What are current strategies to treat severe symptomatic basilar stenosis failing medical therapy?

Thank you so much for asking this question. I really would like to see what experts have to say.

In my limited experience, I do not think there is a clear-cut protocol on how to manage these patients. I have seen medical management being ramped up (meaning, decreasing the LDL goal to <50, using Repat...

Dual antiplt and high-dose statin. Try brilinta or cilostazol if this happens on placid. The rest is treating the underlying cause which is usually smoking and a diet deficient in unprocessed foods, plant foods, fiber and high in salt, saturated fat, and trans fat. No triple therapy as increases ble...

Order platelet mapping, and possibly CYP2C19 genotyping, especially if the patient is Han Chinese. Jung et al., PMID 40184070