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Research ArticleINTERVENTIONAL

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 November 2016, DOI: https://doi.org/10.3174/ajnr.A4992
M.K. Whalin
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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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K.M. Halenda
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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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D.C. Haussen
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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.G. Nogueira
From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the 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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Article Information

DOI 
https://doi.org/10.3174/ajnr.A4992
PubMed 
27811133

Published By 
American Journal of Neuroradiology
Print ISSN 
0195-6108
Online ISSN 
1936-959X
History 
  • Published online November 3, 2016.

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  • You are currently viewing a Latest version of this article (November 3, 2016 - 07:30).
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Copyright & Usage 
© 2017 American Society of Neuroradiology

Author Information

  1. M.K. Whalin,
  2. K.M. Halenda,
  3. D.C. Haussen,
  4. L.C. Rebello,
  5. M.R. Frankel,
  6. R.Y. Gershon and
  7. R.G. Nogueira
  1. From the Departments of Anesthesiology (M.K.W., R.Y.G.) and Neurology (D.C.H., L.C.R., M.R.F., R.G.N.) and Discovery Program (K.M.H.), Emory University School of Medicine, Atlanta, Georgia; and the Marcus Stroke and Neuroscience Center (D.C.H., L.C.R., M.R.F., R.G.N.), Grady Memorial Hospital, Atlanta, Georgia.
  1. Please address correspondence to Raul G. Nogueira, MD, 49 Jesse Hill Jr Drive SE, Room 333, Atlanta, GA 30303; e-mail: raul.g.nogueira{at}emory.edu

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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 Nov 2016, 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 Nov 2016, DOI: 10.3174/ajnr.A4992
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  • 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
  • European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischemic Stroke
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  • Anesthesia-Related Outcomes for Endovascular Stroke Revascularization: A Systematic Review and Meta-Analysis
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