Intracranial Large Artery Atherosclerosis
Recommendation
1- 50-99% stenosis —> Aspirin 325mg/day
2- Stroke orTIA within 30 days with 70-99% stenosis of major ICA —> Add Clopidogrel 75mg/day to Aspirin upto 90 days
3- Stroke or TIA within 24 hours with stenosis 30% or more of major ICA —> Add Ticagrelor 90mg BD to Aspirin upto 30 days
4- Stroke or TIA due to stenosis of 50-99% of a major ICA —> Add Cilostazol 200 mg/day to Aspirin or Clopidogrel
5- Stroke or TIA due to 50-99% stenosis of major ICA —>Recommend moderate physical activity, systolic blood pressure below 140mmHg and statin therapy