Branch-site occlusion sign predicts the embolic origin of acute ischemic stroke: a meta-analysis

OBJECTIVE: The study aimed to investigate whether branch-site occlusion (BSO) sign could predict the etiology of acute intracranial large artery occlusion (ILVO) and the stentriever (SR) response. METHODS: We systematically reviewed studies that evaluated the predictive role of BSO for the etiology...

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Detalles Bibliográficos
Autores principales: Jiang, Xinzhao, Shi, Zongjie, Wang, Peng, Wang, Xu, Liu, Fang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282153/
https://www.ncbi.nlm.nih.gov/pubmed/37351265
http://dx.doi.org/10.3389/fneur.2023.1139756
Descripción
Sumario:OBJECTIVE: The study aimed to investigate whether branch-site occlusion (BSO) sign could predict the etiology of acute intracranial large artery occlusion (ILVO) and the stentriever (SR) response. METHODS: We systematically reviewed studies that evaluated the predictive role of BSO for the etiology of ILVO-AIS or EVT outcome between 1 January 2000 and 31 August 2022 from PubMed, Embase, and Web of Science. RESULTS: The sensitivity and specificity of BSO sign predicting etiology of ILVO-AIS were 0.87 (95% CI 0.81–0.91) and 0.64 (95% CI 0.33–0.87), respectively. The sensitivity and specificity of BSO sign predicting stentriever response were 0.84 (95% CI 0.63–0.94) and 0.61 (95% CI 0.18–0.92), respectively. CONCLUSION: The BSO sign could be a valid and precise imaging marker to predict embolism caused ILVO-AIS and recanalization success by SR without rescue therapy.

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