Thanyawit Ninlaphut, MSN¹ , Ratsiri Thato, PhD² , Poonyanuch Charoenkoop, MD¹

This article reviews the roles of nurse anesthetist (NA) in the perioperative management of patients undergoing endovascular therapy (EVT) for unruptured cerebral aneurysms (UCAs). The EVT has emerged as a minimally invasive and effective treatment for UCAs, necessitating comprehensive perioperative care to optimize patient outcomes. In the pre-procedural phase, responsibilities include neurological and hemodynamic assessments, risk identification, and patient education to reduce anxiety and improve readiness. Intra-procedural care emphasizes maintaining hemodynamic stability, monitoring vital signs, and managing complications such as vasospasm, thromboembolism, and contrast reactions in collaboration with the interprofessional team. In the post-procedural phase, the NA provides vigilant monitoring for neurological deterioration, preventing vascular complications, and supporting recovery through patient education and discharge planning. By integrating evidence-based care plans to address risks such as hypertension, hemorrhage, impaired respiratory function, and hematoma, NAs play a critical role in enhancing safety and reducing complications. Their specialized expertise significantly advances perioperative nursing practice in complex neurointerventional procedures. This review also proposes structured nursing care plans that integrate risk-prevention strategies to support safe perioperative management in EVT procedures.

Received 29 October 2025 | Revised 17 March 2026 | Accepted 24 March 2026

J Med Assoc Thai 2026;109(6):566-73

DOI: 10.35755/jmedassocthai.2026.6.03800