Do patients with cerebral infarction need cerebral angiography?

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.

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.

(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.

Angiography is the introduction of iodine contrast media into the target blood vessels to visualize the target blood vessels for diagnostic purposes.