Abstract Details

Title Admission Blood Pressure and Outcome after Successful Recanalization: a collaborative pooled analysis

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P5 - Poster Session 5 (5:30 PM-6:30 PM)

Poster/Presentation
Number 3-009

Objective

To investigate the association between admission BP and 90-day functional outcome.

Background There is a considerable evidence supporting the association between admission blood pressure (BP) and outcome of ischemic stroke. However, the association between admission BP and the outcome in patients who achieve successful recanalization with mechanical thrombectomy is unknown.

Design/Methods

Patients were pooled from 9 endovascular databases that included

consecutive patients with anterior circulation large vessel occlusion treated with mechanical thrombectomy (MT). Inclusion criteria were baseline modified Rankin Scale (mRS) 0-2, Alberta Stroke Program Early CT scan (ASPECT) score >=6, and modified Tissue in Cerebral Infarction score >=2 b at the end of the procedure. BP measurements at admission included systolic BP (SBP) and diastolic BP (DBP). Admission mean arterial pressure (MAP) and pulse pressure (PP) were calculated from admission SBP and DBP for each patient.

Results

A total of 1077 patients were included in the study, of whom 506 (47%) patients had good outcome (mRS 0-2) at 90 days. There were no significant differences in SBP, DBP, MAP, and PP between the good outcome and the poor outcome groups. SBP, DBP, MAP, and PP were not associated with the good outcome on multivariate analysis after adjusting for potential confounders.

Conclusions

We did not find an association between admission BP and the good outcome in patients who were treated with mechanical thrombectomy ,and achieved successful recanalization

Authors/Disclosures
Mohammad Anadani, MD (Medical University of South Carolina) PRESENTER	Dr. Anadani has nothing to disclose.
Mohamad Orabi, MD (Medical University of South Carolina)	No disclosure on file
Nitin Goyal, MD (University of Tennessee HSC)	No disclosure on file
Fnu Abhi Pandhi, MD (UTHSC Dept of Neurology)	No disclosure on file
Hunter L. Mitchell, MD (University of Tennessee)	Dr. Mitchell has nothing to disclose.
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Ovais Inamullah, MD (Duke University Hospital)	Dr. Inamullah has nothing to disclose.
Shareena A. Rahman, MD (Duke Neurology)	Dr. Rahman has nothing to disclose.
Christa B. Swisher, MD (Duke University Medical Center)	Dr. Swisher has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for UCB.
Salah G. Keyrouz, MD (WUSM)	No disclosure on file
James A. Giles, MD (Yale School of Medicine)	Dr. Giles has received personal compensation for serving as an employee of Yale University. The institution of Dr. Giles has received research support from NIH/NINDS.
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Fabio Nascimento, MD (Washington University Medical School)	Dr. Nascimento has received publishing royalties from a publication relating to health care.
Luis Idrovo Freire, MD (Neurology 4 u ltd)	No disclosure on file

��ɫ��

��ɫ��