Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis
BackgroundKnowledge of the rare arc of Bühler (AOB) is limited but clinically important. At present, there is no publication of systematic review and meta-analysis on AOB in computed tomography angiography (CTA) and digital subtraction angiography (DSA) examinations.ObjectiveThe objective of this st...
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2025-02-01
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author | Gaowu Yan Gaowu Yan Yong Li Suyu He Hongwei Li Morgan A. McClure Qiang Li Jifang Yang Hu Wang Linwei Zhao Xiaoping Fan Jing Yan Siyi Wu Wenwen Guo |
author_facet | Gaowu Yan Gaowu Yan Yong Li Suyu He Hongwei Li Morgan A. McClure Qiang Li Jifang Yang Hu Wang Linwei Zhao Xiaoping Fan Jing Yan Siyi Wu Wenwen Guo |
author_sort | Gaowu Yan |
collection | DOAJ |
description | BackgroundKnowledge of the rare arc of Bühler (AOB) is limited but clinically important. At present, there is no publication of systematic review and meta-analysis on AOB in computed tomography angiography (CTA) and digital subtraction angiography (DSA) examinations.ObjectiveThe objective of this study was to evaluate the pooled prevalence and clinical implications of the AOB by using CTA and DSA examinations.MethodsThe PubMed, Web of Science, Scopus, Embase, Google Scholar, CBM, CNKI, WanFang, VIP, and Baidu Scholar databases were comprehensively searched for AOB-related literature. Stata 17.0 software was used to conduct the meta-analysis.ResultsEleven publications with 3,837 patients and 65 AOB cases were included. The pooled prevalence of AOB was 1.9% (95% confidence interval: 0.8–3.2%). CTA showed a pooled prevalence of AOB of 2.0% (95% confidence interval: 0.5–4.3%) and DSA showed a pooled prevalence of AOB of 1.8% (95% confidence interval: 0.5–3.9%).ConclusionAOB is a rare anatomical variant, with a pooled prevalence of 1.9% in the general population. General surgeons, vascular surgeons, and interventional radiologists should consider its existence when performing relevant abdominal procedures to avoid intraoperative difficulties, visceral organ ischemia or bleeding, and other complications. |
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institution | Kabale University |
issn | 2296-858X |
language | English |
publishDate | 2025-02-01 |
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spelling | doaj-art-2cb0ca8d024b4f2caa0ef3682fbbbc642025-02-07T16:55:52ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011110.3389/fmed.2024.15222921522292Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysisGaowu Yan0Gaowu Yan1Yong Li2Suyu He3Hongwei Li4Morgan A. McClure5Qiang Li6Jifang Yang7Hu Wang8Linwei Zhao9Xiaoping Fan10Jing Yan11Siyi Wu12Wenwen Guo13Department of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, Shehong Municipal Hospital of Traditional Chinese Medicine, Shehong, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Gastroenterology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, The Third Hospital of Mianyang and Sichuan Mental Health Center, Mianyang, ChinaDepartment of Radiology and Imaging, Institute of Rehabilitation and Development of Brain Function, The Second Clinical Medical College of North Sichuan Medical College, Nanchong Central Hospital, Nanchong, ChinaDepartment of Radiology, Shehong Municipal Hospital of Traditional Chinese Medicine, Shehong, ChinaDepartment of Radiology, Shehong Municipal Hospital of Traditional Chinese Medicine, Shehong, ChinaDepartment of Radiology, Shehong Municipal Hospital of Traditional Chinese Medicine, Shehong, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaDepartment of Radiology, Suining Central Hospital, Suining, ChinaBackgroundKnowledge of the rare arc of Bühler (AOB) is limited but clinically important. At present, there is no publication of systematic review and meta-analysis on AOB in computed tomography angiography (CTA) and digital subtraction angiography (DSA) examinations.ObjectiveThe objective of this study was to evaluate the pooled prevalence and clinical implications of the AOB by using CTA and DSA examinations.MethodsThe PubMed, Web of Science, Scopus, Embase, Google Scholar, CBM, CNKI, WanFang, VIP, and Baidu Scholar databases were comprehensively searched for AOB-related literature. Stata 17.0 software was used to conduct the meta-analysis.ResultsEleven publications with 3,837 patients and 65 AOB cases were included. The pooled prevalence of AOB was 1.9% (95% confidence interval: 0.8–3.2%). CTA showed a pooled prevalence of AOB of 2.0% (95% confidence interval: 0.5–4.3%) and DSA showed a pooled prevalence of AOB of 1.8% (95% confidence interval: 0.5–3.9%).ConclusionAOB is a rare anatomical variant, with a pooled prevalence of 1.9% in the general population. General surgeons, vascular surgeons, and interventional radiologists should consider its existence when performing relevant abdominal procedures to avoid intraoperative difficulties, visceral organ ischemia or bleeding, and other complications.https://www.frontiersin.org/articles/10.3389/fmed.2024.1522292/fullarc of Bühlercomputed tomography angiographydigital subtraction angiographymeta-analysissystematic review |
spellingShingle | Gaowu Yan Gaowu Yan Yong Li Suyu He Hongwei Li Morgan A. McClure Qiang Li Jifang Yang Hu Wang Linwei Zhao Xiaoping Fan Jing Yan Siyi Wu Wenwen Guo Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis Frontiers in Medicine arc of Bühler computed tomography angiography digital subtraction angiography meta-analysis systematic review |
title | Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis |
title_full | Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis |
title_fullStr | Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis |
title_full_unstemmed | Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis |
title_short | Prevalence and clinical implications of the rare arc of Bühler using computed tomography angiography and digital subtraction angiography: a systematic review and meta-analysis |
title_sort | prevalence and clinical implications of the rare arc of buhler using computed tomography angiography and digital subtraction angiography a systematic review and meta analysis |
topic | arc of Bühler computed tomography angiography digital subtraction angiography meta-analysis systematic review |
url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1522292/full |
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