Endovascular intervention for ischemic cerebrovascular disease

  What is ischemic cerebrovascular disease?  Ischemic cerebrovascular disease is mostly caused by narrowing of intracranial or extracranial cerebral blood vessels due to cerebrovascular atherosclerosis, including cerebral infarction, lacunar cerebral infarction, transient ischemic attack, etc.  A branch of the arterial blood vessel in the brain is blocked for some reason, resulting in the death of the brain tissue supplied by the branch due to ischemia and hypoxia, producing the corresponding manifestation, which is clinically called cerebral infarction.  Small softening foci formed due to hardening, narrowing and blockage of small arteries supplying deep brain tissues, generally less than 1.5 cm in diameter, are called lacunar cerebral infarction.  The functional impairment that occurs due to transient cerebral ischemia generally lasts from a few minutes to tens of minutes and disappears completely within 24 hours at most, leaving no sequelae, but can recur, which is called transient ischemic attack. Patients with transient ischemic attack often have recurrent attacks, and the more they commit, the more serious they become, and eventually about 30-50% of them will develop permanent infarction. Therefore, once it occurs, even though all the symptoms and signs disappear, it should be treated actively to prevent permanent infarction from occurring.  How to treat ischemic cerebrovascular disease?  There are more than a hundred kinds of drugs for the treatment of ischemic cerebrovascular disease, so you should ask your doctor to decide which drug to use for treatment according to your specific condition. It should be noted that drug therapy is only part of the treatment.  The development of endovascular interventions has provided a new approach to the treatment of intracranial and extracranial arterial stenosis with the emergence of endovascular cerebral angioplasty. Especially in recent years, the maturation of catheter technology, intraoperative and postoperative monitoring and the emergence of endovascular stent technology have gradually made endovascular intervention a less invasive, safe and effective treatment.