急性前循环大血管闭塞性卒中血管内治疗血压管理研究进展

Blood pressure management for acute large vessel occlusion stroke of the anterior circulation in endovascular treatment

近年来,血管内治疗(EVT)作为急性前循环大血管闭塞性卒中早期治疗的首选方法之一,在患者的术前评估、术中病变处理策略及围手术期的管理上均取得较多的研究进展,尤其在EVT后血压管理方面,开展了颇多研究。但由于目前尚缺乏关于EVT后血压管理的高质量随机对照试验,因此EVT围手术期血压管理策略尚不明确。笔者就当前EVT围手术期血压管理相关研究进行综述,旨在提高临床医师对EVT围手术期血压管理的认识,并为制定合适的血压管理策略提供理论支持。

In recent years,endovascular treatment(EVT),as one of the first-line treatments in the early treatment of acute large vessel occlusion stroke of the anterior circulation,has made great progress in the preoperative evaluation,intraoperative treatment strategy and perioperative management.Especially in the management of blood pressure after EVT,several studies have been published.However,due to the lack of high-quality randomized controlled trials,the optimal blood pressure strategy after endovascular treatment in acute ischemic stroke is not well established.This paper conducted a brief review of the blood pressure management after endovascular treatment for acute ischemic stroke.The purpose of this review is to promote the awareness of the clinicians and help to develop an appropriate strategy on the blood pressure management for endovascular treatment.