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Farooq MU, Al-Ali F, Min J, et al. Reviving Intracranial Angioplasty and Stenting "SAMMPRIS and beyond". Front Neurol. 2014;5:101doi: 10.3389/fneur.2014.00101.
Farooq, M. U., Al-Ali, F., Min, J., & Gorelick, P. B. (2014). Reviving Intracranial Angioplasty and Stenting "SAMMPRIS and beyond". Frontiers in neurology, 5101. https://doi.org/10.3389/fneur.2014.00101
Farooq, Muhammad U, et al. "Reviving Intracranial Angioplasty and Stenting "SAMMPRIS and beyond"." Frontiers in neurology vol. 5 (2014): 101. doi: https://doi.org/10.3389/fneur.2014.00101
Farooq MU, Al-Ali F, Min J, Gorelick PB. Reviving Intracranial Angioplasty and Stenting "SAMMPRIS and beyond". Front Neurol. 2014 Jun 23;5:101. doi: 10.3389/fneur.2014.00101. eCollection 2014. PMID: 25002858; PMCID: PMC4066298.
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Front Neurol. 2014 Jun 23;5:101. doi: 10.3389/fneur.2014.00101. eCollection 2014.

Reviving Intracranial Angioplasty and Stenting "SAMMPRIS and beyond".

Frontiers in neurology

Muhammad U Farooq, Firas Al-Ali, Jiangyong Min, Philip B Gorelick

Affiliations

  1. Division of Stroke and Vascular Neurology, Mercy Health Hauenstein Neurosciences at Saint Mary's , Grand Rapids, MI , USA.
  2. Center for Neuro and Spine, Akron General Medical Center , Akron, OH , USA.
  3. Division of Stroke and Vascular Neurology, Mercy Health Hauenstein Neurosciences at Saint Mary's , Grand Rapids, MI , USA ; Department of Translational Science and Molecular Medicine, Michigan State University College of Human Medicine , Grand Rapids, MI , USA.

PMID: 25002858 PMCID: PMC4066298 DOI: 10.3389/fneur.2014.00101

Abstract

We review the methods and results of Stenting and Aggressive Medical Management for Preventing Recurrent Stroke (SAMMPRIS) and provide a critical review of its strengths and limitations. In SAMMPRIS, the aggressive medical treatment arm (AMT arm) did substantially better than the Wingspan Stenting plus aggressive medical management arm (WS+ arm). Complications in the first 30 days post intervention led to the disparity between treatment arms. A major contribution of SAMMPRIS was the added value that AMT and lifestyle change may provide, when compared to a precursor trial, Warfarin-Aspirin Symptomatic Intracranial Disease (WASID), designed to prevent stroke in persons with high-grade symptomatic intracranial occlusive disease, however, the results of neither of these two trials have ever been reproduced. On the other hand, we argue that technical limitations of the Wingspan stent system (WS System) and lack of an angioplasty only intervention arm may have led to a premature launch of the trial and early termination of the study. Future randomized trials with different devices and modified patient selection criteria are warranted.

Keywords: Wingspan stent; angioplasty; best medical therapy; intracranial stenosis; neurointervention; stenting

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