Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB)

Nimer Adeeb; Mahmoud Dibas; Jose Danilo Bengzon Diestro; Hugo H. Cuellar-Saenz; Ahmad Sweid; Sandeep Kandregula; Sovann Lay; Adrien Guenego; Leonardo Renieri; Sri Hari Sundararajan; Guillaume Saliou; Assala Aslan; Markus Mohlenbruch; Justin E. Vranic; Robert W. Regenhardt; Amey Savardekar; Ahmed Mamilly; Ivan Lylyk; Paul M. Foreman; Jay A. Vachhani; Vedran Zupancic; Muhammad U. Hafeez; Caleb Rutledge; Muhammad Waqas; Carmen Parra Farinas; Vincent M. Tutino; Yasuaki Inoue; Shervin Mirshahi; James D. Rabinov; Yifan Ren; Clemens M. Schirmer; Mariangela Piano; Anna L. Kuehn; Caterina Michelozzi; Stephanie Elens; Robert M. Starke; Ameer Hassan; Arsalaan Salehani; Peter Sporns; Alex Brehm; Jesse Jones; Marios Psychogios; Julian Spears; Boris Lubicz; Pietro Panni; Ajit S. Puri; Guglielmo Pero; Christoph J. Griessenauer; Hamed Asadi; Christopher J. Stapleton; Adnan Siddiqui; Andrew F. Ducruet; Felipe C. Albuquerque; Peter Kan; Vladimir Kalousek; Pedro Lylyk; Srikanth Boddu; Jared Knopman; Mohammad A. Aziz-Sultan; Nicola Limbucci; Pascal Jabbour; Christophe Cognard; Aman B. Patel; Adam A. Dmytriw; WbrldWideWEB Consortium

doi:10.1148/radiol.212006

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Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB)

Journal article

Peer reviewed

Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB)

Nimer Adeeb, Mahmoud Dibas, Jose Danilo Bengzon Diestro, Hugo H. Cuellar-Saenz, Ahmad Sweid, Sandeep Kandregula, Sovann Lay, Adrien Guenego, Leonardo Renieri, Sri Hari Sundararajan, …

Radiology, Vol.304(2), pp.372-382

2022-08-01

DOI: https://doi.org/10.1148/radiol.212006

PMID: 35438564

Appears in Miller School of Medicine - Latest Publications

Abstract

Life Sciences & Biomedicine

Radiology, Nuclear Medicine & Medical Imaging

Science & Technology

Background: The Woven EndoBridge (WEB) device was explicitly designed for wide- neck intracranial bifurcation aneurysms. Small-scale reports have evaluated the off-label use of WEB devices for the treatment of sidewall aneurysms, with promising outcomes. Purpose: To compare the angiographic and clinical outcomes of the WEB device for the treatment of sidewall aneurysms compared with the treatment of bifurcation aneurysms. Materials and Methods: A retrospective review of the WorldWideWEB Consortium, a synthesis of retrospective databases spanning from January 2011 to June 2021 at 22 academic institutions in North America, South America, and Europe, was performed to identify patients with intracranial aneurysms treated with the WEB device. Characteristics and outcomes were compared between bifurcation and sidewall aneurysms. Propensity score matching (PSM) was used to match by age, pretreatment ordinal modified Rankin Scale score, ruptured aneurysms, location of aneurysm, multiple aneurysms, prior treatment, neck, height, dome width, daughter sac, and incorporated branch. Results: A total of 683 intracranial aneurysms were treated using the WEB device in 671 patients (median age, 61 years [IQR, 53-68 years]; male-to-female ratio, 1:2.5). Of those, 572 were bifurcation aneurysms and 111 were sidewall aneurysms. PSM was performed, resulting in 91 bifurcation and sidewall aneurysms pairs. No significant difference was observed in occlusion status at last follow-up, deployment success, or complication rates between the two groups. Conclusion: No significantly different outcomes were observed following the off-label use of the Woven EndoBridge, or WEB, device for treatment of sidewall aneurysms compared with bifurcation aneurysms. The correct characterization of the sidewall aneurysm location, neck angle, and size is crucial for successful treatment and lower retreatment rate. (C) RSNA, 2022

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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: Radiology, Nuclear Medicine & Medical Imaging
ESI research areas: Clinical Medicine

