Open AccessManagement of Elevated Blood Pressure After Stroke Thrombectomy for Anterior Circulation
Author(s) -
Kexin Wu,
Zhencheng Xiong,
Yasuo Ding
Publication year - 2021
Publication title -
risk management and healthcare policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.828
H-Index - 22
ISSN - 1179-1594
DOI - 10.2147/rmhp.s285316
Subject(s) - medicine , thrombolysis , observational study , stroke (engine) , blood pressure , acute stroke , clinical trial , randomized controlled trial , intensive care medicine , cardiology , ischemic stroke , emergency medicine , ischemia , tissue plasminogen activator , myocardial infarction , mechanical engineering , engineering
Thrombectomy is superior to intravenous thrombolysis for patients with large vessel occlusion in acute ischemic stroke, but nearly half of the patients still experience poor functional outcomes. Elevated blood pressure (BP) is widely observed in acute ischemic stroke, and BP may be one of the modifiable parameters that can potentially influence the outcomes; however, only observational studies exist to support current guidelines, and the recommended range for BP after thrombectomy is too wide to meet the clinical requirement. Randomized controlled trials are therefore needed to better understand the relationship between BP and outcomes after thrombectomy. In this review, we introduce the current management of BP after thrombectomy and several aspects of postthrombectomy BP management that should be resolved in future clinical trials.