Buchumschlag

Stent-assisted Woven EndoBridge device for the treatment of intracranial aneurysms: an international multicenter study

OBJECTIVE: The Woven EndoBridge (WEB) device is an intrasaccular flow disruptor designed for wide-necked bifurcation aneurysms. These aneurysms may require the use of a concomitant stent. The objective of this study was to determine the clinical and radiological outcomes of patients undergoing stent...

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Hauptverfasser: Diestro, Jose Danilo Bengzon (VerfasserIn) , Dibas, Mahmoud (VerfasserIn) , Adeeb, Nimer (VerfasserIn) , Regenhardt, Robert W. (VerfasserIn) , Vranic, Justin E. (VerfasserIn) , Guenego, Adrien (VerfasserIn) , Lay, Sovann V. (VerfasserIn) , Renieri, Leonardo (VerfasserIn) , Balushi, Ali Al (VerfasserIn) , Shotar, Eimad (VerfasserIn) , Premat, Kévin (VerfasserIn) , Namaani, Kareem El (VerfasserIn) , Saliou, Guillaume (VerfasserIn) , Möhlenbruch, Markus Alfred (VerfasserIn) , Lylyk, Ivan (VerfasserIn) , Foreman, Paul M. (VerfasserIn) , Vachhani, Jay A. (VerfasserIn) , Župančić, Vedran (VerfasserIn) , Hafeez, Muhammad U. (VerfasserIn) , Rutledge, Caleb (VerfasserIn) , Rai, Hamid (VerfasserIn) , Tutino, Vincent M. (VerfasserIn) , Mirshahi, Shervin (VerfasserIn) , Ghozy, Sherief (VerfasserIn) , Harker, Pablo (VerfasserIn) , Alotaibi, Naif M. (VerfasserIn) , Rabinov, James D. (VerfasserIn) , Ren, Yifan (VerfasserIn) , Schirmer, Clemens M. (VerfasserIn) , Goren, Oded (VerfasserIn) , Piano, Mariangela (VerfasserIn) , Kühn, Anna L. (VerfasserIn) , Michelozzi, Caterina (VerfasserIn) , Elens, Stéphanie (VerfasserIn) , Starke, Robert M. (VerfasserIn) , Hassan, Ameer E. (VerfasserIn) , Salehani, Arsalaan (VerfasserIn) , Nguyen, Anh (VerfasserIn) , Jones, Jesse (VerfasserIn) , Psychogios, Marios (VerfasserIn) , Spears, Julian (VerfasserIn) , Marotta, Thomas (VerfasserIn) , Pereira, Vitor (VerfasserIn) , Parra-Fariñas, Carmen (VerfasserIn) , Bres-Bullrich, Maria (VerfasserIn) , Mayich, Michael (VerfasserIn) , Salem, Mohamed M. (VerfasserIn) , Burkhardt, Jan-Karl (VerfasserIn) , Jankowitz, Brian T. (VerfasserIn) , Domingo, Ricardo A. (VerfasserIn) , Huynh, Thien (VerfasserIn) , Tawk, Rabih (VerfasserIn) , Ulfert, Christian (VerfasserIn) , Lubicz, Boris (VerfasserIn) , Panni, Pietro (VerfasserIn) , Puri, Ajit S. (VerfasserIn) , Pero, Guglielmo (VerfasserIn) , Griessenauer, Christoph J. (VerfasserIn) , Asadi, Hamed (VerfasserIn) , Siddiqui, Adnan (VerfasserIn) , Ducruet, Andrew F. (VerfasserIn) , Albuquerque, Felipe C. (VerfasserIn) , Patel, Nirav (VerfasserIn) , Kan, Peter (VerfasserIn) , Kalousek, Vladimir (VerfasserIn) , Lylyk, Pedro (VerfasserIn) , Boddu, Srikanth (VerfasserIn) , Stapleton, Christopher J. (VerfasserIn) , Knopman, Jared (VerfasserIn) , Jabbour, Pascal (VerfasserIn) , Tjoumakaris, Stavropoula (VerfasserIn) , Clarençon, Frédéric (VerfasserIn) , Limbucci, Nicola (VerfasserIn) , Aziz-Sultan, Mohammad A. (VerfasserIn) , Cuellar-Saenz, Hugo H. (VerfasserIn) , Cognard, Christophe (VerfasserIn) , Patel, Aman B. (VerfasserIn) , Dmytriw, Adam A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2024
In: Journal of neurosurgery
Year: 2024, Jahrgang: 140, Heft: 4, Pages: 1071-1079
ISSN:1933-0693
DOI:10.3171/2023.8.JNS235
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.3171/2023.8.JNS235
Volltext
Verfasserangaben:Jose Danilo Bengzon Diestro, MD, Mahmoud Dibas, MD, Nimer Adeeb, MD, Robert W. Regenhardt, MD, PhD, Justin E. Vranic, MD, Adrien Guenego, MD, Sovann V. Lay, MD, Leonardo Renieri, MD, Ali Al Balushi, MD, Eimad Shotar, MD, Kévin Premat, MD, Kareem El Namaani, MD, Guillaume Saliou, MD, PhD, Markus A. Möhlenbruch, MD, Ivan Lylyk, MD, Paul M. Foreman, MD, Jay A. Vachhani, MD, Vedran Župančić, MD, Muhammad U. Hafeez, MD, Caleb Rutledge, MD, Hamid Rai, MBBS, Vincent M. Tutino, PhD, Shervin Mirshahi, MD, Sherief Ghozy, MD, Pablo Harker, MD, Naif M. Alotaibi, MD, MSc, James D. Rabinov, MD, Yifan Ren, MD, Clemens M. Schirmer, MD, PhD, MBA, Oded Goren, MD, Mariangela Piano, MD, Anna L. Kühn, MD, PhD, Caterina Michelozzi, MD, Stéphanie Elens, MD, Robert M. Starke, MD, Ameer E. Hassan, DO, Arsalaan Salehani, MD, Anh Nguyen, MD, Jesse Jones, MD, Marios Psychogios, MD, Julian Spears, MD, Thomas Marotta, MD, Vitor Pereira, MD, Carmen Parra-Fariñas, MD, Maria Bres-Bullrich, MD, Michael Mayich, MD, Mohamed M. Salem, MD, MPH, Jan-Karl Burkhardt, MD, Brian T. Jankowitz, MD, Ricardo A. Domingo, MD, Thien Huynh, MD, Rabih Tawk, MD, Christian Ulfert, MD, Boris Lubicz, MD, PhD, Pietro Panni, MD, Ajit S. Puri, MD, Guglielmo Pero, MD, Christoph J. Griessenauer, MD, MBA, Hamed Asadi, MD, PhD, Adnan Siddiqui, MD, Andrew F. Ducruet, MD, Felipe C. Albuquerque, MD, Nirav Patel, MD, Peter Kan, MD, Vladimir Kalousek, MD, Pedro Lylyk, MD, Srikanth Boddu, MD, MSc, Christopher J. Stapleton, MD, Jared Knopman, MD, Pascal Jabbour, MD, Stavropoula Tjoumakaris, MD, Frédéric Clarençon, MD, PhD, Nicola Limbucci, MD, Mohammad A. Aziz-Sultan, MD, Hugo H. Cuellar-Saenz, MD, Christophe Cognard, MD, Aman B. Patel, MD, and Adam A. Dmytriw, MD, MPH, MSc

MARC

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520 |a OBJECTIVE: The Woven EndoBridge (WEB) device is an intrasaccular flow disruptor designed for wide-necked bifurcation aneurysms. These aneurysms may require the use of a concomitant stent. The objective of this study was to determine the clinical and radiological outcomes of patients undergoing stent-assisted WEB treatment. In addition, the authors also sought to determine the predictors of a concomitant stent in aneurysms treated with the WEB device. - METHODS: The data for this study were taken from the WorldWideWEB Consortium, an international multicenter cohort including patients treated with the WEB device. Aneurysms were classified into two groups based on treatment: stent-assisted WEB and WEB device alone. The authors compared clinical and radiological outcomes of both groups. Univariable and multivariable binary logistic regression analyses were performed to determine factors that predispose to stent use. - RESULTS: The study included 691 intracranial aneurysms (31 with stents and 660 without stents) treated with the WEB device. The adequate occlusion status did not differ between the two groups at the latest follow-up (83.3% vs 85.6%, p = 0.915). Patients who underwent stenting had more thromboembolic (32.3% vs 6.5%, p < 0.001) and procedural (16.1% vs 3.0%, p < 0.001) complications. Aneurysms treated with a concomitant stent had wider necks, greater heights, and lower dome-to-neck ratios. Increasing neck size was the only significant predictor for stent use. - CONCLUSIONS: This study demonstrates that there is no difference in the degree of aneurysm occlusion between the two groups; however, complications were more frequent in the stent group. In addition, a wider aneurysm neck predisposes to stent assistance in WEB-treated aneurysms. 
650 4 |a aneurysm 
650 4 |a Embolization, Therapeutic 
650 4 |a Endovascular Procedures 
650 4 |a Humans 
650 4 |a Intracranial Aneurysm 
650 4 |a neurointervention 
650 4 |a outcomes 
650 4 |a Retrospective Studies 
650 4 |a Stents 
650 4 |a Treatment Outcome 
650 4 |a vascular disorders 
650 4 |a WEB 
650 4 |a Woven EndoBridge 
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700 1 |a Adeeb, Nimer  |e VerfasserIn  |4 aut 
700 1 |a Regenhardt, Robert W.  |e VerfasserIn  |4 aut 
700 1 |a Vranic, Justin E.  |e VerfasserIn  |4 aut 
700 1 |a Guenego, Adrien  |e VerfasserIn  |4 aut 
700 1 |a Lay, Sovann V.  |e VerfasserIn  |4 aut 
700 1 |a Renieri, Leonardo  |e VerfasserIn  |4 aut 
700 1 |a Balushi, Ali Al  |e VerfasserIn  |4 aut 
700 1 |a Shotar, Eimad  |e VerfasserIn  |4 aut 
700 1 |a Premat, Kévin  |e VerfasserIn  |4 aut 
700 1 |a Namaani, Kareem El  |e VerfasserIn  |4 aut 
700 1 |a Saliou, Guillaume  |e VerfasserIn  |4 aut 
700 1 |a Möhlenbruch, Markus Alfred  |d 1979-  |e VerfasserIn  |0 (DE-588)137693591  |0 (DE-627)594845041  |0 (DE-576)304845655  |4 aut 
700 1 |a Lylyk, Ivan  |e VerfasserIn  |4 aut 
700 1 |a Foreman, Paul M.  |e VerfasserIn  |4 aut 
700 1 |a Vachhani, Jay A.  |e VerfasserIn  |4 aut 
700 1 |a Župančić, Vedran  |e VerfasserIn  |4 aut 
700 1 |a Hafeez, Muhammad U.  |e VerfasserIn  |4 aut 
700 1 |a Rutledge, Caleb  |e VerfasserIn  |4 aut 
700 1 |a Rai, Hamid  |e VerfasserIn  |4 aut 
700 1 |a Tutino, Vincent M.  |e VerfasserIn  |4 aut 
700 1 |a Mirshahi, Shervin  |e VerfasserIn  |4 aut 
700 1 |a Ghozy, Sherief  |e VerfasserIn  |4 aut 
700 1 |a Harker, Pablo  |e VerfasserIn  |4 aut 
700 1 |a Alotaibi, Naif M.  |e VerfasserIn  |4 aut 
700 1 |a Rabinov, James D.  |e VerfasserIn  |4 aut 
700 1 |a Ren, Yifan  |e VerfasserIn  |4 aut 
700 1 |a Schirmer, Clemens M.  |e VerfasserIn  |4 aut 
700 1 |a Goren, Oded  |e VerfasserIn  |4 aut 
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700 1 |a Kühn, Anna L.  |e VerfasserIn  |4 aut 
700 1 |a Michelozzi, Caterina  |e VerfasserIn  |4 aut 
700 1 |a Elens, Stéphanie  |e VerfasserIn  |4 aut 
700 1 |a Starke, Robert M.  |e VerfasserIn  |4 aut 
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700 1 |a Salehani, Arsalaan  |e VerfasserIn  |4 aut 