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Title: Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB)
Creators: Nimer Adeeb - University Medical Center Hamburg-Eppendorf
Mahmoud Dibas - University Medical Center Hamburg-Eppendorf
Jose Danilo Bengzon Diestro - University Medical Center Hamburg-Eppendorf
Hugo H. Cuellar-Saenz - University Medical Center Hamburg-Eppendorf
Ahmad Sweid - University Medical Center Hamburg-Eppendorf
Sandeep Kandregula - Louisiana State Univ, Dept Neurosurg & Neurointervent Surg, 1501 Kings Hwy, Shreveport, LA 71104 USA
Sovann Lay - University Medical Center Hamburg-Eppendorf
Adrien Guenego - University Medical Center Hamburg-Eppendorf
Leonardo Renieri - University Medical Center Hamburg-Eppendorf
Sri Hari Sundararajan - University Medical Center Hamburg-Eppendorf
Guillaume Saliou - University Medical Center Hamburg-Eppendorf
Assala Aslan - University Medical Center Hamburg-Eppendorf
Markus Mohlenbruch - University Medical Center Hamburg-Eppendorf
Justin E. Vranic - University Medical Center Hamburg-Eppendorf
Robert W. Regenhardt - University Medical Center Hamburg-Eppendorf
Amey Savardekar - University Medical Center Hamburg-Eppendorf
Ahmed Mamilly - University Medical Center Hamburg-Eppendorf
Ivan Lylyk - University Medical Center Hamburg-Eppendorf
Paul M. Foreman - University Medical Center Hamburg-Eppendorf
Jay A. Vachhani - University Medical Center Hamburg-Eppendorf
Vedran Zupancic - University Medical Center Hamburg-Eppendorf
Muhammad U. Hafeez - University Medical Center Hamburg-Eppendorf
Caleb Rutledge - University Medical Center Hamburg-Eppendorf
Muhammad Waqas - University Medical Center Hamburg-Eppendorf
Carmen Parra Farinas - University Medical Center Hamburg-Eppendorf
Vincent M. Tutino - University at Buffalo, State University of New York
Yasuaki Inoue - University Medical Center Hamburg-Eppendorf
Shervin Mirshahi - University Medical Center Hamburg-Eppendorf
James D. Rabinov - University Medical Center Hamburg-Eppendorf
Yifan Ren - University Medical Center Hamburg-Eppendorf
Clemens M. Schirmer - University Medical Center Hamburg-Eppendorf
Mariangela Piano - University Medical Center Hamburg-Eppendorf
Anna L. Kuehn - Mécanique et Engrenage Moderne
Caterina Michelozzi - University Medical Center Hamburg-Eppendorf
Stephanie Elens - University Medical Center Hamburg-Eppendorf
Robert M. Starke - University Medical Center Hamburg-Eppendorf
Ameer Hassan - University Medical Center Hamburg-Eppendorf
Arsalaan Salehani - University Medical Center Hamburg-Eppendorf
Peter Sporns - University Medical Center Hamburg-Eppendorf
Alex Brehm - University Medical Center Hamburg-Eppendorf
Jesse Jones - University of Alabama
Marios Psychogios - University Medical Center Hamburg-Eppendorf
Julian Spears - University Medical Center Hamburg-Eppendorf
Boris Lubicz - University Medical Center Hamburg-Eppendorf
Pietro Panni - University Medical Center Hamburg-Eppendorf
Ajit S. Puri - University Medical Center Hamburg-Eppendorf
Guglielmo Pero - University Medical Center Hamburg-Eppendorf
Christoph J. Griessenauer - University Medical Center Hamburg-Eppendorf
Hamed Asadi - University Medical Center Hamburg-Eppendorf
Christopher J. Stapleton - University Medical Center Hamburg-Eppendorf
Adnan Siddiqui - University Medical Center Hamburg-Eppendorf
Andrew F. Ducruet - University Medical Center Hamburg-Eppendorf
Felipe C. Albuquerque - University Medical Center Hamburg-Eppendorf
Peter Kan - University Medical Center Hamburg-Eppendorf
Vladimir Kalousek - University Medical Center Hamburg-Eppendorf
Pedro Lylyk - University Medical Center Hamburg-Eppendorf
Srikanth Boddu - University Medical Center Hamburg-Eppendorf
Jared Knopman - University Medical Center Hamburg-Eppendorf
Mohammad A. Aziz-Sultan - University Medical Center Hamburg-Eppendorf
Nicola Limbucci - University Medical Center Hamburg-Eppendorf
Pascal Jabbour - University Medical Center Hamburg-Eppendorf
Christophe Cognard - University Medical Center Hamburg-Eppendorf
Aman B. Patel - Supreme Council Of Health
Adam A. Dmytriw - University Medical Center Hamburg-Eppendorf
WbrldWideWEB Consortium
Publication Details: Radiology, Vol.304(2), pp.372-382
Publisher: RADIOLOGICAL SOC NORTH AMERICA (RSNA)
Number of pages: 11
Academic Unit: UMMG Dept of Neurological Surgery; Miller School of Medicine
Language: English
Resource Type: Journal article
PMID: 35438564
Record Identifier: 991031757782202976