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

A. Abou-Chebl, H. Steinmetz
2012 Stroke  
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
more » ... these findings and suggest future strategies for study. (Stroke. 2012;43:616-620.)
doi:10.1161/strokeaha.111.641563 pmid:22246688 fatcat:qvettkbnerci3gnwiuqwg2rx5a