Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Vertebrobasilar insufficiency medical therapy
Introduction
Overview
Overview
In the recent decades, interventional therapy became more and more important with the medical therapy as the foundation of the whole treatment.Open surgery is rarely used because its high risk of complication comparing with the catheter-based therapy.
Medical Therapy
Medical Therapy
The principle of medical therapy is reducing the atherosclerotic and thrombotic risk. 1.Aspirin (75 to 325 mg daily) is strongly recommended to prevent ischemic events, if there is no contraindications. 2.If the patient is suitable to accept asprin due to contraindictions, clopidogrel (75 mg daily) or ticlopidine (250 mg twice daily) is suggested to treat the atherosclerosis of the extracranial vertebral arteries. 3.Three schemes is suggested to treat the patients with persisitently ischemic stroke or TIA due to extracranial vertebral atherosclerosis.
- (1).Aspirin (81 to 325 mg daily)
- (2).Aspirin (81 to 325 mg daily) combinated with the extended-release dipyridamole (25 and 200 mg twice daily)
- (3).clopidogrel (75 mg daily).[1]
References
References
- ↑ Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL et al. (2013) 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Developed in collaboration with the American Academy of Neurology and Society of Cardiovascular Computed Tomography. Catheter Cardiovasc Interv 81 (1):E76-123. DOI:10.1002/ccd.22983 PMID: 23281092
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]