The common cause of carotid artery stenosis is the formation of plaque in the carotid artery, the choice of stenting or conservative treatment should be based on individual differences, disease conditions, clinical symptoms, etc. Generally, carotid artery stenosis <50%, without dizziness, aphasia, and other symptoms can be selected for pharmacological conservative treatment; stenosis is more severe ≥ 50% with obvious symptoms or stenosis ≥ 70%, carotid artery stenting can be considered.
1. Pharmacological conservative treatment: use of simvastatin, resuvastatin and other lipid-lowering drugs, aspirin, clopidogrel and other anti-platelet aggregation drugs to prevent further aggravation of plaque, generally applicable to carotid stenosis & lt; 50%, the degree of mild, without dizziness, numbness of the limbs, aphasia and other symptoms.
2. Carotid stenting: When the degree of stenosis is heavy ≥50% with symptoms such as dizziness, numbness of limbs, aphasia, etc. or when the stenosis is ≥70%, carotid stenting can be considered to open the blood vessels.
If the patient’s carotid artery stenosis blockage also need to target the cause of the treatment, treatment of hypertension, hyperlipidemia, hyperglycemia and other primary diseases, recommend that the patient to go to the hospital as early as possible to consult the doctor, follow the doctor’s instructions for treatment.