All neurointerventional procedures should be performed in a neuroscience center where there is full surgical (neurosurgical, vascular, and oto-laryngology) and neurointensive care back-up. The angiography suite should be digital, ideally biplane. The digital package should include live digital fluoroscopy, as well as road mapping. There should be the facility to perform general anesthesia. Many procedures, such as balloon occlusion, are performed with the patient awake. However, many, such as GDC coiling of aneurysms, are performed under general anesthesia. Ideally, an anesthesiologist should be present for all procedures (even when the patient is awake) but at a minimum should be readily available should the patient not be able to co-operate fully and the procedure need to be converted to general anesthesia.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.