Some 6% of anterior strokes from carotid origin are fatal but 86% of vertebrobasilar strokes are. When patients present with vertebrobasilar insufficiency, what remediation is available to present 4 weeks to 4 years inevitable stroke? Has technology advanced enough to warrant the intervention as opposed medical (anti-platelets & statin) treatment can increase prospects since the European study favoring medical treatment?
There's certainly a number of trials over a period of time in the field,but so far,all of the trials of stenting are quite small,and this makes for uncertainty when comparing stenting Vs medical treatment.
Extracranial stenosis stenting appears to compare well with medical treatment in the VIST trial,but again,the numbers are small.
I think the lessons from endovascular stenting in both aortic and carotid arteries show that time is the real answer,during which sufficient trials and numbers can be built up.
Personally,I feel it's a very interesting field,and one that crosses my path at times with vertebral artery thrombectomies.
Good luck.
- Badges
- Science method
- Similar topics
- Mathematics
- Statistics
- Statistical Techniques
- Meta-Analysis