Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.

Musmar, B.; Salim, H.A.; Adeeb, N.; Aslan, A.; Aljeradat, B.; Diestro, JDB; McLellan, R.M.; Algin, O.; Ghozy, S.; Dibas, M.; Lay, S.V.; Guenego, A.; Renieri, L.; Cancelliere, N.M.; Carnevale, J.; Saliou, G.; Mastorakos, P.; El Naamani, K.; Shotar, E.; Premat, K.; Möhlenbruch, M.; Kral, M.; Vranic, J.E.; Chung, C.; Salem, M.M.; Lylyk, I.; Foreman, P.M.; Vachhani, J.A.; Shaikh, H.; Župančić, V.; Hafeez, M.U.; Catapano, J.; Waqas, M.; Tutino, V.M.; Ibrahim, M.K.; Mohammed, M.A.; Ozates, M.O.; Ayberk, G.; Rabinov, J.D.; Ren, Y.; Schirmer, C.M.; Piano, M.; Kühn, A.L.; Michelozzi, C.; Elens, S.; Starke, R.M.; Hassan, A.; Ogilvie, M.; Nguyen, A.; Jones, J.; Brinjikji, W.; Nawka, M.T.; Psychogios, M.; Ulfert, C.; Spears, J.; Jankowitz, B.T.; Burkhardt, J.K.; Domingo, R.A.; Huynh, T.; Martinez-Gutierrez, J.C.; Essibayi, M.A.; Sheth, S.A.; Spiegel, G.; Tawk, R.; Lubicz, B.; Panni, P.; Puri, A.S.; Pero, G.; Nossek, E.; Raz, E.; Killer-Oberfalzer, M.; Griessenauer, C.J.; Asadi, H.; Siddiqui, A.; Brook, A.; Altschul, D.; Ducruet, A.F.; Albuquerque, F.C.; Regenhardt, R.W.; Stapleton, C.J.; Kan, P.; Kalousek, V.; Lylyk, P.; Boddu, S.; Knopman, J.; Aziz-Sultan, M.A.; Tjoumakaris, S.I.; Clarençon, F.; Limbucci, N.; Cuellar-Saenz, H.H.; Jabbour, P.M.; Pereira, V.M.; Patel, A.B.; Dmytriw, A.A.

doi:10.1007/s10143-024-02527-5

Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.

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Serval ID

serval:BIB_4200BC51B877

Type

Article: article from journal or magazin.

Collection

Publications

Institution

UNIL/CHUV

Title

Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.

Journal

Neurosurgical review

Author(s)

Musmar B., Salim H.A., Adeeb N., Aslan A., Aljeradat B., Diestro JDB, McLellan R.M., Algin O., Ghozy S., Dibas M., Lay S.V., Guenego A., Renieri L., Cancelliere N.M., Carnevale J., Saliou G., Mastorakos P., El Naamani K., Shotar E., Premat K., Möhlenbruch M., Kral M., Vranic J.E., Chung C., Salem M.M., Lylyk I., Foreman P.M., Vachhani J.A., Shaikh H., Župančić V., Hafeez M.U., Catapano J., Waqas M., Tutino V.M., Ibrahim M.K., Mohammed M.A., Ozates M.O., Ayberk G., Rabinov J.D., Ren Y., Schirmer C.M., Piano M., Kühn A.L., Michelozzi C., Elens S., Starke R.M., Hassan A., Ogilvie M., Nguyen A., Jones J., Brinjikji W., Nawka M.T., Psychogios M., Ulfert C., Spears J., Jankowitz B.T., Burkhardt J.K., Domingo R.A., Huynh T., Martinez-Gutierrez J.C., Essibayi M.A., Sheth S.A., Spiegel G., Tawk R., Lubicz B., Panni P., Puri A.S., Pero G., Nossek E., Raz E., Killer-Oberfalzer M., Griessenauer C.J., Asadi H., Siddiqui A., Brook A., Altschul D., Ducruet A.F., Albuquerque F.C., Regenhardt R.W., Stapleton C.J., Kan P., Kalousek V., Lylyk P., Boddu S., Knopman J., Aziz-Sultan M.A., Tjoumakaris S.I., Clarençon F., Limbucci N., Cuellar-Saenz H.H., Jabbour P.M., Pereira V.M., Patel A.B., Dmytriw A.A.

ISSN

1437-2320 (Electronic)

ISSN-L

0344-5607

Publication state

Published

Issued date

31/07/2024

Peer-reviewed

Oui

Volume

Number

Pages

374

Language

english

Notes

Publication types: Journal Article
Publication Status: epublish

Abstract

The Woven EndoBridge (WEB) device is primarily used for treating wide-neck intracranial bifurcation aneurysms under 10 mm. Limited data exists on its efficacy for large aneurysms. We aim to assess angiographic and clinical outcomes of the WEB device in treating large versus small aneurysms. We conducted a retrospective review of the WorldWide WEB Consortium database, from 2011 to 2022, across 30 academic institutions globally. Propensity score matching (PSM) was employed to compare small and large aneurysms on baseline characteristics. A total of 898 patients were included. There was no significant difference observed in clinical presentations, smoking status, pretreatment mRS, presence of multiple aneurysms, bifurcation location, or prior treatment between the two groups. After PSM, 302 matched pairs showed significantly lower last follow-up adequate occlusion rates (81% vs 90%, p = 0.006) and higher retreatment rates (12% vs 3.6%, p < 0.001) in the large aneurysm group. These findings may inform treatment decisions and patient counseling. Future studies are needed to further explore this area.

Keywords

Humans, Intracranial Aneurysm/therapy, Intracranial Aneurysm/surgery, Male, Propensity Score, Female, Middle Aged, Retrospective Studies, Aged, Endovascular Procedures/methods, Treatment Outcome, Adult, Embolization, Therapeutic/methods, Aneurysms, Intracranial, Treatment, WEB, Woven EndoBridge

OAI-PMH

oai:serval.unil.ch:BIB_4200BC51B877

DOI

10.1007/s10143-024-02527-5

Pubmed

39083214

Web of science

001282229200001

Open Access

Yes

Create date

05/08/2024 16:16