Review Article

Conscious Sedation versus General Anesthesia for Patients with Acute Ischemic Stroke Undergoing Endovascular Therapy: A Systematic Review and Meta-Analysis

Table 1

Characteristic and quality assessment of included studies in the meta-analysis.

Studies, yearType of studyType of strokeType of endovascular treatmentNumber with CS versus GASelectionComparabilityOutcomes

Abou-Chebl et al. [8], 2010RetrospectiveAISSolitaire 85/196+++++
Davis et al. [12], 2012RetrospectiveAISIA rtPA and mechanical thrombectomy48/48+++++++
Hassan et al. [13], 2013Retrospective/Endovascular procedure not specified387/260+++++
John et al. [14], 2014RetrospectiveAISIA recanalization therapy99/91+++++++++
Jumaa et al. [15], 2010RetrospectiveAcute strokeIA rtPA and mechanical thrombectomy73/53+++++++
Just et al. [16], 2016Retrospective cohortAISIA rtPA, mechanical thrombectomy, thromboaspiration67/42++++++++
Li et al. [17], 2014RetrospectiveAISIA rtPA, mechanical thrombectomy74/35++++++++
Hendén et al. [18], 2017RCTAISIA rtPA45/45+++++++++
van den Berg et al. [9], 2015Retrospective cohortAISIA rtPA278/70+++++++
Nichols et al. [19]; 2010PilotAISIA rtPA18/17+++++++
Schönenberger et al. [10], 2016RCTAISStent retriever or
thrombus aspiration
77/73+++++++++
Slezak et al. [20], 2017ProspectiveAISSolitaire stent or IA rtPA135/266+++++++
Sugg et al. [21], 2010RetrospectiveAISMechanical thrombectomy57/9+++++

Note. CS: conscious sedation; GA: general anesthesia; AIS: acute ischemic stroke; IA: intra-arterial; RCT: randomized controlled trials. , Irvine, California. plus indicates each quality item; 4 pluses are the maximum for the selection, 2 pluses are the maximum for the comparability, and 3 pluses are the maximum for completeness of the outcomes.