The new term for disease treatment since 2015 is precision treatment, so does the treatment of cerebral infarction adapt to this new concept? In fact, the treatment of cerebral infarction by experts has long been focused on the target of vascular opening, which is the only effective way to treat cerebral infarction in the acute stage, and other treatment methods have not yet become the general consensus of experts. In the past, although the precise “direction” was achieved, the precise “treatment” was still a little short of or less than the method. With the continuous development of medical technology, the means of treatment for cerebral infarction are also being constantly updated and developed. The disadvantage is that the opening rate of blood vessels after thrombolysis is relatively low. In contrast, arterial thrombolysis is highly reliable, but it is an invasive operation, which may cause damage to the arterial system, including the cerebral arteries, and must be performed under a digital subtractor. These hard conditions are a test for both doctors and patients. The advantage is that thrombolytic drugs are targeted, so the dosage of drugs is relatively small and more accurate. Secondly, many thrombolysis has not been effective, except for the factors such as the scope of embolism is too large and the dosage of thrombolytic drugs is relatively insufficient, the factor of embolism in a considerable number of patients is not the thrombus but the “hard” embolism blocked by the plaque on the vessel wall or the attached wall embolism, even if the dosage of thrombolytic drugs increases, it cannot dissolve such embolism. Instead, the increased dose of thrombolytic drugs may lead to fatal complications such as cerebral hemorrhage. In recent years, the interventional catheter technology has been innovated, and on the basis of arterial thrombolysis, the hard plaque that cannot be dissolved can be grasped to release the embolism blockage, and the clinical effect is very good, and more and more hospitals are carrying out this technology. Balloon dilation and stenting: For the limited stenosis of blood vessels, the local thrombosis caused by stenosis can be effectively lifted by balloon dilation and stenting. Endarterectomy: This technique is very common in Europe and the United States, and the number of cases of this procedure in China has been increasing year by year in recent years. It is suitable for operations with large stenoses, especially in large vessels in the neck. This technique can solve the hemodynamic disorders caused by stenosis more thoroughly, and more and more experts believe that the long-term results are better than stenting. In conclusion, the technology has evolved to the point where there is no longer a single means of opening a vessel available to the physician, and personally, I believe that it is more effective to implement a combination of treatments based on the patient’s condition after a systematic evaluation in the face of a patient.