Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis.

Humans Treatment Outcome Intracranial Aneurysm / surgery Embolization, Therapeutic / adverse effects Propensity Score Retrospective Studies Cohort Studies Endovascular Procedures / adverse effects
Aneurysms Intracranial WEB Woven EndoBridge, treatment

Journal

Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181

Informations de publication

Date de publication:
14 Mar 2024
Historique:
received: 10 11 2023
accepted: 03 03 2024
revised: 26 02 2024
medline: 18 3 2024
pubmed: 14 3 2024
entrez: 14 3 2024
Statut: epublish

Résumé

The Woven EndoBridge (WEB) devices have been used for treating wide neck bifurcation aneurysms (WNBAs) with several generational enhancements to improve clinical outcomes. The original device dual-layer (WEB DL) was replaced by a single-layer (WEB SL) device in 2013. This study aimed to compare the effectiveness and safety of these devices in managing intracranial aneurysms. A multicenter cohort study was conducted, and data from 1,289 patients with intracranial aneurysms treated with either the WEB SL or WEB DL devices were retrospectively analyzed. Propensity score matching was utilized to balance the baseline characteristics between the two groups. Outcomes assessed included immediate occlusion rate, complete occlusion at last follow-up, retreatment rate, device compaction, and aneurysmal rupture. Before propensity score matching, patients treated with the WEB SL had a significantly higher rate of complete occlusion at the last follow-up and a lower rate of retreatment. After matching, there was no significant difference in immediate occlusion rate, retreatment rate, or device compaction between the WEB SL and DL groups. However, the SL group maintained a higher rate of complete occlusion at the final follow-up. Regression analysis showed that SL was associated with higher rates of complete occlusion (OR: 0.19; CI: 0.04 to 0.8, p = 0.029) and lower rates of retreatment (OR: 0.12; CI: 0 to 4.12, p = 0.23). The WEB SL and DL devices demonstrated similar performances in immediate occlusion rates and retreatment requirements for intracranial aneurysms. The SL device showed a higher rate of complete occlusion at the final follow-up.

Sections du résumé

BACKGROUND BACKGROUND
The Woven EndoBridge (WEB) devices have been used for treating wide neck bifurcation aneurysms (WNBAs) with several generational enhancements to improve clinical outcomes. The original device dual-layer (WEB DL) was replaced by a single-layer (WEB SL) device in 2013. This study aimed to compare the effectiveness and safety of these devices in managing intracranial aneurysms.
METHODS METHODS
A multicenter cohort study was conducted, and data from 1,289 patients with intracranial aneurysms treated with either the WEB SL or WEB DL devices were retrospectively analyzed. Propensity score matching was utilized to balance the baseline characteristics between the two groups. Outcomes assessed included immediate occlusion rate, complete occlusion at last follow-up, retreatment rate, device compaction, and aneurysmal rupture.
RESULTS RESULTS
Before propensity score matching, patients treated with the WEB SL had a significantly higher rate of complete occlusion at the last follow-up and a lower rate of retreatment. After matching, there was no significant difference in immediate occlusion rate, retreatment rate, or device compaction between the WEB SL and DL groups. However, the SL group maintained a higher rate of complete occlusion at the final follow-up. Regression analysis showed that SL was associated with higher rates of complete occlusion (OR: 0.19; CI: 0.04 to 0.8, p = 0.029) and lower rates of retreatment (OR: 0.12; CI: 0 to 4.12, p = 0.23).
CONCLUSION CONCLUSIONS
The WEB SL and DL devices demonstrated similar performances in immediate occlusion rates and retreatment requirements for intracranial aneurysms. The SL device showed a higher rate of complete occlusion at the final follow-up.

Identifiants

DOI: 10.1007/s10143-024-02341-z PMID: 38483647
pubmed: 38483647
doi: 10.1007/s10143-024-02341-z
pii: 10.1007/s10143-024-02341-z
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

116

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Adam A Dmytriw (AA)

Divisions of Therapeutic Neuroradiology and Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada. admytriw@mgh.harvard.edu.
Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA. admytriw@mgh.harvard.edu.

Hamza Salim (H)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

Basel Musmar (B)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

Assala Aslan (A)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

Nicole M Cancelliere (NM)

Divisions of Therapeutic Neuroradiology and Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

Rachel M McLellan (RM)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Oktay Algin (O)

Medical Faculty, Department of Radiology, Ankara University, Ankara, Turkey.

Sherief Ghozy (S)

Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.

Mahmoud Dibas (M)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

Sovann V Lay (SV)

Service de Neuroradiologie Diagnostique Et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France.

