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Long-Term Follow-Up of Cerebral Aneurysms Completely Occluded at 6 Months After Intervention with the Woven EndoBridge (WEB) Device: a Retrospective Multicenter Observational Study.
El Naamani, Kareem; Mastorakos, Panagiotis; Adeeb, Nimer; Lan, Mathews; Castiglione, James; Khanna, Omaditya; Diestro, Jose Danilo Bengzon; McLellan, Rachel M; Dibas, Mahmoud; Vranic, Justin E; Aslan, Assala; Cuellar-Saenz, Hugo H; Guenego, Adrien; Carnevale, Joseph; Saliou, Guillaume; Ulfert, Christian; Möhlenbruch, Markus; Foreman, Paul M; Vachhani, Jay A; Hafeez, Muhammad U; Waqas, Muhammad; Tutino, Vincent M; Rabinov, James D; Ren, Yifan; Michelozzi, Caterina; Spears, Julian; Panni, Pietro; Griessenauer, Christoph J; Asadi, Hamed; Regenhardt, Robert W; Stapleton, Christopher J; Ghozy, Sherief; Siddiqui, Adnan; Patel, Nirav J; Kan, Peter; Boddu, Srikanth; Knopman, Jared; Aziz-Sultan, Mohammad A; Zanaty, Mario; Ghosh, Ritam; Abbas, Rawad; Amllay, Abdelaziz; Tjoumakaris, Stavropoula I; Gooch, Michael R; Cancelliere, Nicole M; Herial, Nabeel A; Rosenwasser, Robert H; Zarzour, Hekmat; Schmidt, Richard F; Pereira, Vitor Mendes.
Affiliation
  • El Naamani K; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Mastorakos P; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Adeeb N; Departement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
  • Lan M; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Castiglione J; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Khanna O; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Diestro JDB; Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • McLellan RM; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Dibas M; Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Vranic JE; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Aslan A; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Cuellar-Saenz HH; Departement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
  • Guenego A; Departement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
  • Carnevale J; Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgium.
  • Saliou G; Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.
  • Ulfert C; Service de Radiodiagnostic et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.
  • Möhlenbruch M; Sektion Vaskuläre und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
  • Foreman PM; Sektion Vaskuläre und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
  • Vachhani JA; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Hafeez MU; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Waqas M; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.
  • Tutino VM; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Rabinov JD; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Ren Y; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Michelozzi C; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, VIC, Australia.
  • Spears J; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.
  • Panni P; Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Griessenauer CJ; Interventional Neuroradiology and Neurosurgery, San Raffaele University Hospital, Milan, Italy.
  • Asadi H; Department of Neurosurgery, Christian Doppler University Hospital, Paracelsus Medical University Salzburg, Salzburg, Austria.
  • Regenhardt RW; Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.
  • Stapleton CJ; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, VIC, Australia.
  • Ghozy S; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Siddiqui A; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Patel NJ; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Kan P; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Boddu S; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Knopman J; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.
  • Aziz-Sultan MA; Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.
  • Zanaty M; Neurosurgery & Interventional Neuroradiology, Weill Cornell School of Medicine, New York Presbyterian Hospital, New York, NY, USA.
  • Ghosh R; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Abbas R; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Amllay A; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Tjoumakaris SI; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Gooch MR; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Cancelliere NM; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Herial NA; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Rosenwasser RH; Neurovascular Centre, Departments of Medical Imaging & Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Zarzour H; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Schmidt RF; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
  • Pereira VM; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Transl Stroke Res ; 2023 May 11.
Article in En | MEDLINE | ID: mdl-37165289
ABSTRACT
The Woven EndoBridge (WEB) device has been widely used to treat intracranial wide neck bifurcation aneurysms. Initial studies have demonstrated that approximately 90% of patients have same or improved long-term aneurysm occlusion after the initial 6-month follow up. The aim of this study is to assess the long-term follow-up in aneurysms that have achieved complete occlusion at 6 months. We also compared the predictive value of different imaging modalities used. This is an analysis of a prospectively maintained database across 13 academic institutions. We included patients with previously untreated cerebral aneurysms embolized using the WEB device who achieved complete occlusion at first follow-up and had available long-term follow-up. A total of 95 patients with a mean age of 61.6 ± 11.9 years were studied. The mean neck diameter and height were 3.9 ± 1.3 mm and 6.0 ± 1.8 mm, respectively. The mean time to first and last follow-up was 5.4 ± 1.8 and 14.1 ± 12.9 months, respectively. Out of all the aneurysms that were completely occluded at 6 months, 84 (90.3%) showed complete occlusion at the final follow-up, and 11(11.5%) patients did not achieve complete occlusion. The positive predictive value (PPV) of complete occlusion at first follow was 88.4%. Importantly, this did not differ between digital subtraction angiography (DSA), magnetic resonance angiography (MRA), or computed tomography angiography (CTA). This study underlines the importance of repeat imaging in patients treated with the WEB device even if complete occlusion is achieved short term. Follow-up can be performed using DSA, MRA or CTA with no difference in positive predictive value.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Observational_studies / Risk_factors_studies Language: En Journal: Transl Stroke Res Year: 2023 Document type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Clinical_trials / Observational_studies / Risk_factors_studies Language: En Journal: Transl Stroke Res Year: 2023 Document type: Article Affiliation country: United States