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Comparative Study
. 2012 Feb;43(2):616-20.
doi: 10.1161/STROKEAHA.111.641563. Epub 2012 Jan 12.

Critique of "Stenting versus aggressive medical therapy for intracranial arterial stenosis" by Chimowitz et al in the new England Journal of Medicine

Alex Abou-Chebl  1 , Helmuth Steinmetz
Affiliations
Comparative Study

Critique of "Stenting versus aggressive medical therapy for intracranial arterial stenosis" by Chimowitz et al in the new England Journal of Medicine

Alex Abou-Chebl et al. Stroke. 2012 Feb.

Abstract

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.

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