Current Status and Future Perspective of Stenting for Symptomatic Intracranial Atherosclerotic Disease: A Meta-Analysis
Table 1
Characteristics of the RCTs, comparing PTAS plus medical therapy with medical therapy alone.
Participants
Follow-up
Eligibility criteria
Stenosis rate
Stenosis location
Primary end point
SAMMPRIS
451
32.4 months
TIA or nondisabling stroke within 30 days
70%–99%
Major intracranial arteries
Any stroke or death, myocardial infarction, and any major hemorrhage
VISSIT
111
1 year
Hard TIA or stroke within the past 30 days
70%–99%
Intracranial internal carotid, middle cerebral, intracranial vertebral, or basilar arteries
Any stroke or death, hard TIA, NIHSS, and mRS scores
VAST
3 years
Vertebrobasilar TIA or minor ischemic stroke in the previous 6 months
≥50%
Intracranial vertebral arteries
Vascular death, myocardial infarction, or any stroke
VAST included 115 patients but only 19 of them were located in intracranial vertebral artery; SAMMPRIS: Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis; VISSIT: Vitesse Intracranial Stent Study for Ischemic Stroke Therapy. VAST: Vertebral Artery Stenting Trial; TIA: transient ischemic attack; NIHSS: National Institute of Health Stroke Severity Scale; mRS: modified Rankin Scale.