Periprocedural complications occurred in 14.8% of cases. Complications did not significantly impact Glasgow Coma Scale outcomes at discharge. Mortality rate was 1.84%. Conclusion: Pediatric neuro-endovascular procedures demand meticulous anesthesia management to mitigate periprocedural complications. Despite the complexity and vulnerability of pediatric cerebrovascular conditions, outcomes were largely unaffected by complications. The study underscores the importance of neuro-anesthesiologists in ensuring safety and efficacy during neuro-endovascular interventions in pediatric patients, urging continued vigilance and readiness for prompt intervention in remote settings.
|
|---|