Procedural Blood Pressure and Intracranial Hemorrhage on Dual-Energy Computed Tomography After Endovascular Stroke Treatment

Goyal M, Menon BK, van Zwam WH, et al. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet. 2016;387(1723–1731):20160218. https://doi.org/10.1016/S0140-6736(16)00163-X.

Article  Google Scholar 

Hao Y, Zhang Z, Zhang H, et al. Risk of intracranial hemorrhage after endovascular treatment for acute ischemic stroke: systematic review and meta-analysis. Interv Neurol. 2017;6(57–64):20170119. https://doi.org/10.1159/000454721.

Article  Google Scholar 

Balami JS, White PM, McMeekin PJ, et al. Complications of endovascular treatment for acute ischemic stroke: prevention and management. Int J Stroke. 2018;13(348–361):20171124. https://doi.org/10.1177/1747493017743051.

Article  Google Scholar 

Cheng H, Xu C, Jin X, et al. Association of blood pressure at successful recanalization and parenchymal hemorrhage after mechanical thrombectomy with general anesthesia. Front Neurol. 2020;11(582639):20201117. https://doi.org/10.3389/fneur.2020.582639.

Article  Google Scholar 

Samuels N, van de Graaf RA, van den Berg CAL, et al. Blood pressure during endovascular treatment under conscious sedation or local anesthesia. Neurology. 2021;96:e171–81. https://doi.org/10.1212/WNL.0000000000011006.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Maier B, Fahed R, Khoury N, et al. Association of blood pressure during thrombectomy for acute ischemic stroke with functional outcome: a systematic review. Stroke. 2019;50(2805–2812):20190829. https://doi.org/10.1161/STROKEAHA.119.024915.

Article  Google Scholar 

Wiacek M, Szymanski M, Walewska K, et al. Blood pressure changes during mechanical thrombectomy for acute ischemic stroke are associated with serious early treatment complications: symptomatic intracerebral hemorrhage and malignant brain edema. Front Neurol. 2022;13(884519):20220705. https://doi.org/10.3389/fneur.2022.884519.

Article  Google Scholar 

Anadani M, Orabi MY, Alawieh A, et al. Blood pressure and outcome after mechanical thrombectomy with successful revascularization. Stroke. 2019;50(2448–2454):20190718. https://doi.org/10.1161/STROKEAHA.118.024687.

Article  Google Scholar 

Maier B, Delvoye F, Labreuche J, et al. Impact of blood pressure after successful endovascular therapy for anterior acute ischemic stroke: a systematic review. Front Neurol. 2020;11(573382):20201029. https://doi.org/10.3389/fneur.2020.573382.

Article  Google Scholar 

Liu K, Jiang L, Ruan J, et al. The role of dual energy CT in evaluating hemorrhagic complications at different stages after thrombectomy. Front Neurol. 2020;11(583411):20201007. https://doi.org/10.3389/fneur.2020.583411.

Article  Google Scholar 

Tijssen MP, Hofman PA, Stadler AA, et al. The role of dual energy CT in differentiating between brain haemorrhage and contrast medium after mechanical revascularisation in acute ischaemic stroke. Eur Radiol. 2014;24(834–840):20131121. https://doi.org/10.1007/s00330-013-3073-x.

Article  Google Scholar 

Pirson F, Hinsenveld WH, Goldhoorn RB, et al. MR CLEAN-LATE, a multicenter randomized clinical trial of endovascular treatment of acute ischemic stroke in The Netherlands for late arrivals: study protocol for a randomized controlled trial. Trials. 2021;22(160):20210224. https://doi.org/10.1186/s13063-021-05092-0.

Article  Google Scholar 

van der Steen W, van de Graaf RA, Chalos V, et al. Safety and efficacy of aspirin, unfractionated heparin, both, or neither during endovascular stroke treatment (MR CLEAN-MED): an open-label, multicentre, randomised controlled trial. Lancet. 2022;399(1059–1069):20220228. https://doi.org/10.1016/S0140-6736(22)00014-9.

Article  Google Scholar 

DeMers D, Wachs D. Physiology mean arterial pressure. Treasure Island: StatPearls; 2022.

Google Scholar 

Del Giorno R, Balestra L, Heiniger PS, et al. Blood pressure variability with different measurement methods: reliability and predictors. A proof of concept cross sectional study in elderly hypertensive hospitalized patients. Medicine (Baltimore). 2019;98:e16347. https://doi.org/10.1097/MD.0000000000016347.

Article  PubMed  Google Scholar 

Pinckaers FM, Mentink MM, Boogaarts HD, et al. Early post-endovascular treatment contrast extravasation on dual-energy CT is associated with clinical and radiological stroke outcomes: a 10-year single-centre experience. Eur Stroke J. 2023;8:508–16. https://doi.org/10.1177/23969873231157901.

Article  PubMed  PubMed Central  Google Scholar 

von Kummer R, Broderick JP, Campbell BC, et al. The Heidelberg bleeding classification: classification of bleeding events after ischemic stroke and reperfusion therapy. Stroke. 2015;46(2981–2986):20150901. https://doi.org/10.1161/STROKEAHA.115.010049.

Article  Google Scholar 

Lee H, Qureshi AM, Mueller-Kronast NH, et al. Subarachnoid hemorrhage in mechanical thrombectomy for acute ischemic stroke: analysis of the STRATIS Registry, systematic review, and meta-analysis. Front Neurol. 2021;12(663058):20210525. https://doi.org/10.3389/fneur.2021.663058.

Article  Google Scholar 

Motto C, Ciccone A, Aritzu E, et al. Hemorrhage after an acute ischemic stroke. MAST-I collaborative group. Stroke. 1999;30:761–4. https://doi.org/10.1161/01.str.30.4.761.

