Critique of "Stenting Versus Aggressive Medical Therapy for Intracranial Arterial Stenosis" by Chimowitz et al in the New England Journal of Medicine

被引：90

作者：

Abou-Chebl, Alex ^{[1
]}

Steinmetz, Helmuth ^{[2
]}

机构：

[1] Univ Louisville, Dept Neurol, Louisville, KY 40202 USA

[2] Goethe Univ Frankfurt, Frankfurt, Germany

来源：

STROKE | 2012年 / 43卷 / 02期

关键词：

angioplasty; intracranial stenosis; stent; PERCUTANEOUS CORONARY INTERVENTION; ASYMPTOMATIC CAROTID STENOSIS; MYOCARDIAL-INFARCTION; SYMPTOMATIC PATIENTS; CLINICAL-OUTCOMES; RANDOMIZED TRIAL; ISCHEMIC-STROKE; FOLLOW-UP; ENDARTERECTOMY; ANGIOPLASTY;

D O I：

10.1161/STROKEAHA.111.641563

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

Symptomatic intracranial stenoses are an important cause of stroke and have a high risk of recurrent stroke with medical therapy. The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Arterial Stenosis (SAMMPRIS) trial unexpectedly showed a higher-than-expected rate of complications with intracranial stenting and a lower-than-expected recurrence rate with medical therapy. In this commentary, the authors review possible explanations for these findings and suggest future strategies for study. (Stroke. 2012;43:616-620.)

引用

页码：616 / 620

页数：5

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