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Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device.
Adeeb, Nimer; Dibas, Mahmoud; Diestro, Jose Danilo Bengzon; Phan, Kevin; Cuellar-Saenz, Hugo H; Sweid, Ahmad; Lay, Sovann V; Guenego, Adrien; Aslan, Assala; Renieri, Leonardo; Sundararajan, Sri Hari; Saliou, Guillaume; Möhlenbruch, Markus; Regenhardt, Robert W; Vranic, Justin E; Lylyk, Ivan; Foreman, Paul M; Vachhani, Jay A; Zupancic, Vedran; Hafeez, Muhammad U; Rutledge, Caleb; Waqas, Muhammad; Tutino, Vincent M; Rabinov, James D; Ren, Yifan; Schirmer, Clemens M; Piano, Mariangela; Kuhn, Anna L; Michelozzi, Caterina; Elens, Stephanie; Starke, Robert M; Hassan, Ameer; Salehani, Arsalaan; Brehm, Alex; MohammedAli, MajdEddin; Jones, Jesse; Psychogios, Marios; Spears, Julian; Lubicz, Boris; Panni, Pietro; Puri, Ajit S; Pero, Guglielmo; Griessenauer, Christoph J; Asadi, Hamed; Siddiqui, Adnan; Ducruet, Andrew; Albuquerque, Felipe C; Du, Rose; Kan, Peter; Kalousek, Vladimir.
Afiliação
  • Adeeb N; Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA nimer_adeeb@hotmail.com.
  • Dibas M; Neuroradiology and Neurosurgical Services, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Diestro JDB; Department of Diagnostic and Therapeutic Neuroradiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Phan K; Neuroradiology and Neurosurgical Services, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Cuellar-Saenz HH; Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
  • Sweid A; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
  • Lay SV; Interventional Neuroradiology Department, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
  • Guenego A; Interventional Neuroradiology Department, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
  • Aslan A; Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
  • Renieri L; Interventistica Neurovascolare, Ospedale Careggi di Firenze, Florence, Italy.
  • Sundararajan SH; Neurosurgery and Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, New York, USA.
  • Saliou G; Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Vaud, Switzerland.
  • Möhlenbruch M; Department of Neuroradiology, University of Heidelberg, Heidelberg, Germany.
  • Regenhardt RW; Neuroendovascular Program, Massachusetts General Hospital, Harvard University, Boston, MA, USA.
  • Vranic JE; Neuroendovascular Program, Massachusetts General Hospital, Harvard University, Boston, MA, USA.
  • Lylyk I; Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina.
  • Foreman PM; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Vachhani JA; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Zupancic V; Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.
  • Hafeez MU; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX.
  • Rutledge C; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA.
  • Waqas M; Department of Neurosurgery, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
  • Tutino VM; Department of Neurosurgery, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
  • Rabinov JD; Neuroendovascular Program, Massachusetts General Hospital, Harvard University, Boston, MA, USA.
  • Ren Y; Neurointervention Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia.
  • Schirmer CM; Departments of Neurosurgery and Radiology, Geisinger Hospital, Danville, Virginia, USA.
  • Piano M; Department of Neuroradiology, Ospedale Niguarda Ca' Granda, Milano, Italy.
  • Kuhn AL; Department of Radiology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Michelozzi C; Interventistica Neurovascolare, Ospedale San Raffaele, Milano, Italy.
  • Elens S; Department of Interventional Neuroradiology, Erasmus Hospital, Bruxelles, Bruxelles, Belgium.
  • Starke RM; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Hassan A; Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.
  • Salehani A; Department of Neurosurgery, UAB Hospital, Birmingham, Alabama, USA.
  • Brehm A; Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
  • MohammedAli M; Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
  • Jones J; Department of Neurosurgery, UAB Hospital, Birmingham, Alabama, USA.
  • Psychogios M; Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
  • Spears J; Department of Diagnostic and Therapeutic Neuroradiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Lubicz B; Department of Interventional Neuroradiology, Erasmus Hospital, Bruxelles, Bruxelles, Belgium.
  • Panni P; Interventistica Neurovascolare, Ospedale San Raffaele, Milano, Italy.
  • Puri AS; Department of Radiology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Pero G; Department of Neuroradiology, Ospedale Niguarda Ca' Granda, Milano, Italy.
  • Griessenauer CJ; Departments of Neurosurgery and Radiology, Geisinger Hospital, Danville, Virginia, USA.
  • Asadi H; Department of Neurosurgery, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria.
  • Siddiqui A; Neurointervention Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia.
  • Ducruet A; Department of Neurosurgery, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
  • Albuquerque FC; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA.
  • Du R; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA.
  • Kan P; Neuroradiology and Neurosurgical Services, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Kalousek V; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX.
J Neurointerv Surg ; 15(6): 558-565, 2023 Jun.
Article em En | MEDLINE | ID: mdl-35483912
ABSTRACT

BACKGROUND:

The Woven EndoBridge (WEB) device has Food and Drug Administration approval for treatment of wide-necked intracranial bifurcation aneurysms. The WEB device has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes.

OBJECTIVE:

To compare angiographic and clinical outcomes after treatment of bifurcation aneurysms at various locations, including anterior communicating artery (AComA), anterior cerebral artery (ACA) bifurcation distal to AComA, basilar tip, internal carotid artery (ICA) bifurcation, and middle cerebral artery (MCA) bifurcation aneurysms using the WEB device.

METHODS:

A retrospective cohort analysis was conducted at 22 academic institutions worldwide to compare treatment outcomes of patients with intracranial bifurcation aneurysms using the WEB device. Data include patient and aneurysm characteristics, procedural details, angiographic and functional outcomes, and complications.

RESULTS:

A total of 572 aneurysms were included. MCA (36%), AComA (35.7%), and basilar tip (18.9%) aneurysms were most common. The rate of adequate aneurysm occlusion was significantly higher for basilar tip (91.6%) and ICA bifurcation (96.7%) aneurysms and lower for ACA bifurcation (71.4%) and AComA (80.6%) aneurysms (p=0.04).

CONCLUSION:

To our knowledge, this is the most extensive study to date that compares the treatment of different intracranial bifurcation aneurysms using the WEB device. Basilar tip and ICA bifurcation aneurysms showed significantly higher rates of aneurysm occlusion than other locations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças das Artérias Carótidas / Aneurisma Intracraniano / Embolização Terapêutica / Procedimentos Endovasculares Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Neurointerv Surg Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças das Artérias Carótidas / Aneurisma Intracraniano / Embolização Terapêutica / Procedimentos Endovasculares Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Neurointerv Surg Ano de publicação: 2023 Tipo de documento: Article