E-136 Blood Pressure Management 24 Hours after Mechanical Thrombectomy for Acute Ischemic Stroke

Abstract

outcomes in a center that receives patients from rural and underserved areas. We retrospectively reviewed the electronic medical record of 38 patients admitted to Sanford Health Cerebrovascular Service in Fargo, ND between March 2015 and May 2017 who underwent endovascular intervention for acute ischemic stroke secondary to a small caliber vessel occlusion. An average change in National Institutes of Health Stroke Scale (NIHSS) score of 4.94 was observed after intervention with mechanical thrombectomy with 26.31% of patients having a decrease in NIHSS of 10 or more and 36.84% of patients having a reduction of 6 or more. Successful recanalization was achieved in 94.74% of cases. Given the high rates of revascularization and significant reductions in NIHSS scores, mechanical thrombectomy may be reasonably extended to patients with occlusion of smaller, more distal vessels.