Patients with acute cerebral infarction due to severe stenosis of the vertebral artery usually need to be treated with medication first, and if medication is ineffective, surgery can be considered.
Severe stenosis of vertebral artery refers to the occurrence of vertebral artery, the degree of stenosis reaches 70% ~ 99% of the lumen narrowing, and the contralateral vertebral artery or collateral circulation fails to effectively compensate. Pharmacological treatment is generally recommended as the first choice for this condition, and only when standardized pharmacological treatment is ineffective will the need for surgical treatment be considered.
Commonly used surgical procedures include intra-arterial stenting and arterial balloon angioplasty, and the specific choice of which procedure should be made by the doctor according to the patient’s vascular behavior.
In addition, if the responsible vessel for acute cerebral infarction is the vertebral artery, professional assessment can be made to consider whether to carry out emergency surgical intervention; if the responsible vessel is not the vertebral artery, surgical treatment can be considered after the condition is relatively stable.