Bilateral carotid atherosclerosis without plaque and cerebral ischemic foci need to be combined with other cardiovascular and cerebrovascular disease risk factor scores for reasonable prevention, most do not need to take aspirin for a long time, pay attention to the control of cerebrovascular disease risk factors, and regular review.
When there is no plaque and ischemic foci, generally do not need to take aspirin for a long time, regular review of bilateral carotid artery vascular ultrasound, observation of its changes, and pay attention to the control of blood pressure, blood glucose, lipids and other risk factors for cerebrovascular disease, smoking cessation and limitation of alcohol can be.
However, if the patient has bilateral carotid atheromatous plaques, or a clear cerebral infarction foci, it is necessary to take aspirin, atorvastatin for secondary prevention treatment.