Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB)

被引：25

作者：

Adeeb, Nimer ^{[1
]}

Dibas, Mahmoud ^{[2
]}

Diestro, Jose Danilo Bengzon ^{[3
]}

Cuellar-Saenz, Hugo H. ^{[1
,13
]}

Sweid, Ahmad ^{[4
]}

Kandregula, Sandeep ^{[1
]}

Lay, Sovann, V ^{[5
]}

Guenego, Adrien ^{[4
]}

Renieri, Leonardo ^{[6
]}

Sundararajan, Sri Hari ^{[7
]}

Saliou, Guillaume ^{[8
]}

Aslan, Assala ^{[1
]}

Mohlenbruch, Markus ^{[9
]}

Vranic, Justin E. ^{[10
]}

Regenhardt, Robert W. ^{[10
]}

Savardekar, Amey ^{[1
]}

Mamilly, Ahmed ^{[1
]}

Lylyk, Ivan ^{[11
]}

Foreman, Paul M. ^{[12
]}

Vachhani, Jay A. ^{[12
]}

Zupancic, Vedran ^{[13
]}

Hafeez, Muhammad U. ^{[14
,15
]}

Rutledge, Caleb ^{[16
]}

Waqas, Muhammad ^{[17
]}

Farinas, Carmen Parra ^{[3
]}

Tutino, Vincent M. ^{[17
]}

Inoue, Yasuaki ^{[3
]}

Mirshahi, Shervin ^{[3
]}

Rabinov, James D. ^{[10
]}

Ren, Yifan ^{[18
]}

Schirmer, Clemens M. ^{[19
]}

Piano, Mariangela ^{[20
]}

Kuehn, Anna L. ^{[21
]}

Michelozzi, Caterina ^{[22
]}

Elens, Stephanie ^{[23
]}

Starke, Robert M. ^{[24
]}

Hassan, Ameer ^{[25
]}

Salehani, Arsalaan ^{[26
]}

Sporns, Peter ^{[27
,28
]}

Brehm, Alex ^{[27
]}

Jones, Jesse ^{[26
]}

Psychogios, Marios ^{[27
]}

Spears, Julian ^{[3
]}

Lubicz, Boris ^{[23
]}

Panni, Pietro ^{[22
]}

Puri, Ajit S. ^{[21
]}

Pero, Guglielmo ^{[20
]}

Griessenauer, Christoph J. ^{[19
]}

Asadi, Hamed ^{[18
]}

Stapleton, Christopher J. ^{[10
]}

机构：

[1] Louisiana State Univ, Dept Neurosurg & Neurointervent Surg, 1501 Kings Hwy, Shreveport, LA 71104 USA

[2] Harvard Med Sch, Brigham & Womens Hosp, Neuroradiol & Neuroinrervent Serv, Boston, MA 02115 USA

[3] Univ Toronto, Dept Diagnost & Therapeut Neuroradiol, Dept Radiol, St Michaels Hosp, Toronto, ON, Canada

[4] Ctr Hosp Toulouse, Dept Diagnost & Therapeut Neuroradiol, Hop Purpan, Toulouse, France

[5] Thomas Jefferson Univ, Dept Neurosurg, Philadelphia, PA 19107 USA

[6] Osped Careggi Firenze, Dept Neurovasc Intervent, Florence, Italy

[7] Weill Cornell Sch Med, New York Presbyterian Hosp, Dept Neurosurg & Intervent Neuroradiol, New York, NY USA

[8] Ctr Hosp Vaudois Lausanne, Dept Radiodiag & Intervent Radiol, Lausanne, Switzerland

[9] Univ Klinikum Heidelberg, Vasc & Intervent Neuroradiol Sect, Heidelberg, Germany

[10] Harvard Med Sch, Massachusetts Gen Hosp, Neuroendovasc Program, Boston, MA 02115 USA

[11] Clin La Sagrada Familia, Endovasc Neurosurg & Intervent Radiol Team, Buenos Aires, DF, Argentina

[12] Orlando Hlth Neurosci & Rehabil Inst, Dept Neurosurg, Orlando, FL USA

[13] Clin Hosp Ctr Sisters Mercy, Dept Radiol, Subdiv Intervent Neuroradiol, Zagreb, Croatia

[14] UTMB, Dept Neurosurg, Houston, TX USA

[15] Baylor Sch Med, Houston, TX USA

[16] Barrow Neurol Inst, Dept Neurosurg, Phoenix, AZ 85013 USA

[17] SUNY Buffalo, Dept Neurosurg, Buffalo, NY USA

[18] Austin Hlth, Intervent Radiol & Neurointervent Serv, Dept Radiol, Melbourne, Vic, Australia

[19] Geisinger Hosp, Dept Neurosurg & Radiol, Danville, PA USA

[20] Osped Niguarda Ca Granda, Dept Neurovasc Intervent, Milan, Italy

[21] UMass Mem Hosp, Dept Neurointervent Radiol, Worcester, MA USA

[22] Osped San Raffaele Milano, Dept Neurovasc Intervent, Milan, Italy

[23] Hop Univ Erasme, Dept Intervent Neuroradiol, Brussels, Belgium

[24] Univ Miami, Dept Neurosurg, Miami, FL USA

[25] Valley Baptist Neurosci Inst, Dept Neurosci, Harlingen, TX USA

[26] Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA

[27] Univ Hosp Basel, Dept Neuroradiol, Clin Radiol & Nucl Med, Basel, Switzerland

[28] Univ Med Ctr Hamburg Eppendorf, Dept Diagnost & Intervent Neuroradiol, Hamburg, Germany

来源：

RADIOLOGY | 2022年 / 304卷 / 02期

基金：

美国国家卫生研究院;

关键词：

SAFETY; SERIES;

D O I：

10.1148/radiol.212006

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Background: The Woven EndoBridge (WEB) device was explicitly designed for wide- neck intracranial bifurcation aneurysms. Small-scale reports have evaluated the off-label use of WEB devices for the treatment of sidewall aneurysms, with promising outcomes. Purpose: To compare the angiographic and clinical outcomes of the WEB device for the treatment of sidewall aneurysms compared with the treatment of bifurcation aneurysms. Materials and Methods: A retrospective review of the WorldWideWEB Consortium, a synthesis of retrospective databases spanning from January 2011 to June 2021 at 22 academic institutions in North America, South America, and Europe, was performed to identify patients with intracranial aneurysms treated with the WEB device. Characteristics and outcomes were compared between bifurcation and sidewall aneurysms. Propensity score matching (PSM) was used to match by age, pretreatment ordinal modified Rankin Scale score, ruptured aneurysms, location of aneurysm, multiple aneurysms, prior treatment, neck, height, dome width, daughter sac, and incorporated branch. Results: A total of 683 intracranial aneurysms were treated using the WEB device in 671 patients (median age, 61 years [IQR, 53-68 years]; male-to-female ratio, 1:2.5). Of those, 572 were bifurcation aneurysms and 111 were sidewall aneurysms. PSM was performed, resulting in 91 bifurcation and sidewall aneurysms pairs. No significant difference was observed in occlusion status at last follow-up, deployment success, or complication rates between the two groups. Conclusion: No significantly different outcomes were observed following the off-label use of the Woven EndoBridge, or WEB, device for treatment of sidewall aneurysms compared with bifurcation aneurysms. The correct characterization of the sidewall aneurysm location, neck angle, and size is crucial for successful treatment and lower retreatment rate. (C) RSNA, 2022

引用

页码：372 / 382

页数：11

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