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The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium.
Dmytriw, Adam A; Dibas, Mahmoud; Ghozy, Sherief; Adeeb, Nimer; Diestro, Jose Danilo Bengzon; Phan, Kevin; Cuellar-Saenz, Hugo H; Sweid, Ahmad; Lay, Sovann V; Guenego, Adrien; Renieri, Leonardo; Al Balushi, Ali; 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; Kühn, Anna L; Michelozzi, Caterina; Elens, Stéphanie; Starke, Robert M; Hassan, Ameer; Salehani, Arsalaan; Sporns, Peter; Jones, Jesse; Psychogios, Marios; Spears, Julian; Lubicz, Boris; Panni, Pietro; Puri, Ajit S; Pero, Guglielmo; Griessenauer, Christoph J; Asadi, Hamed; Stapleton, Christopher J; Siddiqui, Adnan; Ducruet, Andrew F; Albuquerque, Felipe C; Du, Rose; Kan, Peter.
Affiliation
  • Dmytriw AA; Neurointerventional Program, Departments of Medical Imaging & Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada. adam.dmytriw@lhsc.on.ca.
  • Dibas M; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA. adam.dmytriw@lhsc.on.ca.
  • Ghozy S; Neurointerventional Program, Departments of Medical Imaging & Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada.
  • Adeeb N; Department of Neuroradiology, Mayo Clinic, Rochester, MN, USA.
  • Diestro JDB; Departement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
  • Phan K; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Cuellar-Saenz HH; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
  • Sweid A; Departement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
  • Lay SV; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
  • Guenego A; Service de Neuroradiologie Diagnostique Et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France.
  • Renieri L; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
  • Al Balushi A; Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
  • Saliou G; Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.
  • Möhlenbruch M; Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.
  • Regenhardt RW; Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
  • Vranic JE; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
  • Lylyk I; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, 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.
  • Zupancic V; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
  • Hafeez MU; Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.
  • Rutledge C; 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.
  • 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, 55 Fruit St, Boston, MA, 02114, USA.
  • Schirmer CM; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
  • Piano M; Department of Neurosurgery and Radiology, Geisinger Hospital, 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; Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgium.
  • Hassan A; Deparment of Neurosurgery, University of Miami, Miami, FL, USA.
  • Salehani A; Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.
  • Sporns P; Deparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Jones J; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Psychogios M; Deparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Spears J; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Lubicz B; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
  • Panni P; Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgium.
  • Puri AS; Interventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.
  • Pero G; Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.
  • Griessenauer CJ; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.
  • Asadi H; Department of Neurosurgery and Radiology, Geisinger Hospital, Danville, PA, USA.
  • Stapleton CJ; Department of Neurosurgery, Christian Doppler University Hospital, Paracelsus Medical University Salzburg, Salzburg, Austria.
  • Siddiqui A; Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.
  • Ducruet AF; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
  • Albuquerque FC; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
  • Du R; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
  • Kan P; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Transl Stroke Res ; 14(4): 455-464, 2023 08.
Article in En | MEDLINE | ID: mdl-36066701
Several studies have shown promising outcomes of the Woven EndoBridge (WEB) device for the treatment of wide-necked intracranial bifurcation aneurysms. This is a multicenter study attempts to explore the changes in trends and treatment outcomes over time for WEB embolization of intracranial aneurysms. The WorldWideWEB consortium is a retrospective multicenter collaboration of data from international centers spanning from January 2011 and June 2021, with no limitations on aneurysm location or rupture status. Both bifurcation and sidewall aneurysms were included. These patients were stratified based on treatment year into five treatment intervals: 2011-2015 (N = 66), 2016-2017 (N = 77), 2018 (N = 66), 2019 (N = 300), and 2020-2021 (N = 173). Patient characteristics and angiographic and clinical outcomes were compared between these time intervals. This study comprised 671 patients (median age 61.4 years; 71.2% female) with 682 intracranial aneurysms. Over time, we observed an increasing tendency to treat patients presenting with ruptured aneurysms and aneurysms with smaller neck, diameter, and dome widths. Furthermore, we observed a trend towards more off-label use of the WEB for sidewall aneurysms and increased adoption of transradial access for WEB deployment. Moreover, the proportion of patients with adequate WEB occlusion immediately and at last follow-up was significantly higher in more recent year cohorts, as well as lower rates of compaction and retreatment. Mortality and complications did not differ over time. This learning curve study suggests improved experience using the WEB for the treatment of intracranial aneurysms and has yielded higher rates of adequate occlusion over time.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Aneurysm / Embolization, Therapeutic / Endovascular Procedures Type of study: Clinical_trials Limits: Female / Humans / Male / Middle aged Language: En Journal: Transl Stroke Res Year: 2023 Document type: Article Affiliation country: Country of publication:
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Aneurysm / Embolization, Therapeutic / Endovascular Procedures Type of study: Clinical_trials Limits: Female / Humans / Male / Middle aged Language: En Journal: Transl Stroke Res Year: 2023 Document type: Article Affiliation country: Country of publication: