Review Article

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.

ParticipantsFollow-upEligibility criteriaStenosis rateStenosis locationPrimary end point

SAMMPRIS45132.4 monthsTIA or nondisabling stroke within 30 days70%–99%Major intracranial arteriesAny stroke or death, myocardial infarction, and any major hemorrhage

VISSIT1111 yearHard TIA or stroke within the past 30 days70%–99%Intracranial internal carotid, middle cerebral, intracranial vertebral, or basilar arteriesAny stroke or death, hard TIA, NIHSS, and mRS scores

VAST3 yearsVertebrobasilar TIA or minor ischemic stroke in the previous 6 months≥50%Intracranial vertebral arteriesVascular 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.