Adrien Guenego (A)

Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgique.

Leonardo Renieri (L)

Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.

Joseph Carnevale (J)

Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.

Guillaume Saliou (G)

Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.

Panagiotis Mastorakos (P)

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.

Kareem El Naamani (KE)

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.

Eimad Shotar (E)

Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France.

Kevin Premat (K)

Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France.

Markus Möhlenbruch (M)

Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.

Michael Kral (M)

Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.

Omer Doron (O)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Charlotte Chung (C)

Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.

Mohamed M Salem (MM)

Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA.

Ivan Lylyk (I)

Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina.

Paul M Foreman (PM)

Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.

Jay A Vachhani (JA)

Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.

Hamza Shaikh (H)

Departments of Radiology & Neurosurgery, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ, USA.

Vedran Župančić (V)

Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.

Muhammad U Hafeez (MU)

Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.

Joshua Catapano (J)

Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.

Muhammad Waqas (M)

Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.

Vincent M Tutino (VM)

Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.

Mohamed K Ibrahim (MK)

Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.

Marwa A Mohammed (MA)

Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.

Cetin Imamoglu (C)

Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital of the Ministry of Health, Ankara, Turkey.

Ahmet Bayrak (A)

Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital of the Ministry of Health, Ankara, Turkey.

James D Rabinov (JD)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Yifan Ren (Y)

Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, VIC, Australia.

Clemens M Schirmer (CM)

Department of Neurosurgery and Radiology, Geisinger Health System, Danville, PA, USA.

Mariangela Piano (M)

Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.

Anna L Kühn (AL)

Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.

Caterina Michelozzi (C)

Interventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.

Stéphanie Elens (S)

Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.

Robert M Starke (RM)

Deparment of Neurosurgery, University of Miami, Miami, FL, USA.

Ameer E Hassan (AE)

Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.

Mark Ogilvie (M)

Deparments of Neurosurgery and Radiology, University of Alabama, Birmingham, AL, USA.

Peter Sporns (P)

Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland.

Jesse Jones (J)

Deparments of Neurosurgery and Radiology, University of Alabama, Birmingham, AL, USA.

Waleed Brinjikji (W)

Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.

Marie T Nawka (MT)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Marios Psychogios (M)

Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland.

Christian Ulfert (C)

Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.

Jose Danilo Bengzon Diestro (JDB)

Divisions of Therapeutic Neuroradiology and Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

Bryan Pukenas (B)

Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA.

Jan-Karl Burkhardt (JK)

Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA.

Thien Huynh (T)

Departments of Radiology and Neurosurgery, Mayo Clinic, Jacksonville, FL, USA.

Juan Carlos Martinez-Gutierrez (JC)

Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA.

Muhammed Amir Essibayi (MA)

Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Sunil A Sheth (SA)

Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA.

Gary Spiegel (G)

Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA.

Rabih Tawk (R)

Departments of Radiology and Neurosurgery, Mayo Clinic, Jacksonville, FL, USA.

Boris Lubicz (B)

Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.

Pietro Panni (P)

Interventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.

Ajit S Puri (AS)

Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.

Guglielmo Pero (G)

Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.

Erez Nossek (E)

Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.

Eytan Raz (E)

Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.

Monika Killer-Oberfalzer (M)

Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.

Christoph J Griessenauer (CJ)

Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.

Hamed Asadi (H)

Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.

Adnan Siddiqui (A)

Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.

Allan L Brook (AL)

Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

David Altschul (D)

Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Andrew F Ducruet (AF)

Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.

Felipe C Albuquerque (FC)

Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.

Robert W Regenhardt (RW)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Christopher J Stapleton (CJ)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Peter Kan (P)

Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.

Vladimir Kalousek (V)

Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.

Pedro Lylyk (P)

Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina.

Srikanth Boddu (S)

Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.

Jared Knopman (J)

Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.

Mohammad A Aziz-Sultan (MA)

Medical Faculty, Department of Radiology, Ankara University, Ankara, Turkey.

Stavropoula I Tjoumakaris (SI)

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.

Frédéric Clarençon (F)

Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France.

Nicola Limbucci (N)

Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.

Hugo H Cuellar-Saenz (HH)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

Pascal M Jabbour (PM)

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.

Vitor Mendes Pereira (VM)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Aman B Patel (AB)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.

Nimer Adeeb (N)

Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Dual Layer vs Single Layer Woven EndoBridge...
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questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Artériopathies intracrâniennes › Anévrysme intracrânien › Dual Layer vs Single Layer Woven EndoBridge...
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questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Dual Layer vs Single Layer Woven EndoBridge...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Procédures endovasculaires › Dual Layer vs Single Layer Woven EndoBridge...