Pressure control systems and methods

A system an annular sleeve configured to be positioned in an annular space between a first annular component and a second annular component of a drilling system. The annular sleeve includes a radially-inner annular surface and a radially-outer annular surface. The annular sleeve also includes a first annular seal element coupled to the radially-inner annular surface and configured to seal against the first annular component, a second annular seal element coupled to the radially-outer annular surface and configured to seal against the second annular component, and one or more axially-extending passageways extending from a first end to a second end of the annular sleeve. The annular sleeve is configured to direct a fluid flow through the one or more axially-extending passageways across the annular sleeve.