作者
Hyo Suk Nam,Young Dae Kim,JoonNyung Heo,Hyung Woo Lee,Jin Tae Jung,Jin Kyo Choi,Il‐Hyung Lee,In Hwan Lim,Seong Wook Hong,Minyoul Baik,Byung Moon Kim,Dong Joon Kim,Na‐Young Shin,Bang-Hoon Cho,Seong Hwan Ahn,Hyungjong Park,Sung Il Sohn,Jeong‐Ho Hong,Tae‐Jin Song,Yoonkyung Chang,Gyu Sik Kim,Kwon–Duk Seo,Kijeong Lee,Joon-Hyuk Chang,Jung Hwa Seo,Sukyoon Lee,Jang‐Hyun Baek,Han‐Jin Cho,Dong Hoon Shin,Jinkwon Kim,Joonsang Yoo,Ki Young Lee,Yo Han Jung,Younghun Hwang,Chi Kyung Kim,Jae Guk Kim,Sungha Park,Sungha Park,Hye Sun Lee,Sun U. Kwon,Oh Young Bang,Craig S. Anderson,Ji Hoe Heo,So Young Jeon,Solji Choi,Young Hyeh Ko,Hyemi Lee,Mi Hee Kim,Suk-Won Song,Han Sol Oh,Heejeong Kim,One-Moon Chang,Gui‐Ae Jeong,Minsuok Kim,Hyun Jung Shin,Su-Jin Han,Hyemin Jeong,A Young Kim,Joohee Bang,John Shin,Jin Suk Bae
摘要
Importance Optimal blood pressure (BP) control after successful reperfusion with endovascular thrombectomy (EVT) for patients with acute ischemic stroke is unclear. Objective To determine whether intensive BP management during the first 24 hours after successful reperfusion leads to better clinical outcomes than conventional BP management in patients who underwent EVT. Design, Setting, and Participants Multicenter, randomized, open-label trial with a blinded end-point evaluation, conducted across 19 stroke centers in South Korea from June 2020 to November 2022 (final follow-up, March 8, 2023). It included 306 patients with large vessel occlusion acute ischemic stroke treated with EVT and with a modified Thrombolysis in Cerebral Infarction score of 2b or greater (partial or complete reperfusion). Interventions Participants were randomly assigned to receive intensive BP management (systolic BP target <140 mm Hg; n = 155) or conventional management (systolic BP target 140-180 mm Hg; n = 150) for 24 hours after enrollment. Main Outcomes and Measures The primary outcome was functional independence at 3 months (modified Rankin Scale score of 0-2). The primary safety outcomes were symptomatic intracerebral hemorrhage within 36 hours and death related to the index stroke within 3 months. Results The trial was terminated early based on the recommendation of the data and safety monitoring board, which noted safety concerns. Among 306 randomized patients, 305 were confirmed eligible and 302 (99.0%) completed the trial (mean age, 73.0 years; 122 women [40.4%]). The intensive management group had a lower proportion achieving functional independence (39.4%) than the conventional management group (54.4%), with a significant risk difference (−15.1% [95% CI, −26.2% to −3.9%]) and adjusted odds ratio (0.56 [95% CI, 0.33-0.96]; P = .03). Rates of symptomatic intracerebral hemorrhage were 9.0% in the intensive group and 8.1% in the conventional group (risk difference, 1.0% [95% CI, −5.3% to 7.3%]; adjusted odds ratio, 1.10 [95% CI, 0.48-2.53]; P = .82). Death related to the index stroke within 3 months occurred in 7.7% of the intensive group and 5.4% of the conventional group (risk difference, 2.3% [95% CI, −3.3% to 7.9%]; adjusted odds ratio, 1.73 [95% CI, 0.61-4.92]; P = .31). Conclusions and Relevance Among patients who achieved successful reperfusion with EVT for acute ischemic stroke with large vessel occlusion, intensive BP management for 24 hours led to a lower likelihood of functional independence at 3 months compared with conventional BP management. These results suggest that intensive BP management should be avoided after successful EVT in acute ischemic stroke. Trial Registration ClinicalTrials.gov Identifier: NCT04205305