Intensive Versus Standard Blood Pressure Control After Endovascular Thrombectomy in Acute Ischemic Stroke: A Meta-Analysis of Randomized Controlled Trials - PubMed
3 hours ago
- #Mechanical Thrombectomy
- #Ischemic Stroke
- #Blood Pressure Management
- Intensive blood pressure control after endovascular thrombectomy for acute ischemic stroke does not improve functional outcomes compared to standard control.
- Intensive control is associated with lower rates of good functional outcome (mRS 0-2), increased all-cause mortality, and higher incidence of hypotensive episodes.
- No significant differences were found in excellent functional outcome (mRS 0-1) or symptomatic intracranial hemorrhage between the two strategies.
- Evidence strength is high for functional outcomes and hypotensive episodes, and moderate for mortality and hemorrhage.
- The meta-analysis suggests potential harm from intensive blood pressure management post-thrombectomy, advocating for caution in clinical practice.