Blood Pressure Control After Thrombectomy for Acute Stroke

A randomized trial tests intensive control targeting blood pressure <120 mm Hg.

Select ischemic stroke patients with large-vessel occlusion have been demonstrated to benefit from endovascular thrombectomy (EVT). Rates of successful recanalization with current devices is relatively high, ranging between 70% and 90%. However, the optimal in-hospital blood pressure (BP) after successful EVT is unclear. These investigators conducted a randomized trial at 44 centers in China to compare intensive BP control (target systolic BP <120 mm Hg) with less-intensive BP treatment (target systolic BP, 140–180 mm Hg). The goal was to achieve the target BP within 1 hour of enrollment and then sustain it for 72 hours. The primary outcome was functional recovery at 90 days, judged by distribution of scores on the modified Rankin scale (mR…

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

Blood Pressure Control After Thrombectomy for Acute Stroke

Topics

Reviewing Author