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Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis

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 condu...

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Bibliographische Detailangaben
Hauptverfasser: Musmar, Basel (VerfasserIn) , Salim, Hamza Adel (VerfasserIn) , Adeeb, Nimer (VerfasserIn) , Aslan, Assala (VerfasserIn) , Aljeradat, Bahaa (VerfasserIn) , Diestro, Jose Danilo Bengzon (VerfasserIn) , McLellan, Rachel M. (VerfasserIn) , Algin, Oktay (VerfasserIn) , Ghozy, Sherief (VerfasserIn) , Dibas, Mahmoud (VerfasserIn) , Lay, Sovann V. (VerfasserIn) , Guenego, Adrien (VerfasserIn) , Renieri, Leonardo (VerfasserIn) , Cancelliere, Nicole M. (VerfasserIn) , Carnevale, Joseph (VerfasserIn) , Saliou, Guillaume (VerfasserIn) , Mastorakos, Panagiotis (VerfasserIn) , El Naamani, Kareem (VerfasserIn) , Shotar, Eimad (VerfasserIn) , Premat, Kevin (VerfasserIn) , Möhlenbruch, Markus Alfred (VerfasserIn) , Kral, Michael (VerfasserIn) , Vranic, Justin E. (VerfasserIn) , Chung, Charlotte (VerfasserIn) , Salem, Mohamed M. (VerfasserIn) , Lylyk, Ivan (VerfasserIn) , Foreman, Paul M. (VerfasserIn) , Vachhani, Jay A. (VerfasserIn) , Shaikh, Hamza (VerfasserIn) , Župančić, Vedran (VerfasserIn) , Hafeez, Muhammad U. (VerfasserIn) , Catapano, Joshua (VerfasserIn) , Waqas, Muhammad (VerfasserIn) , Tutino, Vincent M. (VerfasserIn) , Ibrahim, Mohamed K. (VerfasserIn) , Mohammed, Marwa A. (VerfasserIn) , Ozates, M. Ozgur (VerfasserIn) , Ayberk, Giyas (VerfasserIn) , Rabinov, James D. (VerfasserIn) , Ren, Yifan (VerfasserIn) , Schirmer, Clemens M. (VerfasserIn) , Piano, Mariangela (VerfasserIn) , Kühn, Anna L. (VerfasserIn) , Michelozzi, Caterina (VerfasserIn) , Elens, Stéphanie (VerfasserIn) , Starke, Robert M. (VerfasserIn) , Hassan, Ameer (VerfasserIn) , Ogilvie, Mark (VerfasserIn) , Nguyen, Anh (VerfasserIn) , Jones, Jesse (VerfasserIn) , Brinjikji, Waleed (VerfasserIn) , Nawka, Marie T. (VerfasserIn) , Psychogios, Marios (VerfasserIn) , Ulfert, Christian (VerfasserIn) , Spears, Julian (VerfasserIn) , Jankowitz, Brian T. (VerfasserIn) , Burkhardt, Jan-Karl (VerfasserIn) , Domingo, Ricardo A. (VerfasserIn) , Huynh, Thien (VerfasserIn) , Martinez-Gutierrez, Juan Carlos (VerfasserIn) , Essibayi, Muhammed Amir (VerfasserIn) , Sheth, Sunil A. (VerfasserIn) , Spiegel, Gary (VerfasserIn) , Tawk, Rabih (VerfasserIn) , Lubicz, Boris (VerfasserIn) , Panni, Pietro (VerfasserIn) , Puri, Ajit S. (VerfasserIn) , Pero, Guglielmo (VerfasserIn) , Nossek, Erez (VerfasserIn) , Raz, Eytan (VerfasserIn) , Killer-Oberfalzer, Monika (VerfasserIn) , Griessenauer, Christoph J. (VerfasserIn) , Asadi, Hamed (VerfasserIn) , Siddiqui, Adnan (VerfasserIn) , Brook, Allan (VerfasserIn) , Altschul, David (VerfasserIn) , Ducruet, Andrew