What are the recommended practices for managing hypotension during endovascular surgery for intracranial aneurysms?
The ACGME program requirements for fellowship education in endovascular surgery recommend that physicians managing hypotension during endovascular surgery for intracranial aneurysms should consider using etomidate, temporary arterial occlusion, and intraoperative angiography, as well as monitoring hyperglycemia levels to ensure long-term neurologic and neuropsychological function. Studies have shown that the use of thiopental loading during controlled hypotension can also be beneficial in these surgeries. It is also important to be aware of the potential risks associated with profound hypotension. 