A small carotid artery resection can prevent most strokes. At present, the important means of prevention and treatment of cerebral stroke ischemia-free carotid endarterectomy and carotid artery stenting has matured, but the actual operation of the patient is still less than 1% of those who really need to do the operation, and the vast majority of people therefore missed a good opportunity to prevent. 1/5 city people died of cerebrovascular disease According to Fudan University Huashan Hospital Professor of Surgery, Bo Yu introduced, in China, the incidence of stroke as high as two hundred and twenty out of one hundred thousand. Because of the difficulty of stroke treatment, once the onset of its mortality rate is extremely high, China’s urban deaths in about 1/5 is dead from cerebrovascular disease, even if the survivors, there are 3/4 varying degrees of loss of life and ability to labor. Seventy percent of the carotid atherosclerosis patients need surgery for stroke, the most effective means of preventing the disease before it occurs. According to the survey, 60% of strokes are caused by carotid artery vascular sclerosis, if you improve the blood vessel blockage in the neck, you can effectively prevent stroke attacks. Foreign controlled experiments show that after the carotid artery vascular surgery patients relative to the carotid atherosclerosis patients treated with drugs, the probability of stroke within 2 years reduced by 2/3. Due to the long-existing misunderstandings, Yu Bo pointed out that the actual domestic surgery, or even less than 1% of the people who really need it, and do not understand the importance of the surgery to prevent. More than 70% of patients with carotid atherosclerosis stenosis need surgery to prevent stroke, even if they are not yet in a coma or have had a “mini-stroke”. No Accident in New Surgery As the blood vessels in the neck directly supply the brain, many people think that neck surgery is high-risk, and that cerebral paralysis, cerebral necrosis, and other serious complications will result once the brain is deprived of blood, which has caused some patients and their families to be psychologically fearful. At present, Huashan Hospital adopts the latest international carotid atherosclerosis stenosis surgical method DDD ischemia-free carotid endarterectomy and carotid artery stenting, which directly removes the hard lumps in the carotid artery vessels, and so far, no stroke has occurred in 10 years of follow-up. Which patients are suitable for new carotid surgery? Carotid artery stenosis of 70% to 99% is best prevented by surgery. Certain male patients with symptomatic stenosis of 50% to 69% and asymptomatic stenosis of 60% or more may also be considered. Patients with frequent transient ischemic attacks. Patients who have had a stroke but have recovered well from it and have a carotid stenosis should be treated aggressively because 20% to 45% of carotid artery stenoses will progress to full-blown stroke within 3 to 4 years after the first attack. Carotid atherosclerotic plaques with uneven surface, uneven texture, ulcers, or bleeding inside the plaque should be highly alerted.