About this trial
The purpose of this study is to explore the mechanism of cognitive impairment in patients with symptomatic intracranial atherosclerotic stenosis (ICAS), and further plans to explore the impact of different treatment options on cognitive function in symptomatic ICAS patients.
Eligibility criteria
Qualifiers
Age between 18 and 80 years
Severe stenosis (≥70%-99%) of atherosclerotic internal carotid artery (C6 segment, C7 segment) or middle cerebral artery (M1 segment) confirmed by digital subtraction angiography (DSA) or at least two of the following non-invasive examinations: magnetic resonance angiography (MRA), computed tomography angiography (CTA), or transcranial Doppler (TCD)
Transient ischemic attack (TIA) or minor stroke (National Institute of Health Stroke Scale [NIHSS] score ≤ 4 points)
Right-handed and able to cooperate in neuropsychological tests
Disqualifiers
Other diseases that affect cognitive function, such as cerebral hemorrhage, •Parkinson's disease, neurosyphilis, dementia, tumors, etc.
Right upper limb hemiplegia, aphasia, visual field defects, or visual impairments
More than 50% stenosis of the extracranial internal carotid artery, the vertebral artery, or the basilar artery
Vasculitis, moyamoya disease, and cardiogenic stroke
Trial design
Treatments tested in this trial
- Aspirin Tablet, Clopidogrel Bisulfate Tablets and Atorvastatin
- Endovascular therapy,Aspirin Tablet, Clopidogrel Bisulfate Tablets and Atorvastatin