2020 Volume 37 Issue 2 Pages 120-128
Cerebrovascular diseases have high morbidity and mortality rates and include cerebral infarction, cerebral hemorrhage, and subarachnoid hemorrhage. Cerebral hemorrhage accounted for 80％of cerebrovascular diseases in the 1960s. However, in elderly patients, cerebral infarction caused by atherosclerosis and embolisms caused by atrial fibrillation currently account for 70％of these diseases. This paper describes the medical and surgical treatments for cerebrovascular diseases, the social system of stroke treatment in Japan, and particularly, thrombectomy in patients with acute ischemic stroke who are undergoing endovascular treatment, because the clinical results of this treatment have been improving, especially in recent years.
