急性缺血性脑卒中机械取栓术后血压调控策略的研究进展

Research Progress of Blood Pressure Control Strategy after Mechanical Thrombectomy for Acute Ischemic Stroke

急性大血管闭塞是导致急性缺血性脑卒中患者遗留中重度残疾和死亡的最主要原因。近年来,机械取栓技术已成为治疗急性大血管闭塞性缺血性脑卒中的主要治疗手段,除了手术,围术期的血压管理也可能影响患者功能预后,特别是术后的血压管理是其中重要的可控因素之一。截止目前,关于急性大血管闭塞机械取栓术后的血压调控方案,尚未形成共识。本文对急性大血管闭塞性缺血性脑卒中患者机械取栓术后血压管理的相关内容进行了综述,旨在为机械取栓术后的血压管理提供参考。

Acute large vessel occlusion is the most critical cause of residual moderate to severe disability and death in patients with acute ischemic stroke. In recent years, mechanical embolization techniques have become the mainstay of treatment for acute large vessel occlusive ischemic stroke. In addition to surgery, perioperative blood pressure management may also affect the functional prognosis of patients, making it one of the key controllable factors as there is no consensus on the protocol for blood pressure management after mechanical embolization in acute ischemic large vessel occlusive stroke. This article reviews blood pressure management strategies after mechanical embolization for acute large vessel occlusive ischemic stroke, intending to provide a reference for blood pressure management after mechanical embolization.