Neuroanaesthesia & neurocritical care

General anesthesia versus non-general anesthesia in young adults undergoing thrombectomy

Anaesth Crit Care Pain MedPublished Pooled analysis of individual patient data from the DEVT, RESCUE BT and MARVEL randomised trials

Pooled resultResult — go to the resultRD 0.12 95% CI 0.02–0.25

Authors' conclusion

In this emulated trial involving young stroke patients undergoing EVT, non-GA was associated with a higher likelihood of functional independence compared to GA with similar reperfusion success and sICH.

Study context

Population
Young adults aged 18–50 years with anterior circulation large vessel occlusion (LVO) undergoing endovascular thrombectomy (EVT)
Participants
284 adults
Comparison
Non-GA vs GA during EVT
  • GAn = 94reference
  • non-GAn = 190
Outcome
Functional independence (mRS 0-2)
Follow-up
90 days
Methodological detailstarget trial emulation, inverse probability of treatment weighting, G-computation
  • Target trial emulation
  • Inverse probability of treatment weighting
  • G-computation

Pooled result

As reported in the abstract

RD

0.12

95% CI 0.02–0.25

non-GA vs GA
RD 0.12 (95% CI 0.02–0.25)

Further pooled results

Reperfusion success

Did not differ significantly between groups

Mortality and symptomatic intracranial hemorrhage (sICH)

Did not differ significantly between groups

Safety

OutcomeRD (95% CI)
PneumoniaIncreased incidence with GA−0.21 (−0.35 to −0.11)

Original publication

General anesthesia versus non-general anesthesia in young adults undergoing thrombectomy. Anaesth Crit Care Pain Med. Published 5 June 2026. doi:10.1016/j.accpm.2026.101869

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