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Impact of SAMMPRIS on the future of intracranial atherosclerotic disease management: polling results from the ICAD symposium at the International Stroke Conference by Osama O Zaidat; Alicia C Castonguay; Thanh N Nguyen; Kyra J Becker; Colin P Derdeyn; Peter K Nelson; Pierre Amarenco; Thomas G Brott is a Medicine article available to read on EtoBox.

What is Impact of SAMMPRIS on the future of intracranial atherosclerotic disease management: polling results from the ICAD symposium at the International Stroke Conference about?

Objective There are few data regarding the effect of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial results on the management of intracranial atherosclerotic disease (ICAD). We sought to understand the impact of the SAMMPRIS trial on current ICAD clinical practices and future trial design. Methods During the ICAD symposium at the 2012 International Stroke Conference, electronic data were collected regarding attendees' clinical management of ICAD and opinions on the feasibility of future trials post-SAMMPRIS. Results 217 attendees from different specialties, including neurologists (57%), neurointerventionalists (9%) and neurosurgeons (5%), participated in the session. The majority of respondents (77%) indicated that the results of SAMMPRIS have impacted their consideration for intracranial stenting. Post-SAMMPRIS, 84% selected 'SAMMPRIS-style' medical management for the treatment of ICAD. For patients with ICAD who failed aggressive medical therapy, 82% would consider an alternative approach to continuing medical therapy (30% considered clinical trial enrollment, 28% suggested angioplasty and stenting and 24%

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Author
Osama O Zaidat; Alicia C Castonguay; Thanh N Nguyen; Kyra J Becker; Colin P Derdeyn; Peter K Nelson; Pierre Amarenco; Thomas G Brott
Publisher
BMJ
Published
2013
Language
EN
Field
Medicine (Health Sciences)

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