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Updated: May 25, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Time to reflect on surgery and neuro-intervention for intracranial atherosclerotic diseases
George Kwok Chu Wong1, Wai Sang Poon
1Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, 4/F, Clinical Science Building, The Chinese University of Hong Kong, 1 Ngan Shing Street, Shatin, New Territories, Hong Kong, China. georgewong@surgery.cuhk.edu.hk
Abstract:
In view of the early results and halt of recruitment from both the Carotid Occlusion Surgery Study (COSS) and Stenting and the Aggressive Medical Therapy for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) study we should seize this opportunity to reflect on future directions, rather than abandoning these procedures, during this period of disillusionment. We here suggest the reasons for the failure of these two clinical trials and review future directions for researche in cerebral revascularization.
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