Periprocedural blood pressure management in neurointerventional surgery
- 1Department of Neurologic Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA
- 2Department of Interventional Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts, USA
- 3Department of Interventional Neuroradiology, Department of Neurologic Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA
- Correspondence to Raul G. Nogueira, MD, Emory Faculty Office Building 80 Jesse Hill Dr. SE, Room 398, Atlanta, GA 30303; rnoguei{at}emory.edu
- Received 5 May 2010
- Accepted 5 May 2010
- Published Online First 22 October 2010
Abstract
With the increasing range of conditions currently amenable to endovascular therapies, the knowledge of periprocedural blood pressure management is essential for the neurointerventional surgeon. This review discusses the physiology of cerebral blood flow and blood pressure, monitoring options for neurointerventional patients, useful agents for blood pressure elevation and reduction and neuroanesthetic considerations during procedures with an emphasis on practical decision-making. Also included are parameters for conditions typically encountered in the neurointerventional suite based on best available evidence, with reference to blood pressure management before, during and after neurointerventional therapy.
Keywords:
- Blood pressure
- neurointerventional
- endovascular
- artery
- hemorrhage
- malformation
- angiography
- intervention
Footnotes
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Competing interests None.
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Provenance and peer review Commissioned; not externally peer reviewed.
