Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis

Adam A Dmytriw; Hamza Salim; Basel Musmar; Assala Aslan; Nicole M Cancelliere; Rachel M McLellan; Oktay Algin; Sherief Ghozy; Mahmoud Dibas; Sovann V Lay; Adrien Guenego; Leonardo Renieri; Joseph Carnevale; Guillaume Saliou; Panagiotis Mastorakos; Kareem El Naamani; Eimad Shotar; Kevin Premat; Markus Möhlenbruch; Michael Kral; Omer Doron; 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; Cetin Imamoglu; Ahmet Bayrak; James D Rabinov; Yifan Ren; Clemens M Schirmer; Mariangela Piano; Anna L Kühn; Caterina Michelozzi; Stéphanie Elens; Robert M Starke; Ameer E Hassan; Mark Ogilvie; Peter Sporns; Jesse Jones; Waleed Brinjikji; Marie T Nawka; Marios Psychogios; Christian Ulfert; Jose Danilo Bengzon Diestro; Bryan Pukenas; Jan-Karl Burkhardt; 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 L 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; Nimer Adeeb

doi:10.1007/s10143-024-02341-z

Back

Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis

Journal article

Peer reviewed

Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis

Adam A Dmytriw, Hamza Salim, Basel Musmar, Assala Aslan, Nicole M Cancelliere, Rachel M McLellan, Oktay Algin, Sherief Ghozy, Mahmoud Dibas, Sovann V Lay, …

Neurosurgical review, Vol.47(1), pp.116-116

2024-03-14

DOI: https://doi.org/10.1007/s10143-024-02341-z

PMID: 38483647

Appears in Miller School of Medicine - Latest Publications

Abstract

Cohort Studies

Embolization, Therapeutic - adverse effects

Endovascular Procedures - adverse effects

Humans

Intracranial Aneurysm - etiology

Intracranial Aneurysm - surgery

Propensity Score

Retrospective Studies

Treatment Outcome

The Woven EndoBridge (WEB) devices have been used for treating wide neck bifurcation aneurysms (WNBAs) with several generational enhancements to improve clinical outcomes. The original device dual-layer (WEB DL) was replaced by a single-layer (WEB SL) device in 2013. This study aimed to compare the effectiveness and safety of these devices in managing intracranial aneurysms. A multicenter cohort study was conducted, and data from 1,289 patients with intracranial aneurysms treated with either the WEB SL or WEB DL devices were retrospectively analyzed. Propensity score matching was utilized to balance the baseline characteristics between the two groups. Outcomes assessed included immediate occlusion rate, complete occlusion at last follow-up, retreatment rate, device compaction, and aneurysmal rupture. Before propensity score matching, patients treated with the WEB SL had a significantly higher rate of complete occlusion at the last follow-up and a lower rate of retreatment. After matching, there was no significant difference in immediate occlusion rate, retreatment rate, or device compaction between the WEB SL and DL groups. However, the SL group maintained a higher rate of complete occlusion at the final follow-up. Regression analysis showed that SL was associated with higher rates of complete occlusion (OR: 0.19; CI: 0.04 to 0.8, p = 0.029) and lower rates of retreatment (OR: 0.12; CI: 0 to 4.12, p = 0.23). The WEB SL and DL devices demonstrated similar performances in immediate occlusion rates and retreatment requirements for intracranial aneurysms. The SL device showed a higher rate of complete occlusion at the final follow-up.

Metrics

1 Record Views

See more details

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.105 Strokes; 1.105.514 Subarachnoid Hemorrhage
Web Of Science research areas: Clinical Neurology; Surgery
ESI research areas: Clinical Medicine

