The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium.

Details

Serval ID
serval:BIB_276A88E2F257
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium.
Journal
Translational stroke research
Author(s)
Dmytriw A.A., Dibas M., Ghozy S., Adeeb N., Diestro JDB, Phan K., Cuellar-Saenz H.H., Sweid A., Lay S.V., Guenego A., Renieri L., Al Balushi A., Saliou G., Möhlenbruch M., Regenhardt R.W., Vranic J.E., Lylyk I., Foreman P.M., Vachhani J.A., Župančić V., Hafeez M.U., Rutledge C., Waqas M., Tutino V.M., Rabinov J.D., Ren Y., Schirmer C.M., Piano M., Kühn A.L., Michelozzi C., Elens S., Starke R.M., Hassan A., Salehani A., Sporns P., Jones J., Psychogios M., Spears J., Lubicz B., Panni P., Puri A.S., Pero G., Griessenauer C.J., Asadi H., Stapleton C.J., Siddiqui A., Ducruet A.F., Albuquerque F.C., Du R., Kan P., Kalousek V., Lylyk P., Boddu S., Tjoumakaris S., Knopman J., Aziz-Sultan M.A., Limbucci N., Jabbour P., Cognard C., Patel A.B.
ISSN
1868-601X (Electronic)
ISSN-L
1868-4483
Publication state
Published
Issued date
08/2023
Peer-reviewed
Oui
Volume
14
Number
4
Pages
455-464
Language
english
Notes
Publication types: Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Several studies have shown promising outcomes of the Woven EndoBridge (WEB) device for the treatment of wide-necked intracranial bifurcation aneurysms. This is a multicenter study attempts to explore the changes in trends and treatment outcomes over time for WEB embolization of intracranial aneurysms. The WorldWideWEB consortium is a retrospective multicenter collaboration of data from international centers spanning from January 2011 and June 2021, with no limitations on aneurysm location or rupture status. Both bifurcation and sidewall aneurysms were included. These patients were stratified based on treatment year into five treatment intervals: 2011-2015 (N = 66), 2016-2017 (N = 77), 2018 (N = 66), 2019 (N = 300), and 2020-2021 (N = 173). Patient characteristics and angiographic and clinical outcomes were compared between these time intervals. This study comprised 671 patients (median age 61.4 years; 71.2% female) with 682 intracranial aneurysms. Over time, we observed an increasing tendency to treat patients presenting with ruptured aneurysms and aneurysms with smaller neck, diameter, and dome widths. Furthermore, we observed a trend towards more off-label use of the WEB for sidewall aneurysms and increased adoption of transradial access for WEB deployment. Moreover, the proportion of patients with adequate WEB occlusion immediately and at last follow-up was significantly higher in more recent year cohorts, as well as lower rates of compaction and retreatment. Mortality and complications did not differ over time. This learning curve study suggests improved experience using the WEB for the treatment of intracranial aneurysms and has yielded higher rates of adequate occlusion over time.
Keywords
Humans, Female, Middle Aged, Male, Intracranial Aneurysm/diagnostic imaging, Intracranial Aneurysm/surgery, Endovascular Procedures, Treatment Outcome, Embolization, Therapeutic, Retrospective Studies, Endovascular, Intracranial aneurysm, Intrasaccular, Learning curve, WEB, Woven EndoBridge
Pubmed
Web of science
Create date
13/09/2022 9:59
Last modification date
14/12/2023 8:13
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