Higher Blood Pressure during Endovascular Thrombectomy in Anterior Circulation Stroke Is Associated with Better Outcomes / 대한뇌졸중학회지
Journal of Stroke
;
: 373-384, 2018.
Article
in English
| WPRIM
| ID: wpr-717268
ABSTRACT
BACKGROUND AND PURPOSE:
Reports investigating the relationship between in-procedure blood pressure (BP) and outcomes in patients undergoing endovascular thrombectomy (EVT) due to anterior circulation stroke are sparse and contradictory.METHODS:
Consecutive EVT-treated adults (modern stent retrievers, BP managed in line with the recommendations, general anesthesia, invasive BP measurements) were evaluated for associations of the rate of in-procedure systolic BP (SBP) and mean arterial pressure (MAP) excursions to >120%/ 120% was independently associated with lower ILV, while higher in-procedure mean SBP/MAP was associated with lower odds of hemorrhages. mRS 0-2 was achieved in 75/155 (48.4%) evaluated patients (nine had missing mRS data). Higher rate of SBP/MAP excursions to >120% and higher reference SBP/MAP were independently associated with higher odds of mRS 0-2, while higher ILV was associated with lower odds of mRS 0-2. Rate of SBP/MAP excursions to < 80% was not associated with any outcome.CONCLUSIONS:
In the EVT-treated patients with BP managed within the recommended limits, a better functional outcome might be achieved by targeting in-procedure BP that exceeds the preprocedure values by more than 20%.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reference Values
/
Blood Pressure
/
Reperfusion
/
Stents
/
Thrombectomy
/
Stroke
/
Mechanical Thrombolysis
/
Arterial Pressure
/
Hemorrhage
/
Anesthesia
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Stroke
Year:
2018
Type:
Article
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