F. (VerfasserIn) , Albuquerque, Felipe C. (VerfasserIn) , Regenhardt, Robert W. (VerfasserIn) , Stapleton, Christopher J. (VerfasserIn) , Kan, Peter (VerfasserIn) , Kalousek, Vladimir (VerfasserIn) , Lylyk, Pedro (VerfasserIn) , Boddu, Srikanth (VerfasserIn) , Knopman, Jared (VerfasserIn) , Aziz-Sultan, Mohammad A. (VerfasserIn) , Tjoumakaris, Stavropoula I. (VerfasserIn) , Clarençon, Frédéric (VerfasserIn) , Limbucci, Nicola (VerfasserIn) , Cuellar-Saenz, Hugo H. (VerfasserIn) , Jabbour, Pascal M. (VerfasserIn) , Pereira, Vitor Mendes (VerfasserIn) , Patel, Aman B. (VerfasserIn) , Dmytriw, Adam A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 2024
In: Neurosurgical review
Year: 2024, Jahrgang: 47, Pages: 1-11
ISSN:1437-2320
DOI:10.1007/s10143-024-02527-5
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s10143-024-02527-5
Volltext
Verfasserangaben:Basel Musmar, Hamza Adel Salim, Nimer Adeeb, Assala Aslan, Bahaa Aljeradat, Jose Danilo Bengzon Diestro, Rachel M. McLellan, Oktay Algin, Sherief Ghozy, Mahmoud Dibas, Sovann V. Lay, Adrien Guenego, Leonardo Renieri, Nicole M. Cancelliere, Joseph Carnevale, Guillaume Saliou, Panagiotis Mastorakos, Kareem El Naamani, Eimad Shotar, Kevin Premat, Markus Möhlenbruch, Michael Kral, Justin E. Vranic, Charlotte Chung, Mohamed M. Salem, Ivan Lylyk, Paul M. Foreman, Jay A. Vachhani, Hamza Shaikh, Vedran Župančić, Muhammad U. Hafeez, Joshua Catapano, Muhammad Waqas, Vincent M. Tutino, Mohamed K. Ibrahim, Marwa A. Mohammed, M. Ozgur Ozates, Giyas Ayberk, James D. Rabinov, Yifan Ren, Clemens M. Schirmer, Mariangela Piano, Anna L. Kühn, Caterina Michelozzi, Stéphanie Elens, Robert M. Starke, Ameer Hassan, Mark Ogilvie, Anh Nguyen, Jesse Jones, Waleed Brinjikji, Marie T. Nawka, Marios Psychogios, Christian Ulfert, Julian Spears, Brian T. Jankowitz, Jan-Karl Burkhardt, Ricardo A. Domingo, Thien Huynh, Juan Carlos Martinez-Gutierrez, Muhammed Amir Essibayi, Sunil A. Sheth, Gary Spiegel, Rabih Tawk, Boris Lubicz, Pietro Panni, Ajit S. Puri, Guglielmo Pero, Erez Nossek, Eytan Raz, Monika Killer-Oberfalzer, Christoph J. Griessenauer, Hamed Asadi, Adnan Siddiqui, Allan Brook, David Altschul, Andrew F. Ducruet, Felipe C. Albuquerque, Robert W. Regenhardt, Christopher J. Stapleton, Peter Kan, Vladimir Kalousek, Pedro Lylyk, Srikanth Boddu, Jared Knopman, Mohammad A. Aziz-Sultan, Stavropoula I. Tjoumakaris, Frédéric Clarençon, Nicola Limbucci, Hugo H. Cuellar-Saenz, Pascal M. Jabbour, Vitor Mendes Pereira, Aman B. Patel, Adam A. Dmytriw

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520 |a 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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650 4 |a Intracranial 
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SRT |a MUSMARBASETREATMENTO2024 

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