Interventional Radiology

Question 1

List disorders in which interventional neuroradiology

can be utilized.

Answer 1

Interventional neuroradiology is used to treat arteriovenous
malformations (AVMs), arteriovenous fistulas (AVFs), tumors,
and intracranial aneurysms. It is also used for stent placment
and/or angioplasty to treat cerebral stenoses and to
revascularize cerebral circulation following acute strokes.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1489.

Question 2

Interventional neuroradiology procedures can be
grouped into 3 categories. What are these 3
categories.

Answer 2

1. Embolization 2. Aneurysm Therapy 3. Cerebral
   Revascularization
   Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
   Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
   Wolters Kluwer Health, 2014: 1489.

Question 3

List common side effects experienced with contrast

agents used in interventional neuroradiology.

Answer 3

Itching, warm sensation, rash, pain, anxiety, urticaria, nausea,
and vomiting.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1494.

Question 4

What are possible complications of interventional

radiological procedures.

Answer 4

Allergic reactions to contrast medium, vasospasm, hemorrhage,
occlusion of the vessel due to catheter injury of the vessel wall.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1494.

Question 5

What neurotoxic symptoms can occur with contrast

agents used in interventional neuroradiology?

Answer 5

Decreased consciousness, blindness, aphasia, and
hemiplegia. These symptoms will be masked in the
anesthetized patient, however.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1494.