The effectiveness of endovascular treatment in patients with anterior circulation ischaemic stroke due to large artery occlusion is firmly established, although optimal anaesthesia for the procedure remains contentious. Studies have suggested that endovascular treatment under general anaesthesia (GA) is associated with a worse outcome than when treatment is done without GA. However, because patients with more severe stroke and comorbidities are more likely to receive GA, there is potential for confounding by indication.

中文翻译：

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HERMES：麻醉中关于血栓切除术辩论的有用信使？

尽管由于该过程的最佳麻醉仍存在争议，但因大动脉闭塞而导致的前循环缺血性卒中患者的血管内治疗效果已得到牢固确立。研究表明，与不使用GA进行血管内治疗相比，在全身麻醉（GA）下进行血管内治疗的预后较差。但是，由于中风和合并症较严重的患者更可能接受GA，因此有可能因适应症而混淆。