Identifying the Optimal Blood Pressure Target After Thrombectomy for Acute Stroke

A randomized trial compared aggressive BP lowering with standard BP management.

For patients who undergo mechanical thrombectomy (MT) for acute ischemic stroke, blood pressure (BP) control is a key aspect of postprocedure care. However, data are limited on the optimal BP for patients who achieve angiographic recanalization. These authors conducted a randomized trial involving patients who achieved good to excellent recanalization after MT for acute ischemic stroke. Eligible patients had documented large-vessel occlusion in either the internal carotid artery or middle cerebral artery. Patients were randomized to either standard BP control (target systolic BP 130–185 mm Hg) or intensive BP control (target systolic BP 100–129 mm Hg). The study goal was to reach target within 1 hour and maintain the assigned BP range for 2…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Identifying the Optimal Blood Pressure Target After Thrombectomy for Acute Stroke

Topics

Reviewing Author