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

Source: InCites

Details

Title: Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis
Creators: Adam A Dmytriw - Harvard University
Hamza Salim - Louisiana State University
Basel Musmar - Louisiana State University
Assala Aslan - Louisiana State University
Nicole M Cancelliere - University of Toronto
Rachel M McLellan - Harvard University
Oktay Algin - Ankara University
Sherief Ghozy - WinnMed
Mahmoud Dibas - Louisiana State University
Sovann V Lay - Hôpital Purpan
Adrien Guenego - Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgique
Leonardo Renieri - Florence
Joseph Carnevale - Presbyterian Hospital
Guillaume Saliou - Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland
Panagiotis Mastorakos - Thomas Jefferson University
Kareem El Naamani - Thomas Jefferson University
Eimad Shotar - Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France
Kevin Premat - Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France
Markus Möhlenbruch - Heidelberg
Michael Kral - Paracelsus Medical University
Omer Doron - Harvard University
Charlotte Chung - NYU Langone Health
Mohamed M Salem - University of Pennsylvania
Ivan Lylyk - Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina
Paul M Foreman - Orlando Health
Jay A Vachhani - Orlando Health
Hamza Shaikh - Cooper Medical School of Rowan University
Vedran Župančić - Sisters of Mercy Health System
Muhammad U Hafeez - Baylor School
Joshua Catapano - Barrow Neurological Institute
Muhammad Waqas - Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA
Vincent M Tutino - Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA
Mohamed K Ibrahim - WinnMed
Marwa A Mohammed - Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA
Cetin Imamoglu - Ankara
Ahmet Bayrak - Ankara
James D Rabinov - Harvard University
Yifan Ren - Austin Health
Clemens M Schirmer - Geisinger Health System
Mariangela Piano - Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Anna L Kühn - Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA
Caterina Michelozzi - IRCCS Ospedale San Raffaele
Stéphanie Elens - Florence
Robert M Starke - University of Miami
Ameer E Hassan - Neuroscience Institute
Mark Ogilvie - University of Alabama
Peter Sporns - University Hospital of Basel
Jesse Jones - University of Alabama
Waleed Brinjikji - Mayo Clinic
Marie T Nawka - University Medical Center Hamburg-Eppendorf
Marios Psychogios - University Hospital of Basel
Christian Ulfert - Heidelberg
Jose Danilo Bengzon Diestro - University of Toronto
Bryan Pukenas - University of Pennsylvania
Jan-Karl Burkhardt - University of Pennsylvania
Thien Huynh - WinnMed
Juan Carlos Martinez-Gutierrez - The University of Texas Health Science Center at Houston
Muhammed Amir Essibayi - Albert Einstein College of Medicine
Sunil A Sheth - The University of Texas Health Science Center at Houston
Gary Spiegel - The University of Texas Health Science Center at Houston
Rabih Tawk - WinnMed
Boris Lubicz - Florence
Pietro Panni - IRCCS Ospedale San Raffaele
Ajit S Puri - Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA
Guglielmo Pero - Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Erez Nossek - NYU Langone Health
Eytan Raz - NYU Langone Health
Monika Killer-Oberfalzer - Paracelsus Medical University
Christoph J Griessenauer - Paracelsus Medical University
Hamed Asadi - NYU Langone Health
Adnan Siddiqui - Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA
Allan L Brook - Albert Einstein College of Medicine
David Altschul - Albert Einstein College of Medicine
Andrew F Ducruet - Barrow Neurological Institute
Felipe C Albuquerque - Barrow Neurological Institute
Robert W Regenhardt - Harvard University
Christopher J Stapleton - Harvard University
Peter Kan - Baylor School
Vladimir Kalousek - Sisters of Mercy Health System
Pedro Lylyk - Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina
Srikanth Boddu - Service de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland
Jared Knopman - Presbyterian Hospital
Mohammad A Aziz-Sultan - Ankara University
Stavropoula I Tjoumakaris - Thomas Jefferson University
Frédéric Clarençon - Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France
Nicola Limbucci - Synod Hospital
Hugo H Cuellar-Saenz - Louisiana State University
Pascal M Jabbour - Thomas Jefferson University
Vitor Mendes Pereira - Harvard University
Aman B Patel - Harvard University
Nimer Adeeb - Louisiana State University
Publication Details: Neurosurgical review, Vol.47(1), pp.116-116
Academic Unit: UMMG Dept of Neurological Surgery; Miller School of Medicine
Language: English
Resource Type: Journal article
PMID: 38483647
Record Identifier: 991032015670302976