What blood pressure targets do you enforce in the first 24-48 hours in a patient who develops an intracranial hemorrhage after mechanical thrombectomy?
Blood pressure targets for ischemic stroke and intracerebral hemorrhage are described in several guidelines. However, in patients with acute stroke who develop limited ICH post reperfusion therapy, the targets are not well defined.
Answer from: at Community Practice
Typically post-thrombectomy you encounter hemorrhagic transformation of an ischemic infarct. In this setting, I adjust the SBP goal to the classification of hemorrhagic transformation (HI-1, HI-2, PH-1 or PH-2).
HI-1: No specific parameter; SBP goal adjusted according to TICI score.
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Answer from: at Academic Institution
Systolic BP 140-150 mmhg