Carotid stenting

Not sure if this is the right category to ask this question. In our facility, the cardiologists are doing carotid stenting because the radiologists don't care to take it on. The cardiologists are accustomed to vessel intervention (PTCAs), so they won by default. After the procedure, with femoral sheath in place, the patient must lay flat until the sheath is safely removed and the vessel is stable before allowing the patient to sit up. In the meantime, we have orders to maintain the BP >100syst. We have noticed that many of these patients drop their BP after the procedure and we have to start Dopamine. Almost all of these patients are on beta-blockers that they take in the AM before coming in. Then the docs wonder why the BP drops after they've mucked around with those baroreceptors Anybody else have similar problems and how do you manage it? I've suggested numerous times that they tell the patients to not take the beta-blocker that AM before the procedure, but nobody seems to be listening.

Not sure if this is the right place to ask, but looking for input on carotid stent care. Where do most of the carotid stent patients go post op at different facilities? Currently ours go to the ICU but we are bursting at the seams with patients so looking for the best practice for this population. would love to hear from anybody out there what their practice is.