Intrasaccular flow disruption for ruptured aneurysms: an international multicenter study
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Published:2022-07-22
Issue:
Volume:
Page:neurintsurg-2022-019153
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ISSN:1759-8478
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Container-title:Journal of NeuroInterventional Surgery
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language:en
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Short-container-title:J NeuroIntervent Surg
Author:
Diestro Jose Danilo BengzonORCID, Dibas Mahmoud, Adeeb Nimer, Regenhardt Robert W, Vranic Justin EORCID, Guenego AdrienORCID, Lay Sovann VORCID, Renieri Leonardo, Al Balushi Ali, Shotar EimadORCID, Premat Kevin, El Naamani Kareem, Saliou GuillaumeORCID, Möhlenbruch Markus A., Lylyk IvanORCID, Foreman Paul M, Vachhani Jay AORCID, Župančić Vedran, Hafeez Muhammad U, Rutledge Caleb, Rai HamidORCID, Tutino Vincent MORCID, Mirshani Shervin, Ghozy Sherief, Harker PabloORCID, Alotaibi Naif M, Rabinov James D, Ren YifanORCID, Schirmer Clemens MORCID, Goren Oded, Piano Mariangela, Kuhn Anna Luisa, Michelozzi CaterinaORCID, Elens StephanieORCID, Starke Robert M, Hassan AmeerORCID, Salehani Arsalaan, Nguyen AnhORCID, Jones JesseORCID, Psychogios Marios, Spears Julian, Parra-Fariñas CarmenORCID, Bres Bullrich Maria, Mayich Michael, Salem Mohamed MORCID, Burkhardt Jan-Karl, Jankowitz Brian T, Domingo Ricardo AORCID, Huynh Thien, Tawk Rabih, Ulfert Christian, Lubicz Boris, Panni Pietro, Puri Ajit S, Pero GuglielmoORCID, Griessenauer Christoph J, Asadi Hamed, Siddiqui Adnan, Ducruet Andrew F, Albuquerque Felipe CORCID, Du Rose, Kan PeterORCID, Kalousek VladimirORCID, Lylyk Pedro, Boddu Srikanth Reddy, Stapleton Christopher J, Knopman Jared, Jabbour PascalORCID, Tjoumakaris StavropoulaORCID, Clarençon FrédéricORCID, Limbucci Nicola, Aziz-Sultan Mohammad A, Cuellar-Saenz Hugo HORCID, Cognard Christophe, Patel Aman B, Dmytriw Adam A
Abstract
BackgroundThe Woven EndoBridge (WEB) device is a novel intrasaccular flow disruptor tailored for bifurcation aneurysms. We aim to describe the degree of aneurysm occlusion at the latest follow-up, and the rate of complications of aneurysms treated with the WEB device stratified according to rupture status.MethodsOur data were taken from the WorldWideWeb Consortium, an international multicenter cohort including patients treated with the WEB device. Aneurysms were classified into two groups: ruptured and unruptured. We compared clinical and radiologic outcomes of both groups. Propensity score matching (PSM) was done to match according to age, gender, bifurcation, location, prior treatment, neck, height, dome width, daughter sac, incorporated branch, pretreatment antiplatelets, and last imaging follow-up.ResultsThe study included 676 patients with 691 intracranial aneurysms (529 unruptured and 162 ruptured) treated with the WEB device. The PSM analysis had 55 pairs. In both the unmatched (85.8% vs 84.3%, p=0.692) and matched (94.4% vs 83.3%, p=0.066) cohorts there was no significant difference in the adequate occlusion rate at the last follow-up. Likewise, there were no significant differences in both ischemic and hemorrhagic complications between the two groups. There was no documented aneurysm rebleeding after WEB device implantation.ConclusionThere was no significant difference in both the radiologic outcomes and complications between unruptured and ruptured aneurysms. Our findings support the feasibility of treatment of ruptured aneurysms with the WEB device.
Subject
Neurology (clinical),General Medicine,Surgery
Cited by
5 articles.
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