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

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

Journal

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

Informations de publication

Date de publication:
31 Jul 2024
Historique:
received: 06 01 2024
accepted: 17 06 2024
revised: 10 06 2024
medline: 31 7 2024
pubmed: 31 7 2024
entrez: 31 7 2024
Statut: epublish

Résumé

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.

Identifiants

DOI: 10.1007/s10143-024-02527-5 PMID: 39083214
pubmed: 39083214
doi: 10.1007/s10143-024-02527-5
pii: 10.1007/s10143-024-02527-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

374

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Basel Musmar (B)

Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.

Hamza Adel Salim (HA)

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

Nimer Adeeb (N)

Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA. nimer_adeeb@hotmail.com.

Assala Aslan (A)

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

Bahaa Aljeradat (B)

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

Jose Danilo Bengzon Diestro (JDB)

Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, 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, USA.

Oktay Algin (O)

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

Sherief Ghozy (S)

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

Mahmoud Dibas (M)

Department 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, Bruxelles, Belgique.

Leonardo Renieri (L)

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

Nicole M Cancelliere (NM)

Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

Joseph Carnevale (J)

Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, 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 (K)

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.

Justin E Vranic (JE)

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

Charlotte Chung (C)

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

Mohamed M Salem (MM)

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

Ivan Lylyk (I)

Equipo de Neurocirugía Endovascular y Radiología IntervencionistaClínica 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)

Department 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)

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

Marwa A Mohammed (MA)

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

M Ozgur Ozates (MO)

Neurosurgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.

Giyas Ayberk (G)

Neurosurgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.

James D Rabinov (JD)

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

Mariangela Piano (M)

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

Anna L Kühn (AL)

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

Caterina Michelozzi (C)

Interventistica Neurovascolare, Ospedale San Raffaele, Milano, 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 Hassan (A)

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

Mark Ogilvie (M)

Deparment of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.

Anh Nguyen (A)

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

Jesse Jones (J)

Deparment of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.

Waleed Brinjikji (W)

Department 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.

Julian Spears (J)

Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

Brian T Jankowitz (BT)

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

Jan-Karl Burkhardt (JK)

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

Ricardo A Domingo (RA)

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

Thien Huynh (T)

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

Juan Carlos Martinez-Gutierrez (JC)

Department 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)

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

Gary Spiegel (G)

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

Rabih Tawk (R)

Department 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, Italy.

Ajit S Puri (AS)

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

Guglielmo Pero (G)

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

Erez Nossek (E)

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

Eytan Raz (E)

Department 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)

Department 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 Brook (A)

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, USA.

Christopher J Stapleton (CJ)

Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 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 IntervencionistaClínica 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)

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

Mohammad A Aziz-Sultan (MA)

Department of Radiology, Medical Faculty of 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, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.

Hugo H Cuellar-Saenz (HH)

Department 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, USA.

Aman B Patel (AB)

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

Adam A Dmytriw (AA)

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

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Artériopathies intracrâniennes › Anévrysme intracrânien › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Score de propension › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Procédures endovasculaires › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Treatment of large intracranial aneurysms...
questionsmedicales.fr › Thérapeutique › Occlusion thérapeutique › Embolisation thérapeutique › Treatment of large intracranial aneurysms...