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    Intrasaccular flow disruption for ruptured aneurysms: an international multicenter study

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    Authors
    Diestro, Jose Danilo Bengzon
    Dibas, Mahmoud
    Adeeb, Nimer
    Regenhardt, Robert W
    Vranic, Justin E
    Guenego, Adrien
    Lay, Sovann V
    Renieri, Leonardo
    Al Balushi, Ali
    Shotar, Eimad
    Premat, Kevin
    El Naamani, Kareem
    Saliou, Guillaume
    Möhlenbruch, Markus A
    Lylyk, Ivan
    Foreman, Paul M
    Vachhani, Jay A
    Župančić, Vedran
    Hafeez, Muhammad U
    Rutledge, Caleb
    Rai, Hamid
    Tutino, Vincent M
    Mirshani, Shervin
    Ghozy, Sherief
    Harker, Pablo
    Alotaibi, Naif M
    Rabinov, James D
    Ren, Yifan
    Schirmer, Clemens M
    Goren, Oded
    Piano, Mariangela
    Kuhn, Anna Luisa
    Michelozzi, Caterina
    Elens, Stephanie
    Starke, Robert M
    Hassan, Ameer
    Salehani, Arsalaan
    Nguyen, Anh
    Jones, Jesse
    Psychogios, Marios
    Spears, Julian
    Parra-Fariñas, Carmen
    Bres Bullrich, Maria
    Mayich, Michael
    Salem, Mohamed M
    Burkhardt, Jan-Karl
    Jankowitz, Brian T
    Domingo, Ricardo A
    Huynh, Thien
    Tawk, Rabih
    Ulfert, Christian
    Lubicz, Boris
    Panni, Pietro
    Puri, Ajit S
    Pero, Guglielmo
    Griessenauer, Christoph J
    Asadi, Hamed
    Siddiqui, Adnan
    Ducruet, Andrew F
    Albuquerque, Felipe C
    Du, Rose
    Kan, Peter
    Kalousek, Vladimir
    Lylyk, Pedro
    Boddu, Srikanth Reddy
    Stapleton, Christopher J
    Knopman, Jared
    Jabbour, Pascal
    Tjoumakaris, Stavropoula
    Clarençon, Frédéric
    Limbucci, Nicola
    Aziz-Sultan, Mohammad A
    Cuellar-Saenz, Hugo H
    Cognard, Christophe
    Patel, Aman B
    Dmytriw, Adam A
    Show allShow less
    UMass Chan Affiliations
    Radiology
    Document Type
    Journal Article
    Publication Date
    2022-07-22
    Keywords
    Aneurysm
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1136/jnis-2022-019153
    Abstract
    Background: The Woven EndoBridge (WEB) device is a novel intrasaccular flow disruptor tailored for bifurcation aneurysms. We aim to describe the degree of aneurysm occlusion at the latest follow-up, and the rate of complications of aneurysms treated with the WEB device stratified according to rupture status. Methods: Our data were taken from the WorldWideWeb Consortium, an international multicenter cohort including patients treated with the WEB device. Aneurysms were classified into two groups: ruptured and unruptured. We compared clinical and radiologic outcomes of both groups. Propensity score matching (PSM) was done to match according to age, gender, bifurcation, location, prior treatment, neck, height, dome width, daughter sac, incorporated branch, pretreatment antiplatelets, and last imaging follow-up. Results: The study included 676 patients with 691 intracranial aneurysms (529 unruptured and 162 ruptured) treated with the WEB device. The PSM analysis had 55 pairs. In both the unmatched (85.8% vs 84.3%, p=0.692) and matched (94.4% vs 83.3%, p=0.066) cohorts there was no significant difference in the adequate occlusion rate at the last follow-up. Likewise, there were no significant differences in both ischemic and hemorrhagic complications between the two groups. There was no documented aneurysm rebleeding after WEB device implantation. Conclusion: There was no significant difference in both the radiologic outcomes and complications between unruptured and ruptured aneurysms. Our findings support the feasibility of treatment of ruptured aneurysms with the WEB device.
    Source
    Diestro JDB, Dibas M, Adeeb N, Regenhardt RW, Vranic JE, Guenego A, Lay SV, Renieri L, Al Balushi A, Shotar E, Premat K, El Naamani K, Saliou G, Möhlenbruch MA, Lylyk I, Foreman PM, Vachhani JA, Župančić V, Hafeez MU, Rutledge C, Rai H, Tutino VM, Mirshani S, Ghozy S, Harker P, Alotaibi NM, Rabinov JD, Ren Y, Schirmer CM, Goren O, Piano M, Kuhn AL, Michelozzi C, Elens S, Starke RM, Hassan A, Salehani A, Nguyen A, Jones J, Psychogios M, Spears J, Parra-Fariñas C, Bres Bullrich M, Mayich M, Salem MM, Burkhardt JK, Jankowitz BT, Domingo RA, Huynh T, Tawk R, Ulfert C, Lubicz B, Panni P, Puri AS, Pero G, Griessenauer CJ, Asadi H, Siddiqui A, Ducruet AF, Albuquerque FC, Du R, Kan P, Kalousek V, Lylyk P, Boddu SR, Stapleton CJ, Knopman J, Jabbour P, Tjoumakaris S, Clarençon F, Limbucci N, Aziz-Sultan MA, Cuellar-Saenz HH, Cognard C, Patel AB, Dmytriw AA. Intrasaccular flow disruption for ruptured aneurysms: an international multicenter study. J Neurointerv Surg. 2022 Jul 22:neurintsurg-2022-019153. doi: 10.1136/jnis-2022-019153. Epub ahead of print. PMID: 35868856.
    DOI
    10.1136/jnis-2022-019153
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/51272
    PubMed ID
    35868856
    Rights
    © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
    ae974a485f413a2113503eed53cd6c53
    10.1136/jnis-2022-019153
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