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. 2018 Oct;8(5):663–677. doi: 10.21037/cdt.2018.07.02

Table 3. Principal studies on antiplatelet treatment in endovascular revascularization in LEAD and carotid artery disease.

Study name District involved Type of study Design and study population Primary endpoint Main results
Aspirin
   Cochrane review (24) LEAD Meta-analysis of various antiplatelet regimen 3,529 patients on various antiplatelet regimen (356 aspirin plus dipyridamole vs. placebo) Reocclusion OR 0.69 (95% CI, 0.44–1.10)
Clopidogrel
   MIRROR (25) LEAD Randomized 80 patients, DAPT (aspirin plus clopidogrel) vs. aspirin monotherapy Target lesion revascularization 5% vs. 20%; P=0.04
   McKevitt (26) Carotid stenosis Randomized, double blind DAPT (aspirin plus clopidogrel) vs. aspirin + heparin Neurological complications and 30-day stenosis rates Neurological complication 25% vs. 0%; P=0.02
30-day stenosis 26% vs. 5%; P=0.1
   ARMYDA CAROTID (27) Carotid stenosis Randomized, double blind, 2×2 factorial 156 patients, clopidogrel 600 mg load vs. 300 mg load 30-day TIA/stroke or new ischemic lesions on MRI 24 to 48 h 18% vs. 35.9%; P=0.019
Cilostazol
   STOP-IC (28) LEAD Randomized, double blind 200 patients, cilostazol plus aspirin vs. aspirin monotherapy Angiographic restenosis 20% vs. 49%; P=0.0001