Optimal Blood Pressure Goal After Mechanical Thrombectomy for Acute Stroke

A systolic blood pressure target of <140 mm Hg was safe and associated with better outcomes than the guideline target of <180 mm Hg.

Mechanical thrombectomy (MT) has been shown to improve neurologic outcomes for certain patients treated within 24 hours of stroke onset. However, there are no solid data on the optimal systolic blood pressure (BP) target for the 24-hour period following MT.

To compare outcomes associated with different BP goals during this period, investigators conducted an international retrospective study of 1019 evaluable patients with large vessel occlusion (mean age, 68 years) who underwent recanalization; 56% were pretreated with intravenous thrombolysis, and 55% achieved complete recanalization. Patients were divided according to one of three BP goals: 53% had an intensive goal (<140 mm Hg), 14% had a moderate goal (<160 mm Hg), and 33% had an America…

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

Optimal Blood Pressure Goal After Mechanical Thrombectomy for Acute Stroke

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Reviewing Author