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Research ArticleNeurointervention

Even Small Decreases in Blood Pressure during Conscious Sedation Affect Clinical Outcome after Stroke Thrombectomy: An Analysis of Hemodynamic Thresholds

M.K. Whalin, K.M. Halenda, D.C. Haussen, L.C. Rebello, M.R. Frankel, R.Y. Gershon and R.G. Nogueira
American Journal of Neuroradiology February 2017, 38 (2) 294-298; DOI: https://doi.org/10.3174/ajnr.A4992
M.K. Whalin
aFrom the Departments of Anesthesiology (M.K.W., R.Y.G.)
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K.M. Halenda
cDiscovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia
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D.C. Haussen
bNeurology (D.C.H., L.C.R., M.R.F., R.G.N.)
dthe Marcus Stroke and Neuroscience Center (D.C.H., L.C.R., M.R.F., R.G.N.), Grady Memorial Hospital, Atlanta, Georgia.
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L.C. Rebello
bNeurology (D.C.H., L.C.R., M.R.F., R.G.N.)
dthe Marcus Stroke and Neuroscience Center (D.C.H., L.C.R., M.R.F., R.G.N.), Grady Memorial Hospital, Atlanta, Georgia.
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M.R. Frankel
bNeurology (D.C.H., L.C.R., M.R.F., R.G.N.)
dthe Marcus Stroke and Neuroscience Center (D.C.H., L.C.R., M.R.F., R.G.N.), Grady Memorial Hospital, Atlanta, Georgia.
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R.Y. Gershon
aFrom the Departments of Anesthesiology (M.K.W., R.Y.G.)
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R.G. Nogueira
bNeurology (D.C.H., L.C.R., M.R.F., R.G.N.)
dthe Marcus Stroke and Neuroscience Center (D.C.H., L.C.R., M.R.F., R.G.N.), Grady Memorial Hospital, Atlanta, Georgia.
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American Journal of Neuroradiology: 38 (2)
American Journal of Neuroradiology
Vol. 38, Issue 2
1 Feb 2017
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Cite this article
M.K. Whalin, K.M. Halenda, D.C. Haussen, L.C. Rebello, M.R. Frankel, R.Y. Gershon, R.G. Nogueira
Even Small Decreases in Blood Pressure during Conscious Sedation Affect Clinical Outcome after Stroke Thrombectomy: An Analysis of Hemodynamic Thresholds
American Journal of Neuroradiology Feb 2017, 38 (2) 294-298; DOI: 10.3174/ajnr.A4992

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Even Small Decreases in Blood Pressure during Conscious Sedation Affect Clinical Outcome after Stroke Thrombectomy: An Analysis of Hemodynamic Thresholds
M.K. Whalin, K.M. Halenda, D.C. Haussen, L.C. Rebello, M.R. Frankel, R.Y. Gershon, R.G. Nogueira
American Journal of Neuroradiology Feb 2017, 38 (2) 294-298; DOI: 10.3174/ajnr.A4992
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  • Association between anesthesia modality and clinical outcomes following endovascular stroke treatment in the extended time window
  • Monitored anesthesia care during mechanical thrombectomy for stroke: need for data-driven and individualized decisions
  • Blood Pressure During Endovascular Treatment Under Conscious Sedation or Local Anesthesia
  • A 10% blood pressure drop from baseline during mechanical thrombectomy for stroke is strongly associated with worse neurological outcomes
  • A dedicated cerebrovascular anesthesia team is a critical component of a comprehensive stroke center
  • GASS Trial study protocol: a multicentre, single-blind, randomised clinical trial comparing general anaesthesia and sedation during intra-arterial treatment for stroke
  • Conscious sedation or local anesthesia during endovascular treatment for acute ischemic stroke
  • A decrease in blood pressure is associated with unfavorable outcome in patients undergoing thrombectomy under general anesthesia
  • Anesthesia-Related Outcomes for Endovascular Stroke Revascularization: A Systematic Review and Meta-Analysis
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  • Decreases in Blood Pressure During Thrombectomy Are Associated With Larger Infarct Volumes and Worse Functional Outcome
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  • A decrease in blood pressure is associated with unfavorable outcome in patients undergoing thrombectomy under general anesthesia
    Kilian M Treurniet, Olvert A Berkhemer, Rogier V Immink, Hester F Lingsma, Vivian M C Ward-van der Stam, Markus W Hollmann, Jaap Vuyk, Wim H van Zwam, Aad van der Lugt, Robert J van Oostenbrugge, Diederik W J Dippel, Jonathan M Coutinho, Yvo B W E M Roos, Henk A Marquering, Charles B L M Majoie
    Journal of NeuroInterventional Surgery 2018 10 2
  • Blood Pressure Thresholds and Neurologic Outcomes After Endovascular Therapy for Acute Ischemic Stroke
    Mads Rasmussen, Silvia Schönenberger, Pia Löwhagen Hendèn, Jan B. Valentin, Ulrick S. Espelund, Leif H. Sørensen, Niels Juul, Lorenz Uhlmann, Søren P. Johnsen, Alexandros Rentzos, Julian Bösel, Claus Z. Simonsen
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    J. Robert Sneyd, Pedro L. Gambus, Ann E. Rigby-Jones
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    Alejandro A Rabinstein, Gregory W Albers, Waleed Brinjikji, Sebastian Koch
    International Journal of Stroke 2019 14 1
  • Association of Blood Pressure With Outcomes in Acute Stroke Thrombectomy
    Konark Malhotra, Nitin Goyal, Aristeidis H. Katsanos, Angeliki Filippatou, Eva A. Mistry, Pooja Khatri, Mohammad Anadani, Alejandro M. Spiotta, Else Charlotte Sandset, Amrou Sarraj, Georgios Magoufis, Christos Krogias, Lars Tönges, Apostolos Safouris, Lucas Elijovich, Mayank Goyal, Adam Arthur, Andrei V. Alexandrov, Georgios Tsivgoulis
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