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Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.
Musmar, Basel; Salim, Hamza Adel; Adeeb, Nimer; Aslan, Assala; Aljeradat, Bahaa; Diestro, Jose Danilo Bengzon; McLellan, Rachel M; Algin, Oktay; Ghozy, Sherief; Dibas, Mahmoud; Lay, Sovann V; Guenego, Adrien; Renieri, Leonardo; Cancelliere, Nicole M; Carnevale, Joseph; Saliou, Guillaume; Mastorakos, Panagiotis; El Naamani, Kareem; Shotar, Eimad; Premat, Kevin; Möhlenbruch, Markus; Kral, Michael; Vranic, Justin E; Chung, Charlotte; Salem, Mohamed M; Lylyk, Ivan; Foreman, Paul M; Vachhani, Jay A; Shaikh, Hamza; Zupancic, Vedran; Hafeez, Muhammad U; Catapano, Joshua; Waqas, Muhammad; Tutino, Vincent M; Ibrahim, Mohamed K; Mohammed, Marwa A; Ozates, M Ozgur; Ayberk, Giyas; Rabinov, James D; Ren, Yifan; Schirmer, Clemens M; Piano, Mariangela; Kühn, Anna L; Michelozzi, Caterina; Elens, Stéphanie; Starke, Robert M; Hassan, Ameer; Ogilvie, Mark; Nguyen, Anh; Jones, Jesse.
Afiliação
  • Musmar B; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Salim HA; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
  • Adeeb N; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Aslan A; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA. nimer_adeeb@hotmail.com.
  • Aljeradat B; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Diestro JDB; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • McLellan RM; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Algin O; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
  • Ghozy S; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey.
  • Dibas M; Department of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Lay SV; Department of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Guenego A; Service de Neuroradiologie Diagnostique Et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France.
  • Renieri L; Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Bruxelles, Belgique.
  • Cancelliere NM; Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
  • Carnevale J; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Saliou G; Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.
  • Mastorakos P; Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.
  • El Naamani K; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
  • Shotar E; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
  • Premat K; Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France.
  • Möhlenbruch M; Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France.
  • Kral M; Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
  • Vranic JE; Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.
  • Chung C; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
  • Salem MM; Department of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.
  • Lylyk I; Department of Neurosurgery, University of Pennsylvania Medical Center, Philadelphia, PA, USA.
  • Foreman PM; Equipo de Neurocirugía Endovascular y Radiología IntervencionistaClínica La Sagrada Familia, Buenos Aires, Argentina.
  • Vachhani JA; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Shaikh H; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Zupancic V; Department of Radiology & Neurosurgery, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ, USA.
  • Hafeez MU; Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.
  • Catapano J; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.
  • Waqas M; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
  • Tutino VM; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Ibrahim MK; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Mohammed MA; Department of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Ozates MO; Department of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Ayberk G; Neurosurgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.
  • Rabinov JD; Neurosurgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.
  • Ren Y; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
  • Schirmer CM; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, VIC, Australia.
  • Piano M; Department of Neurosurgery and Radiology, Geisinger Hospital, Danville, PA, USA.
  • Kühn AL; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milano, Italy.
  • Michelozzi C; Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.
  • Elens S; Interventistica Neurovascolare, Ospedale San Raffaele, Milano, Italy.
  • Starke RM; Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
  • Hassan A; Deparment of Neurosurgery, University of Miami, Miami, FL, USA.
  • Ogilvie M; Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.
  • Nguyen A; Deparment of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Jones J; Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland.
Neurosurg Rev ; 47(1): 374, 2024 Jul 31.
Article em En | MEDLINE | ID: mdl-39083214
ABSTRACT
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma Intracraniano / Pontuação de Propensão / Procedimentos Endovasculares Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma Intracraniano / Pontuação de Propensão / Procedimentos Endovasculares Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Rev Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos