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Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis.
Dmytriw, Adam A; Salim, Hamza; Musmar, Basel; Aslan, Assala; Cancelliere, Nicole M; McLellan, Rachel M; Algin, Oktay; Ghozy, Sherief; Dibas, Mahmoud; Lay, Sovann V; Guenego, Adrien; Renieri, Leonardo; Carnevale, Joseph; Saliou, Guillaume; Mastorakos, Panagiotis; Naamani, Kareem El; Shotar, Eimad; Premat, Kevin; Möhlenbruch, Markus; Kral, Michael; Doron, Omer; 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; Imamoglu, Cetin; Bayrak, Ahmet; Rabinov, James D; Ren, Yifan; Schirmer, Clemens M; Piano, Mariangela; Kühn, Anna L; Michelozzi, Caterina; Elens, Stéphanie; Starke, Robert M; Hassan, Ameer E; Ogilvie, Mark; Sporns, Peter; Jones, Jesse; Brinjikji, Waleed; Nawka, Marie T.
Affiliation
  • Dmytriw AA; Divisions of Therapeutic Neuroradiology and Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada. admytriw@mgh.harvard.edu.
  • Salim H; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA. admytriw@mgh.harvard.edu.
  • Musmar B; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Aslan A; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • Cancelliere NM; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
  • McLellan RM; Divisions of Therapeutic Neuroradiology and Neurosurgery, 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, 02114, USA.
  • Ghozy S; Medical Faculty, Department of Radiology, Ankara University, Ankara, Turkey.
  • Dibas M; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Lay SV; Departement 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, Brussels, Belgique.
  • Carnevale J; Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
  • Saliou G; Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.
  • Mastorakos P; Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.
  • Naamani KE; 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.
  • Doron O; 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, 02114, USA.
  • Salem MM; Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA.
  • Lylyk I; Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA.
  • Foreman PM; Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica 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; Departments 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; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Imamoglu C; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
  • Bayrak A; Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
  • Rabinov JD; Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital of the Ministry of Health, Ankara, Turkey.
  • Ren Y; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, 02114, USA.
  • Schirmer CM; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, VIC, Australia.
  • Piano M; Department of Neurosurgery and Radiology, Geisinger Health System, Danville, PA, USA.
  • Kühn AL; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.
  • Michelozzi C; Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.
  • Elens S; Interventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.
  • Starke RM; Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
  • Hassan AE; Deparment of Neurosurgery, University of Miami, Miami, FL, USA.
  • Ogilvie M; Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.
  • Sporns P; Deparments of Neurosurgery and Radiology, University of Alabama, Birmingham, AL, USA.
  • Jones J; Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland.
  • Brinjikji W; Deparments of Neurosurgery and Radiology, University of Alabama, Birmingham, AL, USA.
  • Nawka MT; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA.
Neurosurg Rev ; 47(1): 116, 2024 Mar 14.
Article in En | MEDLINE | ID: mdl-38483647
ABSTRACT

BACKGROUND:

The Woven EndoBridge (WEB) devices have been used for treating wide neck bifurcation aneurysms (WNBAs) with several generational enhancements to improve clinical outcomes. The original device dual-layer (WEB DL) was replaced by a single-layer (WEB SL) device in 2013. This study aimed to compare the effectiveness and safety of these devices in managing intracranial aneurysms.

METHODS:

A multicenter cohort study was conducted, and data from 1,289 patients with intracranial aneurysms treated with either the WEB SL or WEB DL devices were retrospectively analyzed. Propensity score matching was utilized to balance the baseline characteristics between the two groups. Outcomes assessed included immediate occlusion rate, complete occlusion at last follow-up, retreatment rate, device compaction, and aneurysmal rupture.

RESULTS:

Before propensity score matching, patients treated with the WEB SL had a significantly higher rate of complete occlusion at the last follow-up and a lower rate of retreatment. After matching, there was no significant difference in immediate occlusion rate, retreatment rate, or device compaction between the WEB SL and DL groups. However, the SL group maintained a higher rate of complete occlusion at the final follow-up. Regression analysis showed that SL was associated with higher rates of complete occlusion (OR 0.19; CI 0.04 to 0.8, p = 0.029) and lower rates of retreatment (OR 0.12; CI 0 to 4.12, p = 0.23).

CONCLUSION:

The WEB SL and DL devices demonstrated similar performances in immediate occlusion rates and retreatment requirements for intracranial aneurysms. The SL device showed a higher rate of complete occlusion at the final follow-up.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Aneurysm / Embolization, Therapeutic / Endovascular Procedures Limits: Humans Language: En Journal: Neurosurg Rev Year: 2024 Document type: Article Affiliation country:
Fulltext
Add to My VHL
Print
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Aneurysm / Embolization, Therapeutic / Endovascular Procedures Limits: Humans Language: En Journal: Neurosurg Rev Year: 2024 Document type: Article Affiliation country: