What does posterior circulation ischemia need to pay attention to?

summary

Posterior circulation ischemia refers to transient ischemic attack (TIA) and cerebral infarction of carotid system in posterior circulation. Its synonyms include vertebrobasilar ischemia, posterior circulation TIA and cerebral infarction, vertebrobasilar artery disease, vertebrobasilar artery thromboembolic disease. Let's share my experience with you.

What does posterior circulation ischemia need to pay attention to?

The control of various vascular risk factors should refer to the relevant prevention and treatment guidelines at home and abroad. In view of the fact that about 40% of posterior circulation ischemic diseases are caused by embolism, it is suggested to actively carry out etiological examination. Antithrombotic therapy should be used if the diagnosis is clear.

Single or combined use of antiplatelet agents (aspirin, clopidogrel, etc.) has a certain preventive effect. We should explore the curative effect of angioplasty, stent implantation, extracranial and extracranial vascular bypass grafting and other treatment methods. Unless the relationship between cervical hyperosteogeny and PCI is clear, cervical spine surgery should not be performed only for the treatment of PCI.

Intravenous RT PA thrombolytic therapy can be carried out for the patients who have been ill for 3 hours. If conditions permit, intra-arterial thrombolysis is feasible, and the treatment time window can be widened appropriately. Aspirin 100-300 mg / D should be given to all patients who are not suitable for thrombolytic therapy and have no contraindications.

matters needing attention

We should actively carry out the medical education of PCI, especially the continuing education of doctors, update the concept, update the concept, update the knowledge, and no longer use the concept of VBI. We should strengthen propaganda and education, correctly grasp the early performance of PCI, and realize early detection and early diagnosis. We should strengthen propaganda and education, correctly understand the risk factors of PCI, and establish a scientific concept of prevention.