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.
2 Answers
Mednet MemberInvited Expert
Neurology · HCA Houston Healthcare
Answered on
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-...
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Mednet MemberInvited Expert
Pulmonology · University of Louisville
Answered on
Systolic BP 140-150 mmhg
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