Mallinckrodt Institute of Radiology and the Departments of Neurology and Neurosurgery, Washington University School of Medicine, 510 S Kingshighway Blvd, St Louis, MO, USA.
Stroke. 2013 Jun;44(6 Suppl 1):S41-4. doi: 10.1161/STROKEAHA.111.000370.
The Stenting and Aggressive Medical management for the Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial established aggressive medical management as superior to angioplasty and stenting for symptomatic intracranial atherosclerotic disease. This presentation addressessome criticisms of the trial, emphasizes key knowledge gained from the study and proposes potential new directions for research in this area.
支架置入术和强化药物治疗预防颅内狭窄患者卒中复发的研究(SAMMPRIS)表明强化药物治疗对于症状性颅内动脉粥样硬化性疾病优于血管成形术和支架置入术。本演讲针对该试验的一些批评意见,强调了从该研究中获得的关键知识,并为该领域的研究提出了新的潜在方向。