Blood pressure levels post mechanical thrombectomy and outcomes in large vessel occlusion strokes

Blood pressure levels post mechanical thrombectomy and outcomes in large vessel occlusion strokes
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DOI:
10.1212/wnl.0000000000004184
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发表时间:
2017-08-08
期刊:
影响因子:
9.9
通讯作者:
Alexandrov, Andrei V.
Alexandrov, Andrei V.
中科院分区:
医学1区
文献类型:
--
作者:
Goyal, Nitin;Tsivgoulis, Georgios;Alexandrov, Andrei V.

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目的:评估机械血栓切除术 (MT) 后血压 (BP) 水平对大血管闭塞 (LVO) 患者早期结局影响的数据有限。我们试图调查 MT 后血压变化与 LVO 早期结果的关系。方法:对 3 年期间连续接受 MT 治疗的 LVO 患者进行评估。 MT 后 24 小时记录每小时收缩压 (SBP) 和舒张压 (DBP) 值,并确定最大 SBP 和 DBP 水平。根据 MT 后实现的血压目标,将 MT 后完全再灌注的 LVO 患者分为 3 组:
Objective: There are limited data evaluating the effect of post mechanical thrombectomy (MT) blood pressure (BP) levels on early outcomes of patients with large vessel occlusions (LVO). We sought to investigate the association of BP course following MT with early outcomes in LVO.Methods: Consecutive patients with LVO treated with MT during a 3-year period were evaluated. Hourly systolic BP (SBP) and diastolic BP (DBP) values were recorded for 24 hours following MT and maximum SBP and DBP levels were identified. LVO patients with complete reperfusion following MT were stratified in 3 groups based on post-MT achieved BP goals: