颅内动脉粥样硬化是缺血性脑卒中的重要原因之一,目前共有三种治疗手段:药物、手术、介入治疗。华法林-阿司匹林有症状颅内疾病研究药物试验证实,华法林在防治脑卒中和脑血管意外方面优于阿司匹林,但尽管采用药物或搭桥手术治疗,颅内动脉粥样硬化患者的预后仍然不佳。初期的研究证实,介入治疗能降低颅内血管严重狭窄患者的卒中风险,故血管成形和支架置入术成为治疗颅内动脉狭窄的有效手段,但其适应证、并发症及预后仍在探索中。 Intracranial atherosclerosis is one of the important causes of ischemic stroke. There are currently three kinds of treatment methods: medicine, surgery and interventional therapy. Warfarin - Aspirin Symptomatic Intracranial Disease Research Drug trials confirm that warfarin is superior to aspirin in the prevention and treatment of stroke and cerebrovascular accidents, but despite the use of drugs or bypass surgery, the prognosis of patients with intracranial atherosclerosis is still Poor. Initial studies have shown that interventional therapy can reduce the risk of stroke in patients with severe intracranial vascular stenosis. Therefore, angioplasty and stent implantation are effective methods for the treatment of intracranial arterial stenosis. However, indications, complications and prognosis are still under investigation .