There can be treatments of mini-stroke by medication or surgery.
In medication, antiplatelet medications such as aspirin are generally recommended. They reduce the overall risk of recurrence by 13% with greater benefit early on. The initial treatment is aspirin, second-line is clopidogrel (Plavix), third-line is ticlopidine. If TIAs recur after aspirin treatment, the combination of aspirin and dipyridamole may be recommended. Some people may also be given modified-release dipyridamole or clopidogrel.
An electrocardiogram (ECG) may show atrial fibrillation, a common cause of TIAs, or other abnormal heart rhythms that may cause embolization to the brain. An echocardiogram is useful in detecting a blood clot within the heart chambers. Such people may benefit from anticoagulation medications such as heparin and warfarin.
Surgery: If the TIA affects an area that is supplied by the carotid arteries, an ultrasound (TCD) scan may demonstrate carotid stenosis. For people with a greater than 70% stenosis within the carotid artery, removal of atherosclerotic plaque by surgery, specifically a carotid endarterectomy, may be recommended. The blood vessel is opened up and the plaque is removed. The carotid may be replaced with a vessel retrieved from the lower leg or foot. The procedure is not technically difficult but carries the potential complication of inducing a stroke. A stroke can occur during surgery or after the procedure. The chance of a stroke ranges from 1–4 percent.