Can middle cerebral artery stenosis be repaired?
I have been feeling dizzy and mentally foggy while working these past few days, and I noticed my mental state has not been very good. Upon examination, I was diagnosed with middle cerebral artery stenosis. I'm a bit worried and would like to ask: can middle cerebral artery stenosis be repaired?
Doctor's answer (1)
Stenosis of the middle cerebral artery can be repaired. Below are some common repair methods:
1. Medication therapy: As an adjunctive method, medication therapy can help improve the patient's symptoms, such as using antiplatelet drugs to prevent thrombosis and statins to lower blood lipids, stabilize plaques, and improve vascular endothelial function. However, medication therapy often cannot completely clear the narrowed area.
2. Surgical treatment: This includes carotid endarterectomy and stent placement. Carotid endarterectomy involves surgically removing the thickened inner lining of the carotid artery to restore the carotid lumen and improve blood supply to the brain. Stent placement is a minimally invasive procedure in which a stent is placed at the narrowed segment of the middle cerebral artery to maintain vascular patency.
4. General management: This includes controlling the patient's risk factors, such as hypertension, hyperglycemia, and hyperlipidemia, as well as undergoing rehabilitation training, quitting smoking, maintaining a healthy diet, engaging in appropriate exercise, and managing body weight. These measures help reduce the risk of atherosclerosis and improve the patient's overall health.
