The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium

Adam A.Dmytriw; MahmoudDibas; SheriefGhozyNimerAdeebJose Danilo BengzonDiestroKevinPhanHugo H.Cuellar-SaenzAhmadSweidSovann V.LayAdrienGuenegoLeonardoRenieriAliAl BalushiGuillaumeSaliouMarkusM?hlenbruchRobert W.RegenhardtJustin E.VranicIvanLylykPaul M.ForemanJay A.VachhaniVedran?upan?i?Muhammad U.HafeezCalebRutledgeMuhammadWaqasVincent M.TutinoJames D.RabinovYifanRenClemens M.SchirmerMariangelaPianoAnna L.KühnCaterinaMichelozziStéphanieElensRobert M.StarkeAmeerHassanArsalaanSalehaniPeterSpornsJesseJonesMariosPsychogiosJulianSpearsBorisLubiczPietroPanniAjit S.PuriGuglielmoPeroChristoph J.GriessenauerHamedAsadiChristopher J.StapletonAdnanSiddiquiAndrew F.DucruetFelipe C.AlbuquerqueRoseDuPeterKanVladimirKalousekPedroLylykSrikanthBodduStavropoulaTjoumakarisJaredKnopmanMohammad A.Aziz-SultanNicolaLimbucciPascalJabbourChristopheCognardAman B.Patel

首页> 外文期刊>Translational stroke research >The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium

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The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium

机译：The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium

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Abstract Several studies have shown promising outcomes of the Woven EndoBridge (WEB) device for the treatment of wide-necked intracranial bifurcation aneurysms. This is a multicenter study attempts to explore the changes in trends and treatment outcomes over time for WEB embolization of intracranial aneurysms. The WorldWideWEB consortium is a retrospective multicenter collaboration of data from international centers spanning from January 2011 and June 2021, with no limitations on aneurysm location or rupture status. Both bifurcation and sidewall aneurysms were included. These patients were stratified based on treatment year into five treatment intervals: 2011–2015 (N?=?66), 2016–2017 (N?=?77), 2018 (N?=?66), 2019 (N?=?300), and 2020–2021 (N?=?173). Patient characteristics and angiographic and clinical outcomes were compared between these time intervals. This study comprised 671 patients (median age 61.4?years; 71.2 female) with 682 intracranial aneurysms. Over time, we observed an increasing tendency to treat patients presenting with ruptured aneurysms and aneurysms with smaller neck, diameter, and dome widths. Furthermore, we observed a trend towards more off-label use of the WEB for sidewall aneurysms and increased adoption of transradial access for WEB deployment. Moreover, the proportion of patients with adequate WEB occlusion immediately and at last follow-up was significantly higher in more recent year cohorts, as well as lower rates of compaction and retreatment. Mortality and complications did not differ over time. This learning curve study suggests improved experience using the WEB for the treatment of intracranial aneurysms and has yielded higher rates of adequate occlusion over time.

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《Translational stroke research》 |2023年第4期|455-464|共10页
作者
Adam A.Dmytriw; MahmoudDibas; SheriefGhozyNimerAdeebJose Danilo BengzonDiestroKevinPhanHugo H.Cuellar-SaenzAhmadSweidSovann V.LayAdrienGuenegoLeonardoRenieriAliAl BalushiGuillaumeSaliouMarkusM?hlenbruchRobert W.RegenhardtJustin E.VranicIvanLylykPaul M.ForemanJay A.VachhaniVedran?upan?i?Muhammad U.HafeezCalebRutledgeMuhammadWaqasVincent M.TutinoJames D.RabinovYifanRenClemens M.SchirmerMariangelaPianoAnna L.KühnCaterinaMichelozziStéphanieElensRobert M.StarkeAmeerHassanArsalaanSalehaniPeterSpornsJesseJonesMariosPsychogiosJulianSpearsBorisLubiczPietroPanniAjit S.PuriGuglielmoPeroChristoph J.GriessenauerHamedAsadiChristopher J.StapletonAdnanSiddiquiAndrew F.DucruetFelipe C.AlbuquerqueRoseDuPeterKanVladimirKalousekPedroLylykSrikanthBodduStavropoulaTjoumakarisJaredKnopmanMohammad A.Aziz-SultanNicolaLimbucciPascalJabbourChristopheCognardAman B.Patel;
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Neurointerventional Program, Departments of Medical Imaging & Clinical Neurological Sciences,London;

Department of Neuroradiology,Mayo Clinic;

Departement of Neurosurgery and Neurointerventional Surgery,Louisiana State UniversityDivision of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael’sInterventional Radiology and Neurointerventional Services, Department of Radiology,Austin HealthDepartment of Neurosurgery,Thomas Jefferson UniversityService de Neuroradiologie Diagnostique Et Thérapeutique,Centre Hospitalier de Toulouse, H?pitalInterventistica Neurovascolare,Ospedale Careggi Di FirenzeNeurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital,Weill Cornell SchoolService de Radiodiagnostic Et Radiologie Interventionnelle,Centre Hospitalier Vaudois de LausanneSektion Vaskul?re Und Interventionelle Neuroradiologie,Universit?tsklinikum HeidelbergNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women’s Hospital,HarvardEquipo de Neurocirugía Endovascular Y Radiología IntervencionistaNeurosurgery Department,Orlando Health Neuroscience and Rehabilitation InstituteSubdivision of Interventional Neuroradiology, Department of Radiology,Clinical Hospital CenterDepartment of Neurosurgery,UTMB and Baylor School of MedicineDepartment of Neurosurgery,Barrow Neurological InstituteDepartment of Neurosurgery,State University of New York at BuffaloDeparments of Neurosurgery and Radiology,University of Alabama at BirminghamDepartment of Diagnostic and Interventional Neuroradiology,University Medical Center HamburgDepartment of Neurosurgery and Radiology,Geisinger HospitalInterventistica Neurovascolare,Ospedale Niguarda Cà GrandaDepartment of Neurointerventional Radiology,UMass Memorial HospitalInterventistica Neurovascolare,Ospedale San Raffaele MilanoService de Neuroradiologie Interventionnelle,H?pital Universitaire ErasmeDeparment of Neurosurgery,University of MiamiDeparment of Neuroscience,Valley Baptist Neuroscience Institute;

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正文语种英语
中图分类神经病学与精神病学;
关键词
Learning curve; Intracranial aneurysm; Endovascular; Intrasaccular; Woven EndoBridge; WEB;

The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium

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