Portal de Periódicos da CAPES

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

2012; Lippincott Williams & Wilkins; Volume: 43; Issue: 2 Linguagem: Inglês

10.1161/strokeaha.111.641563

1524-4628

Alex Abou‐Chebl, Helmuth Steinmetz,

Intracranial Aneurysms: Treatment and Complications

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.