PICOs | Inclusion Criteria | Exclusion Criteria |
---|---|---|
Population | Adults with extracranial internal carotid or vertebral artery dissections (spontaneous or due to recreational activities or sport related minor injuries) | Cases with severe traumatic causes of arterial dissections Intracranial dissections Children |
Intervention vs Comparison | Antiplatelet treatment (single or dual) including aspirin, indobufen, dipyridamole, ticlopidine, clopidogrel, sulfinpyrazone Anticoagulant treatment (traditional or newer agents) including heparin, coumarin, warfarin, dabigatran, rivaroxaban, apixaban | Stents or Surgical repairs as first treatment |
Outcome | Ischaemic stroke Ischaemic stroke or TIA Death | Â |
Study design | Randomized controlled trials (RCT) Controlled clinical trials (CCT) Non-randomized studies including observational studies and cases series Must provide evidence of dissection Outcome data allows comparison between antiplatelets and anticoagulants Databases: Medline, CENTRAL, ClinicalTrials.gov Search period: Inception to May 2021 | Systematic review Meta-analysis Case overlaps Less than five cases |