Document Type
Article
Publication Date
7-31-2024
Abstract
The Woven EndoBridge (WEB) device is primarily used for treating wide-neck intracranial bifurcation aneurysms under 10 mm. Limited data exists on its efficacy for large aneurysms. We aim to assess angiographic and clinical outcomes of the WEB device in treating large versus small aneurysms. We conducted a retrospective review of the WorldWide WEB Consortium database, from 2011 to 2022, across 30 academic institutions globally. Propensity score matching (PSM) was employed to compare small and large aneurysms on baseline characteristics. A total of 898 patients were included. There was no significant difference observed in clinical presentations, smoking status, pretreatment mRS, presence of multiple aneurysms, bifurcation location, or prior treatment between the two groups. After PSM, 302 matched pairs showed significantly lower last follow-up adequate occlusion rates (81% vs 90%, p = 0.006) and higher retreatment rates (12% vs 3.6%, p < 0.001) in the large aneurysm group. These findings may inform treatment decisions and patient counseling. Future studies are needed to further explore this area.
Recommended Citation
Musmar, Basel; Salim, Hamza; Adeeb, Nimer; Aslan, Assala; Aljeradat, Bahaa; Diestro, Jose; McLellan, Rachel; Algin, Oktay; Ghozy, Sherief; Dibas, Mahmoud; Lay, Sovann; Guenego, Adrien; Renieri, Leonardo; Cancelliere, Nicole; Carnevale, Joseph; Saliou, Guillaume; Mastorakos, Panagiotis; El Naamani, Kareem; Shotar, Eimad; Premat, Kevin; Möhlenbruch, Markus; Kral, Michael; Vranic, Justin; Chung, Charlotte; Salem, Mohamed; Lylyk, Ivan; Foreman, Paul; Vachhani, Jay; Shaikh, Hamza; Župančić, Vedran; Hafeez, Muhammad; Catapano, Joshua; Waqas, Muhammad; Tutino, Vincent; Ibrahim, Mohamed; Mohammed, Marwa; Ozates, M. Ozgur; Ayberk, Giyas; Rabinov, James; Ren, Yifan; Schirmer, Clemens; Piano, Mariangela; Kühn, Anna; Michelozzi, Caterina; Elens, Stéphanie; Starke, Robert; Hassan, Ameer; Ogilvie, Mark; Nguyen, Anh; Jones, Jesse; Brinjikji, Waleed; Nawka, Marie; Psychogios, Marios; Ulfert, Christian; Spears, Julian; Jankowitz, Brian; Burkhardt, Jan-Karl; Domingo, Ricardo; Huynh, Thien; Martinez-Gutierrez, Juan Carlos; Essibayi, Muhammed; Sheth, Sunil; Spiegel, Gary; Tawk, Rabih; Lubicz, Boris; Panni, Pietro; Puri, Ajit; Pero, Guglielmo; Nossek, Erez; Raz, Eytan; Killer-Oberfalzer, Monika; Griessenauer, Christoph; Asadi, Hamed; Siddiqui, Adnan; Brook, Allan; Altschul, David; Ducruet, Andrew; Albuquerque, Felipe; Regenhardt, Robert; Stapleton, Christopher; Kan, Peter; Kalousek, Vladimir; Lylyk, Pedro; Boddu, Srikanth; Knopman, Jared; Aziz-Sultan, Mohammad A; Tjoumakaris, Stavropoula; Clarençon, Frédéric; Limbucci, Nicola; Cuellar-Saenz, Hugo; Jabbour, Pascal; Pereira, Vitor; Patel, Aman; and Dmytriw, Adam, "Treatment of Large Intracranial Aneurysms Using the Woven EndoBridge (WEB): A Propensity Score-Matched Analysis" (2024). Department of Neurosurgery Faculty Papers. Paper 235.
https://jdc.jefferson.edu/neurosurgeryfp/235
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
39083214
Language
English
Comments
This article is the author's final published version in Neurosurgical review, Volume 47, Issue 1, 2024, Article number 374.
The published version is available at https://doi/org/10.1007/s10143-024-02527-5.
Copyright © The Author(s) 2024