Thrombolysis for large cerebral infarction is ineffective, arterial thrombolysis, mechanical thrombolysis and symptomatic treatment can be carried out according to the specific situation.
1. Arterial thrombolysis: it refers to the injection of thrombolytic drugs directly into the responsible vascular occlusion via microcatheter under the monitoring of DSA and through endovascular intervention technology to achieve the purpose of vascular recanalization.
2. Arterial thrombolysis: it refers to the use of special devices such as retrievable stent or thrombus aspiration system to remove thrombus under the supervision of DSA and through endovascular interventional techniques to achieve the purpose of vascular recanalization. Mechanical thrombus extraction can be used when the onset of anterior circulation aortic occlusion is within 6 hours and when the onset of posterior circulation aortic occlusion is within 24 hours.
3. Symptomatic treatment: arterial thrombolysis and arterial thrombolysis have their corresponding indications and contraindications. If the above treatments cannot be carried out, only symptomatic treatment can be given to improve the circulation, lower the cranial pressure, brain protection and other treatments, and the serious cases may need to go to the bone flap decompression surgery and other treatments.
For patients with massive cerebral infarction with poor thrombolytic effect, it is recommended to follow the doctor’s advice to choose the appropriate method for further treatment.