Aggressive medical management may be more effective than percutaneous transluminal angioplasty and stenting in treating patients with intracranial arterial stenosis, according to a study published in The New England Journal of Medicine.
Researchers assigned intracranial arterial stenosis patients to either aggressive medical management alone or aggressive medical management with PTAS and then analyzed the outcomes after 30 days.
They found that 14.7 percent of patients in the PTAS group had a stroke or died after 30 days compared to 5.8 percent of the medical management group.
The authors suggest medical management alone is superior to PTAS for patients with intracranial arterial stenosis because the risk of stroke was greater than expected in the PTAS group and lower than expected in the medical management group.
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Researchers assigned intracranial arterial stenosis patients to either aggressive medical management alone or aggressive medical management with PTAS and then analyzed the outcomes after 30 days.
They found that 14.7 percent of patients in the PTAS group had a stroke or died after 30 days compared to 5.8 percent of the medical management group.
The authors suggest medical management alone is superior to PTAS for patients with intracranial arterial stenosis because the risk of stroke was greater than expected in the PTAS group and lower than expected in the medical management group.
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