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. 2020 Jan 27;77(5):1–10. doi: 10.1001/jamaneurol.2019.4838

Table 2. Comparison of Hemodynamic Variables Stratified According to Randomization.

Hemodynamic Variables Mean (SD) P Value
General Anesthesia (n = 182) Procedural Sedation (n = 183)
Baseline values, mm Hg
SBP 162 (25) 165 (27) .31
MABP 111 (16) 113 (18) .49
Periprocedural variables, mm Hg
MABP during procedure 96 (10) 100 (11) .01
SBP during procedure 143 (15) 149 (17) .15
Minimum MABP during procedure 76 (14) 86 (15) .04
Maximum MABP during procedure 120 (15) 119 (16) .83
Minimum SBP during procedure 111 (21) 126 (23) .10
Maximum SBP during procedure 178 (21) 176 (23) .38
No. of patients and time less than specified MABP and SBP thresholds during procedure
20% Drop in MABP during procedure, No. (%) 143 (79) 93 (51) <.001
20% Drop in SBP during procedure, No. (%) 140 (77) 90 (49) <.001
Patients with systolic blood pressure less than 140 mm Hg, No. (%) 167 (92) 132 (72) <.001
Patients with MABP <90 mm Hg, No. (%) 148 (81) 106 (58) <.001
Cumulated time with MABP <90 mm Hg, min 35 (37) 24 (32) .11
Longest continuous episode with MABP <90 mm Hg, min 24 (27) 17 (24) .05
Patients with MABP <80 mm Hg, No. (%) 109 (60) 56 (31) <.001
Cumulated time with MABP <80 mm Hg, min 15 (20) 9 (18) .12
Longest continuous episode with MABP 80 mm Hg, min 11 (13) 6 (13) .06
Patients with MABP <70 mm Hg, No. (%) 58 (32) 26 (14) <.001
Cumulated time with MABP <70 mm Hg, min 5 (10) 2 (8) .07
Longest continuous episode with MABP <70 mm Hg, min 4 (6) 2 (6) .046
No. of patients and time greater than specified MABP thresholds during procedure
Patients with MABP >90 mm Hg, No. (%) 182 (100) 177 (97) .030
Cumulated time with MABP >90 mm Hg, min 75 (51) 87 (62) .33
Longest continuous episode with MABP >90 mm Hg, min 58 (47) 71 (57) .21
Patients with MABP >100 mm Hg, No. (%) 169 (93) 165 (90) .45
Cumulated time with MABP >100 mm Hg, min 43 (46) 58 (56) .14
Longest continuous episode with MABP >100 mm Hg, min 29 (38) 40 (45) .12
Patients with MABP >110 mm Hg 124 (68) 129 (70) .65
Cumulated time with MABP >110 mm Hg, min 18 (28) 27 (38) .06
Longest continuous episode with MABP >110 mm Hg, min 11 (19) 17 (25) .005
Blood pressure variability and use of vasopressors
Δ MABP, mm Hga 17.4 (12.1) 14.8 (12.9) .39
Use of vasopressors, No. (%) 180 (99) 108 (59) <.001

Abbreviations: EVT, endovascular therapy; Δ MABP, change in MABP; MABP, mean arterial blood pressure; SBP, systolic blood pressure.

a

Δ MABP was calculated as the difference between baseline MABP and the mean of all MABP values measured during the procedure. Cumulated time less than or greater than a given threshold is defined as the total cumulative duration of minutes less than or greater than the threshold during the EVT procedure. Longest continuous episode is defined as the longest continuous period in minutes less than or greater than a given threshold during the EVT procedure.