Can Patients with Cerebrovascular Disease Receive Stent Placement?

Patients diagnosed with cerebrovascular disease may be eligible for stent placement, but prior to the procedure, it is strongly recommended to undergo cerebral angiography. This diagnostic test allows physicians to evaluate the overall condition of the blood vessels in the brain, including the degree of arterial narrowing and the extent of atherosclerotic plaque buildup. Based on these findings, doctors can determine whether the patient has clear indications for stent implantation.

When Is Stent Placement Recommended?

Stent treatment is typically advised when the degree of arterial narrowing reaches 75% or more, particularly in the case of major arteries supplying blood to the brain. In such situations, stent placement can help restore proper blood flow and reduce the risk of stroke. The procedure is especially beneficial for patients with symptomatic severe stenosis that has not responded well to medication or lifestyle changes.

Effectiveness of Stent Treatment for Severe Narrowing

For patients with severe cerebrovascular narrowing, stent placement has shown promising results in clinical studies. The procedure can significantly reduce the likelihood of ischemic stroke by opening up blocked or narrowed arteries and improving cerebral circulation.

Post-Procedure Care and Medication

Following stent implantation, patients are required to take antiplatelet medications such as aspirin and clopidogrel (Plavix) for an extended period—often for life. These medications help prevent blood clots from forming within the stent and reduce the risk of stroke or other complications.

Lifestyle and Risk Factor Management

In addition to medication, patients must actively manage underlying health conditions that contribute to vascular disease. This includes controlling hypertension, diabetes, and high cholesterol levels through a combination of medication, diet, and regular physical activity. Smoking cessation and maintaining a healthy weight are also crucial to long-term success after stent placement.