Intraarterial Nimodipine Versus Induced Hypertension for Delayed Cerebral Ischemia: A Modified Treatment Protocol.
Miriam WeissWalid AlbannaCatharina Conzen-DilgerNick KastenholzKatharina SeyfriedHani RidwanMartin WiesmannMichael VeldemanTobias Philip SchmidtMurad MegjhaniHenna Schulze-SteinenHans ClusmannMarinus Johannes Hermanus AriesSoojin ParkGerrit Alexander SchubertPublished in: Stroke (2022)
Assuming the potential of iHTN to be exhausted in case of refractory hypoperfusion, additional IAN may serve as a last-resort measure to bridge hypoperfusion in the DCI phase. With close monitoring, preemptive lowering of pressure target after induction of IAN may be a safe alternative to alleviate total noradrenaline load and potentially reduce complication rate.