Antiplatelets Versus Anticoagulation in Cervical Artery Dissection: A Systematic Review and Meta-analysis of 2064 Patients.
Abdulrahman Ibrahim HagrassBashar Khaled AlmagharyMohamed Abdelhady MostafaMohamed ElfilSarah Makram ElsayedAmira A AboaliAboalmagd HamdallahMohammed Tarek HasanMohammed Al-KafarnaKhaled Mohamed RagabMohamed Fahmy DoheimPublished in: Drugs in R&D (2022)
Our study did not show a considerable difference between the two groups, as all outcomes showed non-significant differences between them, except for primary ischaemic stroke (RCTs) and complete recanalization (observational studies), which showed a significant favour of AC over AP. Even though primary ischaemic stroke is an important outcome, several crucial points that could affect these results should be paid attention to. These include the incomplete adjustment for the confounding effect of AP-AC doses, frequencies, administration compliance, and others. We recommend more well-designed studies to assess if unnecessary anticoagulation can be avoided in CeAD.