[Comment] Improved medical treatment in secondary prevention of stroke

Atherosclerotic intracranial arterial stenosis is a cause of transient ischaemic attack and ischaemic stroke, and is associated with a high risk of recurrence. Patients with recently symptomatic severe (70–99%) stenosis are at particularly high risk. In the SAMMPRIS trial, investigators compared two alternative treatment strategies in patients with a recent (<30 days) transient ischaemic attack or non-disabling stroke attributed to angiographically verified 70–99% intracranial stenosis: aggressive medical treatment (combination antiplatelet therapy and intensive management of risk factors) versus aggressive medical treatment and percutaneous transluminal angioplasty and stenting (PTAS), using the self-expanding Wingspan stent.
Source: LANCET - Category: Journals (General) Authors: Tags: Comment Source Type: research