700 1 |a Nguyen, Anh  |e VerfasserIn  |4 aut 
700 1 |a Jones, Jesse  |e VerfasserIn  |4 aut 
700 1 |a Psychogios, Marios  |e VerfasserIn  |4 aut 
700 1 |a Spears, Julian  |e VerfasserIn  |4 aut 
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700 1 |a Siddiqui, Adnan  |e VerfasserIn  |4 aut 
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Regenhardt, MD, PhD, Justin E. Vranic, MD, Adrien Guenego, MD, Sovann V. Lay, MD, Leonardo Renieri, MD, Ali Al Balushi, MD, Eimad Shotar, MD, Kévin Premat, MD, Kareem El Namaani, MD, Guillaume Saliou, MD, PhD, Markus A. Möhlenbruch, MD, Ivan Lylyk, MD, Paul M. Foreman, MD, Jay A. Vachhani, MD, Vedran Župančić, MD, Muhammad U. Hafeez, MD, Caleb Rutledge, MD, Hamid Rai, MBBS, Vincent M. Tutino, PhD, Shervin Mirshahi, MD, Sherief Ghozy, MD, Pablo Harker, MD, Naif M. Alotaibi, MD, MSc, James D. Rabinov, MD, Yifan Ren, MD, Clemens M. Schirmer, MD, PhD, MBA, Oded Goren, MD, Mariangela Piano, MD, Anna L. Kühn, MD, PhD, Caterina Michelozzi, MD, Stéphanie Elens, MD, Robert M. Starke, MD, Ameer E. Hassan, DO, Arsalaan Salehani, MD, Anh Nguyen, MD, Jesse Jones, MD, Marios Psychogios, MD, Julian Spears, MD, Thomas Marotta, MD, Vitor Pereira, MD, Carmen Parra-Fariñas, MD, Maria Br 
JSO |a es-Bullrich, MD, Michael Mayich, MD, Mohamed M. Salem, MD, MPH, Jan-Karl Burkhardt, MD, Brian T. Jankowitz, MD, Ricardo A. Domingo, MD, Thien Huynh, MD, Rabih Tawk, MD, Christian Ulfert, MD, Boris Lubicz, MD, PhD, Pietro Panni, MD, Ajit S. Puri, MD, Guglielmo Pero, MD, Christoph J. Griessenauer, MD, MBA, Hamed Asadi, MD, PhD, Adnan Siddiqui, MD, Andrew F. Ducruet, MD, Felipe C. Albuquerque, MD, Nirav Patel, MD, Peter Kan, MD, Vladimir Kalousek, MD, Pedro Lylyk, MD, Srikanth Boddu, MD, MSc, Christopher J. Stapleton, MD, Jared Knopman, MD, Pascal Jabbour, MD, Stavropoula Tjoumakaris, MD, Frédéric Clarençon, MD, PhD, Nicola Limbucci, MD, Mohammad A. Aziz-Sultan, MD, Hugo H. Cuellar-Saenz, MD, Christophe Cognard, MD, Aman B. Patel, MD, and Adam A. Dmytriw, MD, MPH, MSc"]},"origin":[{"dateIssuedDisp":"2024","dateIssuedKey":"2024"}],"recId":"191903871X"} 
SRT |a DIESTROJOSSTENTASSIS2024 

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