Blood Pressure Peaks After Emergent Carotid Stenting Linked to Brain Bleeds in Some Patients

After thrombectomy with emergent carotid stenting for tandem lesions, recurrent systolic blood pressure peaks >140 mm Hg independently predicted symptomatic intracranial hemorrhage (sICH) in patients without known hypertension (adjusted OR, 7.45; 95% CI, 1.39-39.79), a multicent…

• This retrospective, multicenter study analyzed 217 patients with anterior-circulation tandem lesions who underwent mechanical thrombectomy and emergent carotid stenting.
• The association between postprocedural systolic blood pressure peaks and sICH was strong and independent in patients without pre-existing hypertension, but not significant in those with a history of hypertension (adjusted OR, 3.03; 95% CI, 0.61-15.20; P=.18).
• The study is exploratory and cannot exclude reverse causality; the authors call for prospective validation with standardized, time-stamped data.

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