Precautions after stent-assisted embolization of intracranial aneurysms

  The following is only suitable for those patients who have stents placed during interventional treatment, but patients with simple spring coil embolization generally do not need to take antiplatelet drugs, and other precautions are the same.  A. Anti-platelet drugs, if a stent is placed when embolizing an aneurysm, anti-platelet drugs must be taken, including: 1. 100 mg of aspirin each time, once a day, after meals (in order to reduce the side effects of stimulation of the digestive tract), it is generally recommended to take small doses of aspirin (100 mg) for life, small doses of aspirin have fewer side effects and are beneficial to patients with cerebrovascular and cardiovascular sclerosis; 2. Patients with cerebrovascular and cardiovascular sclerosis will benefit from a low dose of aspirin; 2. 75 mg of clopidogrel (trade name Bolivar, or domestic Tega) once a day for 6 weeks after stenting, together with aspirin (unless the doctor specifically recommends a longer period of time); 3. Blood pressure control, generally to below 140/90 for hypertensive patients and below 130/85 for patients with combined diabetes.  4, oral anti-platelet spasm drugs, such as nimodipine, need to be taken until 1 month after the brain hemorrhage.  Second, a healthy lifestyle, which is particularly important, includes quitting smoking, controlling blood sugar to treat diabetes, lowering blood lipids to avoid a high-fat diet, controlling body weight, and exercising properly.  Third, there are sudden headache, nausea and vomiting, hemiplegia, aphasia, hemianesthesia, unstable walking, black haze, facial palsy and other symptoms of cerebral hemorrhage or cerebral ischemia need to call 120 immediately and go to the hospital emergency room immediately. To prevent recurrent bleeding of aneurysm or cerebral ischemia. General symptoms of dizziness can be reviewed on an outpatient basis.  Fourth, pay attention to the observation of discharge summary and regular review at the outpatient clinic to detect the recurrence of aneurysm in time.