Questions about severe stenosis of the middle cerebral artery

I'm a doctor, so I suggest you do it anyway.

It is indeed expensive, but the relief effect is better, and the ones you eat are hypolipidemic and anticoagulant.

And atherosclerosis is still relatively difficult to be completely relieved by medication (I personally think it is almost impossible to relieve), so if it is severe stenosis, it is still recommended that you do it, after all, if it is completely blocked.

That would be a cerebral infarction, big or small.

It's better to have this economic strength.

If the economic situation allows it, it is recommended to do it. After all, severe stenosis cannot be improved by taking medicine, and placing a stent can directly improve the state of vascular stenosis, and with preventive measures, it should have a good effect.

The high cost of stents and the need to maintain them with long-term medication are of course problematic, so they must be considered only if the financial situation allows.

Fortunately, there are no symptoms, once the symptoms are irreversible, before the brain tissue does not die of ischemia and hypoxia, it is recommended to do stent surgery as soon as possible, whether it is money or health is important, measure it yourself, only tell you that it is a matter of time before symptoms appear, and only a stent can be prevented.

Definitely put a stent, conservative ** can only be conservative for a period of time, it's okay, with age, the blood vessels will continue to age, and the risk of doing it will be greater at that time, anyway, it is maintained by taking medicine for a long time, and you can have a better prognosis, why not improve your quality of life.

For long-term use, in the case of aspirin, enteric-coated capsules are recommended.

Occasionally, he has dizziness once or twice, and his left arm is heavy and --- does not obey calls

Massage for a while and talk about how you feel ---

- Non-professional life.

I'm a doctor who does stents.

It is recommended to do.

Dr. Jiao Liqun replied.

Your symptoms are consistent with the imaging examination, it is indeed left middle cerebral artery stenosis, for this kind of disease, we Chinese do have more occurrence, please pay attention to a few points:

2. From the ** point of view, you are only 36 years old, male, I don't know if this is the case, if so, the ** of this disease is not necessarily arteriosclerosis, it may be related to inflammation or other immune factors, the exact cause is not very clear, of course, if you have the high blood pressure, smoking, drinking, etc. mentioned above, it is still possible to consider arteriosclerosis.

3. As mentioned above, this is very important for the selection of **, if it is arteriosclerosis, the efficacy of the stent is still relatively satisfactory, but if not, it may be occluded again soon after the stent, which is not very suitable.

4. Judging from the current situation, if you have not taken medicine regularly before, it is recommended that you take aspirin 100mg once a day regularly, which can be supplemented with some statins, and observe for three months.

5. There are some doctors in your area who are more reliable, and you can find these doctors for treatment, including Dr. Daniel Zhang and Dr. Wang Song of the Department of Neurology of the Youth Medical Affiliated Hospital, all of whom have deep knowledge in this field.

In this case, pay attention to the infusion of gastrodin for conditioning. At the same time, attention should be paid to the conditioning of blood congestion. Pay attention to blood pressure control.

Once diagnosed, it should be timely ** is the key to recovering health, and you should usually try to eat less spicy and irritating food, don't drink alcohol, avoid getting angry in a hurry, etc., which can better alleviate your symptoms.

Hello, glad you Pippi question.

Weifang People's Hospital is already the strongest hospital in Weifang City, Shandong Province for carotid artery stenosis angioplasty and stent implantation.

Zhao Tingchang, chief physician of the Department of Radiation Ignition and Ignition of Weifang People's Hospital, is the director of the Weifang Interventional Medicine Professional Committee, the deputy director of the Interventional Radiology Committee of the Shandong Medical Imaging Research Association, and a very strong expert in Shandong Province.

There are absolute contraindications to carotid artery angioplasty and stent placement (CAS).

1.carotid artery adherent wall thrombosis;

2.lesions that cannot be reached by endoluminal methods (severe distortion of the aortic arch branches, no suitable introduction artery, special anatomy of the aortic arch);

3.severe stenosis (99%);

4.Lesions near the aortic aneurysm.

Patients may have absolute contraindications and cannot undergo carotid artery stenosis angioplasty and stent implantation, so it is recommended to consult Director Zhao directly.

Hope it helps.

Cerebrovascular stenosis is an important risk factor for cerebral ischemic cerebrovascular disease, and whether the moderate stenosis of cerebral vessels is severe is related to the location of the stenosis. For example, if the middle cerebral artery is stenosis, the first choice is the drug**, and oral antiplatelet drugs, such as aspirin, Plavix, etc.

It is also necessary to control risk factors, which include blood pressure, blood sugar, lipids, fibrinogen, homocysteine, etc., within reasonable limits. Surgery may be considered for patients who do not respond to conservatively**, and for moderate carotid artery stenosis, such as plaque detachment, progressive stenosis, and obvious symptoms, surgery**, stent placement, or endovascular decortication may be considered. Moderate vertebrobasilar stenosis is also preferred**, and surgery may be considered if necessary**.

Severe cerebral vascular stenosis is due to cerebral atherosclerosis, diabetes, hypertension, hyperlipidemia, cigarette addiction, obesity leading to vascular damage, plaque formation and cerebrovascular lumen stenosis, should be used under the guidance of a doctor antithrombosis**, the most important is long-term use of aspirin or Plavix, with anti-platelet aggregation effect, ** and prevent the occurrence of cerebral infarction. To actively control diabetes, oral hypoglycemic drugs, severe use of insulin, diabetes is an independent risk factor for cerebral vascular stenosis. Controlled hypertension can lead to vitreous degeneration of cerebral blood vessels, leading to narrowing of blood vessels.

To reduce excessive blood lipids, especially low-density lipoprotein, it can penetrate into the blood vessel wall and cause narrowing of the blood vessel wall. If the internal carotid artery and the middle cerebral artery are severely stenosis, transfemoral cerebral angiography and stents can be given, which can quickly alleviate the symptoms of cerebral ischemia caused by vascular stenosis.

This is how it should be done:

First, take medication normally;

Second, control your diet;

3. Exercise appropriately.

You should also have frequent check-ups and consult a doctor to control the condition.

It is recommended to drink some salvia tea, eat Panax notoginseng powder, strictly control fat intake, and insist on walking 8,000 steps a day.