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|Title:||Multicenter Study for the Treatment of Sidewall versus Bifurcation Intracranial Aneurysms with Use of Woven EndoBridge (WEB).||Austin Authors:||Adeeb, Nimer;Dibas, Mahmoud;Diestro, Jose Danilo Bengzon;Cuellar-Saenz, Hugo H;Sweid, Ahmad;Kandregula, Sandeep;Lay, Sovann V;Guenego, Adrien;Renieri, Leonardo;Sundararajan, Sri Hari;Saliou, Guillaume;Aslan, Assala;Möhlenbruch, Markus;Vranic, Justin E;Regenhardt, Robert W;Savardekar, Amey;Mamilly, Ahmed;Lylyk, Ivan;Foreman, Paul M;Vachhani, Jay A;Župančić, Vedran;Hafeez, Muhammad U;Rutledge, Caleb;Waqas, Muhammad;Parra Farinas, Carmen;Tutino, Vincent M;Inoue, Yasuaki;Mirshahi, Shervin;Rabinov, James D;Ren, Yifan;Schirmer, Clemens M;Piano, Mariangela;Kühn, Anna L;Michelozzi, Caterina;Elens, Stéphanie;Starke, Robert M;Hassan, Ameer;Salehani, Arsalaan;Sporns, Peter;Brehm, Alex;Jones, Jesse;Psychogios, Marios;Spears, Julian;Lubicz, Boris;Panni, Pietro;Puri, Ajit S;Pero, Guglielmo;Griessenauer, Christoph J;Asadi, Hamed ;Stapleton, Christopher J;Siddiqui, Adnan;Ducruet, Andrew F;Albuquerque, Felipe C;Kan, Peter;Kalousek, Vladimir;Lylyk, Pedro;Boddu, Srikanth;Knopman, Jared;Aziz-Sultan, Mohammad A;Limbucci, Nicola;Jabbour, Pascal;Cognard, Christophe;Patel, Aman B;Dmytriw, Adam A||Affiliation:||From the Department of Neurosurgery and Neurointerventional Surgery, Louisiana State University, 1501 Kings Hwy, Shreveport, LA 71104 (N.A., H.H.C.S., S.K., A.A., A. Savardekar, A.M.); Neuroradiology & Neurointervention Service, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass (M.D., M.A.A.S., A.A.D.); Department of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St Michael's Hospital, University of Toronto, Toronto, Canada (J.D.B.D., C.P.F., Y.I., S.M., J.S.); Department of Diagnostic and Therapeutic Neuroradiology, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France (A. Sweid, A.G., P.J.); Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pa (S.V.L., C.C.); Department of Neurovascular Intervention, Ospedale Careggi di Firenze, Florence, Italy (L.R., N.L.); Department of Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY (S.H.S., S.B., J.K.); Department of Radiodiagnosis and Interventional Radiology, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland (G.S.); Vascular and Interventional Neuroradiology Section, Universitätsklinikum Heidelberg, Heidelberg, Germany (M.M.); Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (J.E.V., R.W.R., J.D.R., C.J.S., A.B.P.); Endovascular Neurosurgery and Interventional Radiology Team, Clínica La Sagrada Familia, Buenos Aires, Argentina (I.L., P.L.); Department of Neurosurgery, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, Fla (P.M.F., J.A.V.); Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center Sisters of Mercy, Zagreb, Croatia (V.Ž., V.K.); Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, Tex (M.U.H., P.K.); Department of Neurosurgery, Barrow Neurologic Institute, Phoenix, Ariz (C.R., A.F.D., F.C.A.); Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY (M.W., V.M.T., A. Siddiqui); Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia|| (Y.R., H.A.); Department of Neurosurgery and Radiology, Geisinger Hospital, Danville, Pa (C.M.S., C.J.G.); Department of Neurovascular Intervention, Ospedale Niguarda Cà Granda, Milan, Italy (M. Piano, G.P.); Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, Mass (A.L.K., A.S.P.); Department of Neurovascular Intervention, Ospedale San Raffaele Milano, Milan, Italy (C.M., P.P.); Department of Interventional Neuroradiology, Hôpital Universitaire Erasme, Brussels, Belgium (S.E., B.L.); Department of Neurosurgery, University of Miami, Miami, Fla (R.M.S.); Department of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, Tex (A.H.); Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Ala (A. Salehani, J.J.); Department of Neuroradiology, Clinic of Radiology & Nuclear Medicine, University Hospital Basel, Basel, Switzerland (P.S., A.B., M. Psychogios); and Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (P.S.)..||Issue Date:||2022||metadata.dc.date:||2022||Publication information:||Radiology 2022-08; 304(2): 372-382||Abstract:||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. © RSNA, 2022 See also the editorial by Hetts in this issue.||URI:||https://ahro.austin.org.au/austinjspui/handle/1/29986||DOI:||10.1148/radiol.212006||ORCID:||0000-0002-8668-7629
|Journal:||Radiology||PubMed URL:||35438564||Type:||Journal Article|
|Appears in Collections:||Journal articles|
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