What are the AHA/ASA treatment guidelines for stroke or transient ischemic attack (TIA) due to stenosis of a major intracranial artery?

Updated: Dec 03, 2018
  • Author: Ashish Nanda, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

The 2014 AHA/ASA guidelines state the following for patients with stroke or TIA due to 50-99% stenosis of a major intracranial artery: [46]

  • Aspirin 50-325 mg/day, rather than warfarin, is recommended

  • Maintenance of blood pressure below 140/90 mm Hg and total cholesterol below 200 mg/dL is recommended

  • Extracranial or intracranial bypass surgery is not recommended

  • Angioplasty and stent placement are investigational and of unknown utility


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