Buchumschlag

Higher risk of recurrence in partially thrombosed cerebral aneurysms post-WEB (Woven EndoBridge) device treatment: insights from the WorldWideWEB Consortium registry

Background - The Woven EndoBridge (WEB) device is a prevalent treatment for intracranial aneurysms. While many studies have assessed the obliteration rate post-WEB embolization, few have focused on long-term outcomes in partially thrombosed aneurysms. - - -...

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Hauptverfasser: Saliou, Guillaume (VerfasserIn) , Salim, Hamza Adel (VerfasserIn) , Musmar, Basel (VerfasserIn) , Adeeb, Nimer (VerfasserIn) , Aslan, Assala (VerfasserIn) , Swaid, Christian (VerfasserIn) , Cuellar, Miguel (VerfasserIn) , Dibas, Mahmoud (VerfasserIn) , Cancelliere, Nicole M (VerfasserIn) , Diestro, Jose Danilo Bengzon (VerfasserIn) , Algin, Oktay (VerfasserIn) , Ghozy, Sherief (VerfasserIn) , Lay, Sovann V (VerfasserIn) , Guenego, Adrien (VerfasserIn) , Renieri, Leonardo (VerfasserIn) , Carnevale, Joseph Anthony (VerfasserIn) , Mastorakos, Panagiotis (VerfasserIn) , ElNaamani, Kareem (VerfasserIn) , Shotar, Eimad (VerfasserIn) , Möhlenbruch, Markus Alfred (VerfasserIn) , Kral, Michael (VerfasserIn) , Chung, Charlotte (VerfasserIn) , Salem, Mohamed M (VerfasserIn) , Lylyk, Ivan (VerfasserIn) , Foreman, Paul M (VerfasserIn) , Shaikh, Hamza (VerfasserIn) , Župančić, Vedran (VerfasserIn) , Hafeez, Muhammad Ubaid (VerfasserIn) , Catapano, Joshua S (VerfasserIn) , Waqas, Muhammad (VerfasserIn) , Arslan, Muhammet (VerfasserIn) , Ergun, Onur (VerfasserIn) , Rabinov, James D (VerfasserIn) , Ren, Yifan (VerfasserIn) , Schirmer, Clemens M (VerfasserIn) , Piano, Mariangela (VerfasserIn) , Kuhn, Anna Luisa (VerfasserIn) , Michelozzi, Caterina (VerfasserIn) , Starke, Robert M (VerfasserIn) , Hassan, Ameer E (VerfasserIn) , Ogilvie, Mark (VerfasserIn) , Nguyen, Anh (VerfasserIn) , Jones, Jesse (VerfasserIn) , Brinjikji, Waleed (VerfasserIn) , Nawka, Marie Teresa (VerfasserIn) , Psychogios, Marios-Nikos (VerfasserIn) , Ulfert, Christian (VerfasserIn) , Pukenas, Bryan (VerfasserIn) , Burkhardt, Jan Karl (VerfasserIn) , Huynh, Thien J (VerfasserIn) , Martinez-Gutierrez, Juan Carlos (VerfasserIn) , Essibayi, Muhammed Amir (VerfasserIn) , Sheth, Sunil A (VerfasserIn) , Slawski, Diana (VerfasserIn) , Tawk, Rabih (VerfasserIn) , Pulli, Benjamin (VerfasserIn) , Lubicz, Boris (VerfasserIn) , Panni, Pietro (VerfasserIn) , Puri, Ajit S (VerfasserIn) , Pero, Guglielmo (VerfasserIn) , Raz, Eytan (VerfasserIn) , Griessenauer, Christoph J (VerfasserIn) , Asadi, Hamed (VerfasserIn) , Siddiqui, Adnan H (VerfasserIn) , Levy, Elad I (VerfasserIn) , Haranhalli, Neil (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 Reddy (VerfasserIn) , Knopman, Jared (VerfasserIn) , Tjoumakaris, Stavropoula I (VerfasserIn) , Cuellar, Hugo (VerfasserIn) , Jabbour, Pascal (VerfasserIn) , Clarençon, Frédéric (VerfasserIn) , Limbucci, Nicola (VerfasserIn) , Pereira, Vitor M (VerfasserIn) , Patel, Aman B (VerfasserIn) , Dmytriw, Adam A (VerfasserIn) , Hajdu, Steven D (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 29 April 2025
In: Journal of neuroInterventional surgery
Year: 2025, Pages: 1-8
ISSN:1759-8486
DOI:10.1136/jnis-2024-022628
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1136/jnis-2024-022628
Verlag, kostenfrei, Volltext: https://jnis.bmj.com/lookup/doi/10.1136/jnis-2024-022628
Volltext
