Patient.
My grandfather, 79 years old, has been suffering from hypertension for more than 30 years and has been dizzy for two years. In August this year, he visited Xinjiang Bazhou Hospital and was found to have “double carotid stenosis”. The doctor said that 80% of the blood vessels were blocked and suggested to do “arterial stenting”.
Antihypertensive medicine: Nifedipine extended-release tablets, 30mg, once a day orally. Potassium supplement: potassium chloride extended-release tablets, 2 tablets, taken orally three times a day. Vasodilator: clopidogrel sulfate tablets, 50mg, once a day orally Atorvastatin calcium tablets, 20mg, once a day orally (in September, the doctor stopped using aspirin enteric tablets because of gum bleeding for 3 days)
Can you give some advice on treatment? Qin Jianhui, Department of Peripheral Vascular Surgery, Beijing Dongzhimen Hospital: After understanding your grandfather’s situation, we recommend that you take him to a vascular surgery specialist at a large tertiary hospital. Because carotid artery surgery requires very specialized preoperative evaluation and preparation, in addition to weighing the benefits and risks of surgery, there are also many other conditions such as the function of important organs, and these evaluations and preparations are far more important and complicated than the surgery itself. Another point is that if, after a professional evaluation, your grandfather needs to deal with carotid artery stenosis, when given the choice between surgery and intervention, surgery may be superior to intervention, which means that I would prefer surgery to intervention.