Is it necessary to have a cerebral angiogram for a minor cerebral infarction?

Patients with cerebral infarction do not necessarily have an angiogram.

You have two options:

1.Conservative**: Risk factors for cerebrovascular disease, such as hypertension, diabetes, hyperlipidemia, heart disease, etc., should be investigated and targeted**.

If there are no of the above risk factors, prevention should be carried out according to the risk factors of arteriosclerosis, such as low-salt and low-fat diet, appropriate exercise, and stable mood. **Aspect: If there is no gastrointestinal tract and other diseases that cause bleeding, it is recommended to add aspirin for long-term prophylaxis.

B vitamins (such as B1, B6, methylcobalamin) can also be taken to nourish the nerves, and Ginkgo biloba capsules to improve circulation.

2.Active**: Angiography is performed to check whether the blood vessels are narrowed, if there is severe stenosis, and to prepare for further surgery such as stents. Postoperatively, long-term anticoagulation**.

In terms of effect, as long as there are no obvious complications in the positive, the effect will be better than that of the conservative. However, considering the patient's current state, there is a mild cognitive impairment, which may not have much impact on life, and if the patient and family can accept the current state, they can choose to be conservative**. After all, stents can only target the narrowing of blood vessels that exist now, and they are powerless for future stenosis.

In the future, we need to do a good job of prevention.

Cerebral infarction is due to cerebral atherosclerosis, vascular intimal damage narrows the lumen of the cerebral artery, and then due to a variety of factors, local thrombosis is formed, which aggravates or completely occludes the artery, resulting in ischemia and hypoxia of brain tissue.

Does angiography need to be hospitalized, coronary heart disease has become a very common disease in today's society, not only in some elderly people, but even more in young people, but in fact, heart disease is not very easy to treat, and professional methods such as angiography are needed, now let's find out whether angiography needs to be hospitalized.

Does angiography require hospitalization

Cardiogram is a test that measures the blood flow in the coronary arteries. It is necessary to consider the observation of hospitalization for 2 to 3 days, which is also responsible for your own health, and the hospital wants the patient to stay for a few days and observe, which is all for safety reasons. Cardiography is an invasive procedure, but the incision is small, if the cardiogram is not a big problem, the hospital stay is short, and if the cardiogram requires a stent, it needs to be observed in the hospital for a period of time.

What to look out for in an angiogram

1. For cardiovascular diseases, it is necessary to pay attention to timely relief of pressure, especially the effect of cardiovascular angiography, which is generally after puncture femoral arteries, venous problems and other conditions, and then especially the need to relieve cardiovascular pressure. Appropriate. Eating some healthy food and stopping the bleeding in time is also necessary.

2. After that, for the body's heart rate, respiration, blood pressure and other problems, you can also use intravenous fluids appropriately to promote physical recovery. After that, you need to pay attention to protect your kidneys and eat more healthy fruits and vegetables.

Blood vessels are used to transport blood, and our body can function properly only if the blood vessels are normal. Usually pay attention not to eat fat and salt content when eating, because these foods will increase the burden on blood vessels, if my blood vessels can't afford it that day, it will collapse and there will be diseases, so you must pay attention to a healthy diet.

Is it necessary to do an angiogram

Angiography is not only a test method, but also can be used for vascular diseases, i.e. interventional radiology**, perivascular diseases, aneurysms, knee lesions, aortic arch lesions, vascular steadosis, and arterial dilation or stenting may be performed at the same time when a blood vessel is narrowed or blocked during the angiogram examination. Endovascular repair of aneurysms is done with arteriography. For the preoperative diagnosis of vascular diseases, arteriography is rarely used directly, and arteriography is more often used for vascular examination and ** at the same time.

Does angiography require hospitalization

Angiography requires hospitalization**. Angiography is divided into 3 points according to different parts: point 1, aorta, iliac artery dissection, often need to be angiogrammed, because the disease is critical, it needs to be examined under the supervision of a doctor and **, more choose femoral artery for puncture angiography, clear diagnosis.

The second point is brain diseases, which are commonly malignant tumors of the brain, rupture and hemorrhage of cerebral blood vessels, and cerebral aneurysms. Patients often present with neurological changes that require hospitalization** and testing. Point 3, coronary heart disease, coronary atherosclerosis, often requires contrast in the cardiology department.

1. Is this imaging divided into unilateral and whole-brain?

Whole brain angiography is just the name of a surgical examination, there is no distinction between unilateral and whole brain, not as you think, there will be a difference**. If there is social security, the individual will have to bear more than 1,000 yuan after reimbursement.

2.What tests should I do if I need further confirmation of my condition?

MRA, like CTA, is only a non-invasive examination method, mainly used for screening, but if the problem is found, DSA cerebral angiography is needed to clarify the degree of narrowing of the vascular lumen to guide the best plan.

MRA and CTA can detect stenosis and distinguish mild, moderate, and severe stenosis, but it is necessary to clarify the specific percentage of stenosis, which has not yet reached the level of DSA, and it is believed that it will be reached in the near future.

Recommendation: If clinically appropriate symptoms are present, further DSA testing is necessary.

If no symptoms are present, the MRA shows mild stenosis, and for the time being, the MRA or CTA can be reviewed at regular intervals. MRI shows moderate to severe stenosis, and DSA whole-brain angiography is recommended for further progress.

I am an interventional doctor, so if you still have questions, you can always continue to ask questions.

Hello, combined with the patient's situation, cerebral angiography mainly needs to see whether the blood vessels are unobstructed and whether there are infarct lesions, followed by the risk of cardiovascular and cerebrovascular accidents and thrombosis.

1. The interventional catheter may damage the inner wall of the blood vessel and cause the formation of thrombotic bands;

2. The developer is not good for the human body, and it takes 3 months to completely decompose and excrete from the body;

3. Doing 64-row CT examination can also find out cerebrovascular problems.

What I said upstairs is all right, but I add two points: 1. Cerebral thrombosis; 2. Cerebral vasospasm.

Confused Shepherd: That's a good point.

But what we're most afraid of is thrombosis, bubbles.

(1) Spontaneous subarachnoid hemorrhage is mostly caused by intracranial aneurysm or vascular malformation. In order to confirm the diagnosis and to be timely**, cerebral angiography must be done.

2) Patients with frequent cerebral infarctions, looking for the blood vessels of criminals.

3) In the case of emergency cerebral infarction within the thrombolytic time, thrombolysis can be performed directly in the diseased artery after whole brain angiography, and the effect is very ideal.

4) Patients with insufficient cerebral blood supply for various reasons, find out the cause for follow-up**.

5) Patients with cerebral hemorrhage who have indications for surgical rescue, such as the location of the hematoma is not clear, need to do cerebral angiography.

6) When a patient with a brain tumor has a stroke and cannot be distinguished from cerebral hemorrhage or cerebral infarction, cerebral angiography can also be considered to help the differential diagnosis.

7) Angiography should be performed before surgery for patients with stented surgery when the internal carotid artery is occluded by arteriosclerosis in the external carotid segment.