What blood pressure targets do you enforce in the first 24-48 hours in a patient who develops an intracranial hemorrhage after mechanical thrombectomy?
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2 Answers
Mednet Member
Neurology · HCA Houston Healthcare
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.
- HI-2: SBP 120-...