Article  CAS  PubMed  Google Scholar 

van Buuren S. Mice: multivariate imputation by chained equations in R. J Stat Softw. 2011;45(3):1–67. https://doi.org/10.18637/jss.v045.i03.

Article  Google Scholar 

Von Hippel PT. How many imputations do you need? A two-stage calculation using a quadratic rule. Sociol Methods Res. 2020;49:699–718. https://doi.org/10.1177/0049124117747303.

Article  Google Scholar 

Alawieh A, Vargas J, Fargen KM, et al. Impact of procedure time on outcomes of thrombectomy for stroke. J Am Coll Cardiol. 2019;73:879–90. https://doi.org/10.1016/j.jacc.2018.11.052.

Article  PubMed  Google Scholar 

Renu A, Amaro S, Laredo C, et al. Relevance of blood-brain barrier disruption after endovascular treatment of ischemic stroke: dual-energy computed tomographic study. Stroke. 2015;46(673–679):20150205. https://doi.org/10.1161/STROKEAHA.114.008147.

Article  Google Scholar 

Liebeskind DS, Bracard S, Guillemin F, et al. eTICI reperfusion: defining success in endovascular stroke therapy. J Neurointerv Surg. 2019;11(433–438):20180907. https://doi.org/10.1136/neurintsurg-2018-014127.

Article  Google Scholar 

Kim TJ, Park HK, Kim JM, et al. Blood pressure variability and hemorrhagic transformation in patients with successful recanalization after endovascular recanalization therapy: a retrospective observational study. Ann Neurol. 2019;85(574–581):20190306. https://doi.org/10.1002/ana.25434.

Article  CAS  Google Scholar 

Mistry EA, Mistry AM, Nakawah MO, et al. Systolic blood pressure within 24 hours after thrombectomy for acute ischemic stroke correlates with outcome. J Am Heart Assoc. 2017;6:20170518. https://doi.org/10.1161/JAHA.117.006167.

Article  Google Scholar 

Mulder M, Ergezen S, Lingsma HF, et al. Baseline blood pressure effect on the benefit and safety of intra-arterial treatment in MR CLEAN (multicenter randomized clinical trial of endovascular treatment of acute ischemic stroke in the Netherlands). Stroke. 2017;48(1869–1876):20170421. https://doi.org/10.1161/STROKEAHA.116.016225.

Article  Google Scholar 

Mazighi M, Richard S, Lapergue B, et al. Safety and efficacy of intensive blood pressure lowering after successful endovascular therapy in acute ischaemic stroke (BP-TARGET): a multicentre, open-label, randomised controlled trial. Lancet Neurol. 2021;20(265–274):20210226. https://doi.org/10.1016/S1474-4422(20)30483-X.

Article  Google Scholar 

LowhagenHenden P, Rentzos A, Karlsson JE, et al. Hypotension during endovascular treatment of ischemic stroke is a risk factor for poor neurological outcome. Stroke. 2015;46(2678–2680):20150714. https://doi.org/10.1161/STROKEAHA.115.009808.

Article  CAS  Google Scholar 

Petersen NH, Ortega-Gutierrez S, Wang A, et al. Decreases in blood pressure during thrombectomy are associated with larger infarct volumes and worse functional outcome. Stroke. 2019;50(1797–1804):20190604. https://doi.org/10.1161/STROKEAHA.118.024286.

Article  Google Scholar 

Pikija S, Trkulja V, Ramesmayer C, et al. Higher blood pressure during endovascular thrombectomy in anterior circulation stroke is associated with better outcomes. J Stroke. 2018;20(373–384):20180930. https://doi.org/10.5853/jos.2018.01305.

Article  Google Scholar 

Jansen IGH, Mulder M, Goldhoorn RB, et al. Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN registry). BMJ. 2018;360(k949):20180309. https://doi.org/10.1136/bmj.k949.

Article  Google Scholar 

John S, Hazaa W, Uchino K, et al. Lower intraprocedural systolic blood pressure predicts good outcome in patients undergoing endovascular therapy for acute ischemic stroke. Interv Neurol. 2016;4(151–157):20160225. https://doi.org/10.1159/000444098.

Article  Google Scholar 

van der Steen W, van der Ende NA, van Kranendonk KR, et al. Timing of symptomatic intracranial hemorrhage after endovascular stroke treatment. Eur Stroke J. 2022;7(393–401):20220803. https://doi.org/10.1177/23969873221112279.

Article  Google Scholar 

Almqvist H, Holmin S, Mazya MV. Dual energy CT after stroke thrombectomy alters assessment of hemorrhagic complications. Neurology. 2019;93:e1068–75. https://doi.org/10.1212/WNL.0000000000008093.

Article  PubMed  Google Scholar 

Chen M, Kronsteiner D, Pfaff J, et al. Hemodynamic status during endovascular stroke treatment: association of blood pressure with functional outcome. Neurocrit Care. 2021;35(825–834):20210617. https://doi.org/10.1007/s12028-021-01229-w.

Article  Google Scholar 

Chen M, Kronsteiner D, Mohlenbruch MA, et al. Individualized blood pressure management during endovascular treatment of acute ischemic stroke under procedural sedation (INDIVIDUATE)—an explorative randomized controlled trial. Eur Stroke J. 2021;6(276–282):20210304. https://doi.org/10.1177/23969873211000879.

Article  Google Scholar 

Maier B, Gory B, Chabanne R, et al. Effect of an individualized versus standard blood pressure management during mechanical thrombectomy for anterior ischemic stroke: the DETERMINE randomized controlled trial. Trials. 2022;23(598):20220726. https://doi.org/10.1186/s13063-022-06538-9.

Article  Google Scholar 

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