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 |