Verfasserangaben:Guillaume Saliou, Hamza Adel Salim, Basel Musmar, Nimer Adeeb, Assala Aslan, Christian Swaid, Miguel Cuellar, Mahmoud Dibas, Nicole M Cancelliere, Jose Danilo Bengzon Diestro, Oktay Algin, Sherief Ghozy, Sovann V Lay, Adrien Guenego, Leonardo Renieri, Joseph Anthony Carnevale, Panagiotis Mastorakos, Kareem ElNaamani, Eimad Shotar, Markus A Möhlenbruch, Michael Kral, Charlotte Chung, Mohamed M Salem, Ivan Lylyk, Paul M Foreman, Hamza Shaikh, Vedran Župančić, Muhammad Ubaid Hafeez, Joshua S Catapano, Muhammad Waqas, Muhammet Arslan, Onur Ergun, James D Rabinov, Yifan Ren, Clemens M Schirmer, Mariangela Piano, Anna Luisa Kuhn, Caterina Michelozzi, Robert M Starke, Ameer E Hassan, Mark Ogilvie, Anh Nguyen, Jesse Jones, Waleed Brinjikji, Marie Teresa Nawka, Marios-Nikos Psychogios, Christian Ulfert, Bryan Pukenas, Jan Karl Burkhardt, Thien J Huynh, Juan Carlos Martinez-Gutierrez, Muhammed Amir Essibayi, Sunil A Sheth, Diana Slawski, Rabih Tawk, Benjamin Pulli, Boris Lubicz, Pietro Panni, Ajit S Puri, Guglielmo Pero, Eytan Raz, Christoph J Griessenauer, Hamed Asadi, Adnan H Siddiqui, Elad I Levy, Neil Haranhalli, David Altschul, Andrew F Ducruet, Felipe C Albuquerque, Robert W Regenhardt, Christopher J Stapleton, Peter Kan, Vladimir Kalousek, Pedro Lylyk, Srikanth Reddy Boddu, Jared Knopman, Stavropoula I Tjoumakaris, Hugo Cuellar, Pascal Jabbour, Frédéric Clarençon, Nicola Limbucci, Vitor M Pereira, Aman B Patel, Adam A Dmytriw, Steven D Hajdu
Beschreibung
Zusammenfassung:Background - The Woven EndoBridge (WEB) device is a prevalent treatment for intracranial aneurysms. While many studies have assessed the obliteration rate post-WEB embolization, few have focused on long-term outcomes in partially thrombosed aneurysms. - - - Objective - To assess whether partially thrombosed aneurysms are at higher risk of recurrence or retreatment following WEB embolization compared with non-thrombosed aneurysms. - - - Methods - We evaluated data from 22 academic institutions, focusing on previously untreated cerebral aneurysms treated with the WEB device. Logistic regression was utilized to analyze factors predicting long-term aneurysm obliteration and retreatment necessity. - - - Results - Among 1303 patients, 26 presented with a partially thrombosed aneurysm. In the partially thrombosed group, the mean aneurysm maximal diameter was 10.7±4 mm with a neck ratio of 1.99±1.19 mm, larger than in the control group where the mean aneurysm maximal diameter was 6.81±2.37 mm with a neck ratio of 1.64±0.51 mm (P<0.001 for both maximal diameter and neck ratio). At the final follow-up, partially thrombosed aneurysms treated by the WEB device had a 38.5% retreatment rate, compared with 7.0% for non-thrombosed aneurysms (P<0.001). Among partially thrombosed aneurysms, the Raymond-Roy type IIIa/b occlusion rate was higher (38.5% vs 9.9%, P<0.001). On multivariate analysis, partially thrombosed aneurysms compared with non-thrombosed aneurysms had an increased rate of retreatment (OR 3.64, 95% CI 1.28 to 10.1). - - - Conclusion - Partially thrombosed aneurysms are associated with a poorer occlusion rate and a higher rate of retreatment following WEB embolization. For partially thrombosed aneurysms, the WEB device appears suboptimal as a first-line treatment, and therefore alternative techniques should be prioritized.
Beschreibung:Gesehen am 03.11.2025
Beschreibung:Online Resource
ISSN:1759-8486
DOI:10.1136/jnis-2024-022628

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