Is there a future for endovascular treatment of intracranial atherosclerotic disease after Stenting and Aggressive Medical Management for Preventing Recurrent Stroke and Intracranial Stenosis (SAMMPRIS)?

Abstract:

:The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke and Intracranial Stenosis (SAMMPRIS) trial, a randomized clinical trial comparing aggressive medical management to stenting with aggressive medical management for symptomatic intracranial stenosis, was prematurely halted when a high rate of periprocedural events was found in the stent arm. The trial also demonstrated a high rate of stroke with medical management. This article explores possible reasons for these outcomes and discusses some weaknesses of the trial. Against this background endovascular therapy should continue to be explored in the treatment of this disease.

journal_name

Stroke

journal_title

Stroke

authors

Marks MP

doi

10.1161/STROKEAHA.111.645507

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

580-4

issue

2

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.111.645507

journal_volume

43

pub_type

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