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

被引：2

作者：

Diestro, Jose Danilo Bengzon ^{[1
,38
]}

Dibas, Mahmoud ^{[2
]}

Adeeb, Nimer ^{[3
]}

Regenhardt, Robert W. ^{[4
]}

Vranic, Justin E. ^{[4
]}

Guenego, Adrien ^{[5
]}

Lay, Sovann V. ^{[6
]}

Renieri, Leonardo ^{[7
]}

Al Balushi, Ali ^{[8
]}

Shotar, Eimad ^{[9
]}

Premat, Kevin ^{[9
]}

El Namaani, Kareem ^{[10
]}

Saliou, Guillaume ^{[11
]}

Moehlenbruch, Markus A. ^{[12
]}

Lylyk, Ivan ^{[13
]}

Foreman, Paul M. ^{[14
]}

Vachhani, Jay A. ^{[14
]}

Zupancic, Vedran ^{[15
]}

Hafeez, Muhammad U. ^{[16
]}

Rutledge, Caleb ^{[17
]}

Rai, Hamid ^{[18
]}

Tutino, Vincent M. ^{[18
]}

Mirshahi, Shervin ^{[2
]}

Ghozy, Sherief ^{[19
]}

Harker, Pablo ^{[4
]}

Alotaibi, Naif M. ^{[4
,37
]}

Rabinov, James D. ^{[4
]}

Ren, Yifan ^{[20
]}

Schirmer, Clemens M. ^{[21
]}

Goren, Oded ^{[22
]}

Piano, Mariangela ^{[23
]}

Kuhn, Anna L. ^{[24
]}

Michelozzi, Caterina ^{[25
]}

Elens, Stephanie ^{[5
]}

Starke, Robert M. ^{[26
]}

Hassan, Ameer E. ^{[27
]}

Salehani, Arsalaan ^{[28
]}

Nguyen, Anh ^{[29
]}

Jones, Jesse ^{[28
]}

Psychogios, Marios ^{[29
]}

Spears, Julian ^{[1
]}

Marotta, Thomas ^{[1
]}

Pereira, Vitor ^{[1
]}

Parra-Farinas, Carmen ^{[1
]}

Bres-Bullrich, Maria ^{[30
]}

Mayich, Michael ^{[31
]}

Salem, Mohamed M. ^{[32
]}

Burkhardt, Jan-Karl ^{[32
]}

Jankowitz, Brian T. ^{[32
]}

Domingo, Ricardo A. ^{[33
]}

机构：

[1] Univ Toronto, St Michaels Hosp, Dept Radiol, Div Diagnost & Therapeut Neuroradiol, Toronto, ON, Canada

[2] Harvard Med Sch, Brigham & Womens Hosp, Neuroradiol & Neurointervent Serv, Boston, MA 02115 USA

[3] Louisiana State Univ, Psychol, Shreveport, LA 71105 USA

[4] Harvard Univ, Massachusetts Gen Hosp, Boston, MA 02115 USA

[5] Erasmus Univ Hosp, Dept Intervent Neuroradiol, Brussels, Belgium

[6] Purpan Hosp, Ctr Physiopathol Toulouse Purpan, INSERM, U563, Toulouse, France

[7] Univ Florence, Neurofarba, Florence, Italy

[8] NewYork Presbyterian Hosp, Weill Cornell Med, New York, NY USA

[9] Sorbonne Univ, Pitie Salpetriere Charles Foix Hosp, AP HP, Oncol Dept, F-75013 Paris, France

[10] Thomas Jefferson Univ, Dept Neurosurg, Philadelphia, PA 19107 USA

[11] Vaudois Hosp Ctr Lausanne, Dept Diagnost Radiol & Intervent Radiol, Lausanne, Switzerland

[12] Heidelberg Univ Hosp, Dept Neuroradiol, Heidelberg, Germany

[13] La Sagrada Familia Clin, Endovasc Neurosurg & Intervent Radiol Team, Buenos Aires, Argentina

[14] Orlando Hlth Neurosci & Rehabil Inst, Neurosurg Dept, Orlando, FL USA

[15] Clin Hosp Ctr Sisters Mercy, Dept Radiol, Subdiv Intervent Neuroradiol, Zagreb, Croatia

[16] UTMB & Baylor Sch Med, Dept Neurosurg, Houston, TX USA

[17] Barrow Neurol Inst, Dept Neurosurg, Phoenix, AZ USA

[18] SUNY Buffalo, Dept Neurosurg, Buffalo, NY USA

[19] Mayo Clin, Dept Neuroradiol, Rochester, MN USA

[20] Austin Hlth, Dept Radiol Intervent Radiol & Neurointervent Ser, Melbourne, Australia

[21] Geisinger, Dept Neurosurg, Wilkes Barre, PA USA

[22] Geisinger, Dept Neurosurg, Danville, PA USA

[23] ASST Great Metropolitan Hosp, Neuroradiol, Milan, Italy

[24] UMass Mem Hosp, Dept Neurointervent Radiol, Worcester, MA USA

[25] Osped San Raffaele, Neurovasc Intervent, Milan, Italy

[26] Univ Miami, Dept Neurosurg, Miami, FL USA

[27] Valley Baptist Neurosci Inst, Dept Neurosci, Harlingen, TX USA

[28] Univ Alabama Birmingham, Dept Neurosurg, Birmingham, AL USA

[29] Univ Hosp Basel, Dept Diagnost & Intervent Neuroradiol, Basel, Switzerland

[30] Western Univ, Schulich Sch Med & Dent, Dept Clin Neurol Sci, London, ON, Canada

[31] Western Univ, Schulich Sch Med & Dent, Dept Med Imaging, London, ON, Canada

[32] Univ Penn, Dept Neurosurg, Penn Med, Philadelphia, PA USA

[33] Mayo Clin, Dept Neurol Surg, Jacksonville, FL USA

[34] Osped Niguarda Ca Granda, Neurovasc Intervent, Milan, Italy

[35] Paracelsus Med Univ, Christian Doppler Univ Hosp, Dept Neurosurg, Salzburg, Austria

[36] Paracelsus Med Univ, Inst Neurointervent, Salzburg, Austria

[37] Alfaisal Univ, Natl Neurosci Inst, King Fahad Med City & Coll Med, Dept Neurosurg, Riyadh, Saudi Arabia

[38] St Michaels Hosp, Toronto, ON, Canada

来源：

JOURNAL OF NEUROSURGERY | 2024年 / 140卷 / 04期

关键词：

aneurysm; WEB; Woven EndoBridge; outcomes; neurointervention; vascular disorders; WEB;

D O I：

10.3171/2023.8.JNS235

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE The Woven EndoBridge (WEB) device is an intrasaccular flow disruptor designed for wide -necked bi - furcation 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-as - sisted 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.

引用

页码：1071 / 1079

页数：9

共 50 条

[21] Multicenter Postmarket Analysis of the Neuroform Atlas Stent for Stent-Assisted Coil Embolization of Intracranial Aneurysms
Burkhardt, J. -K.
Srinivasan, V.
Srivatsan, A.
Albuquerque, F.
Ducruet, A. F.
Hendricks, B.
Gross, B. A.
Jankowitz, B. T.
Thomas, A. J.
Ogilvy, C. S.
Maragkos, G. A.
Enriquez-Marulanda, A.
Crowley, R. W.
Levitt, M. R.
Kim, L. J.
Griessenauer, C. J.
Schirmer, C. M.
Dalal, S.
Piper, K.
Mokin, M.
Winkler, E. A.
Abla, A. A.
McDougall, C.
Birnbaum, L.
Mascitelli, J.
Litao, M.
Tanweer, O.
Riina, H.
Johnson, J.
Chen, S.
Kan, P.
AMERICAN JOURNAL OF NEURORADIOLOGY, 2020, 41 (06) : 1037 - 1042
[22] Incidence and predictors of Woven EndoBridge (WEB) shape modification following treatment of intracranial aneurysms in a large multicenter study
Adeeb, Nimer
Salim, Hamza Adel
Musmar, Basel
Aslan, Assala
Swaid, Christian
Cuellar, Miguel
Dibas, Mahmoud
Cancelliere, Nicole M.
Diestro, Jose Danilo Bengzon
Algin, Oktay
Ghozy, Sherief
Lay, Sovann V.
Guenego, Adrien
Renieri, Leonardo
Carnevale, Joseph
Saliou, Guillaume
Mastorakos, Panagiotis
Naamani, Kareem El
Shotar, Eimad
Moehlenbruch, Markus
Kral, Michael
Chung, Charlotte
Salem, Mohamed M.
Lylyk, Ivan
Foreman, Paul M.
Shaikh, Hamza
Zupancic, Vedran
Hafeez, Muhammad U.
Catapano, Joshua
Waqas, Muhammad
Arslan, Muhammet
Ergun, Onur
Rabinov, James D.
Ren, Yifan
Schirmer, Clemens M.
Piano, Mariangela
Kuehn, Anna L.
Michelozzi, Caterina
Starke, Robert M.
Hassan, Ameer
Ogilvie, Mark
Nguyen, Anh
Jones, Jesse
Brinjikji, Waleed
Nawka, Marie T.
Psychogios, Marios
Ulfert, Christian
Pukenas, Bryan
Burkhardt, Jan-Karl
Huynh, Thien
NEUROSURGICAL REVIEW, 2025, 48 (01)
[23] Comments on "treatment of large intracranial aneurysms using woven endobridge"
Fatima, Yumna
Qasim, Muhammad
Magsj, Iffat Ambreen
NEUROSURGICAL REVIEW, 2024, 47 (01)
[24] The Woven EndoBridge (WEB) as primary treatment for unruptured intracranial aneurysms
van Rooij, Sanne B. T.
van Rooij, Willem Jan
Peluso, Jo P.
Sluzewski, Menno
INTERVENTIONAL NEURORADIOLOGY, 2018, 24 (05) : 475 - 481
[25] Endovascular treatment of intracranial aneurysms with the Woven EndoBridge device: mid term and long term results
Mine, Benjamin
Goutte, Alexandra
Brisbois, Denis
Lubicz, Boris
JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2018, 10 (02) : 127 - +
[26] Stent-Assisted Coiling May Prevent the Recurrence of Very Small Ruptured Intracranial Aneurysms: A Multicenter Study
Zhang, Yisen
Yang, Ming
Zhang, Hongqi
Zhang, Xiaolong
Li, Youxiang
Jiang, Chuhan
Liu, Jian
Yang, Xinjian
WORLD NEUROSURGERY, 2017, 100 : 22 - 29
[27] Stent-Assisted Woven EndoBridge Implantation for Treatment of Wide-Necked Aneurysm Residual: Angiographic Video
Male, Shailesh
Mehta, Tapan
Khan, Adam
Jagadeesan, Bharathi D.
Tummala, Ramachandra P.
WORLD NEUROSURGERY, 2019, 129 : 276 - 276
[28] The Woven EndoBridge Device for the Treatment of Intracranial Aneurysms: Initial Clinical Experience within an Australian Population
Gajera, Jay
Maingard, Julian
Foo, Michelle
Ren, Yifan
Lamanna, Anthony
Nour, Daniel
Hall, Jonathan
Kurda, Dylan
Tan, David
Lalloo, Shivendra
Banez, Ramon Martin Francisco
Russell, Jeremy
Slater, Lee-Anne
Chandra, Ronil Vikesh
Chong, Winston
Jhamb, Ashu
Brooks, Duncan Mark
Asadi, Hamed
NEUROINTERVENTION, 2022, 17 (01) : 28 - 36
[29] Woven EndoBridge device for the treatment of ruptured intracranial aneurysms: A systematic review of clinical and angiographic results
Xie, Yong
Tian, Huan
Xiang, Bin
Liu, Jian
Xiang, Hua
INTERVENTIONAL NEURORADIOLOGY, 2022, 28 (02) : 240 - 249
[30] Treatment of Ruptured Intracranial Aneurysms Using the Woven EndoBridge Device: A Two-Center Experience
Raj, Rahul
Rautio, Riitta
Pekkola, Johanna
Rahi, Melissa
Sillanpaa, Mikko
Numminen, Jussi
WORLD NEUROSURGERY, 2019, 123 : E709 - E716

← 1 2 3 4 5 →