The impact of the Woven EndoBridge device on the treatment of anterior circulation wide-neck bifurcation aneurysms: a single-center experience

医学 剪裁(形态学) 动脉瘤 队列 闭塞 外科 内科学 语言学 哲学
作者
Kareem El Naamani,Arbaz Momin,Nikolaos Mouchtouris,Adam Hunt,C Lawall,Marc Ghanem,Morena Paula Koorie,Jad El-Hajj,Shreya Vinjamuri,Abdulaziz Alhussein,R Alhussein,Stavropoula Tjoumakaris,M. Reid Gooch,Robert H. Rosenwasser,Pascal Jabbour
出处
期刊:Journal of Neurosurgery [American Association of Neurological Surgeons]
卷期号:: 1-6
标识
DOI:10.3171/2024.4.jns24436
摘要

OBJECTIVE The paucity of literature comparing Woven EndoBridge (WEB) embolization to microsurgical clipping for anterior circulation wide-neck bifurcation aneurysms (WNBAs) underscores the need for further investigation into the optimal management of this patient subpopulation. The objective of this study was to compare the rate of endovascular and microsurgical treatment of WNBAs before and after the introduction of the WEB device. In addition, the authors performed a comparison of demographics, aneurysm characteristics, and treatment outcomes in patients before and after the introduction of the WEB device. METHODS This study was a retrospective review of the usage rate of different treatment modalities for WNBAs before and after the WEB device was approved by the US FDA on September 27, 2018. RESULTS The study cohort comprised 235 patients with anterior circulation WNBAs treated at the authors’ institution, including 127 aneurysms treated pre-WEB and 108 treated post-WEB. Generally, the rate of endovascular treatment of anterior circulation WNBAs was significantly higher post-WEB (86.1% vs 46.5%, p < 0.001), while the rate of clipping was significantly lower (13.9% vs 53.5%, p < 0.001). During follow-up, the rate of adequate aneurysm occlusion (Raymond-Roy occlusion classification [RROC] grades 1 and 2) was nonsignificantly higher in the post-WEB cohort (83.9% vs 78.5%, p = 0.34), while the rate of RROC grade 3 was nonsignificantly higher in the pre-WEB cohort (21.5% vs 16.1%, p = 0.34). Additionally, and although nonsignificant, the rates of recurrence (pre-WEB 25.3% vs post-WEB 14.9%, p = 0.12) and retreatment (pre-WEB 22.8% vs post-WEB 14.9%, p = 0.22) were higher in the pre-WEB cohort. Recurrence was assessed before retreatment. CONCLUSIONS After the introduction of the WEB device, the rate of endovascular treatment of WNBAs increased while the rate of microsurgical clipping decreased. It is essential for neurointerventionalists to become familiar with the indications, advantages, and shortcomings of all these different techniques to be able to match the right patient with the right technique to produce the best outcome.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
josie完成签到 ,获得积分10
2秒前
llll完成签到 ,获得积分10
2秒前
量子星尘发布了新的文献求助10
2秒前
韭菜发布了新的文献求助10
2秒前
外向的斑马完成签到 ,获得积分10
3秒前
村长热爱美丽完成签到 ,获得积分10
5秒前
尹尹关注了科研通微信公众号
7秒前
呆呆完成签到 ,获得积分10
8秒前
xianyaoz完成签到 ,获得积分0
15秒前
杨远杰完成签到,获得积分10
16秒前
蓝桉完成签到 ,获得积分10
16秒前
JuliaWang完成签到 ,获得积分10
23秒前
无限的含羞草完成签到,获得积分10
24秒前
八二力完成签到 ,获得积分10
28秒前
韭菜发布了新的文献求助10
31秒前
情怀应助科研通管家采纳,获得30
34秒前
water应助科研通管家采纳,获得10
34秒前
JamesPei应助科研通管家采纳,获得10
34秒前
2012csc完成签到 ,获得积分0
36秒前
风清扬应助韭菜采纳,获得10
37秒前
WSY完成签到 ,获得积分10
38秒前
虞无声发布了新的文献求助10
39秒前
执着新蕾完成签到,获得积分10
41秒前
Vivian完成签到 ,获得积分10
44秒前
666完成签到 ,获得积分10
46秒前
51秒前
量子星尘发布了新的文献求助10
54秒前
蔡从安完成签到,获得积分10
54秒前
奥雷里亚诺完成签到 ,获得积分10
54秒前
不呆完成签到 ,获得积分10
55秒前
Cheung2121发布了新的文献求助30
55秒前
画龙完成签到,获得积分10
56秒前
韭菜完成签到,获得积分20
57秒前
Owen应助Cheung2121采纳,获得10
1分钟前
爱学习的小李完成签到 ,获得积分10
1分钟前
若水完成签到 ,获得积分10
1分钟前
SYLH应助tian采纳,获得10
1分钟前
脑洞疼应助tian采纳,获得10
1分钟前
Ava应助tian采纳,获得10
1分钟前
领导范儿应助tian采纳,获得10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038112
求助须知:如何正确求助?哪些是违规求助? 3575788
关于积分的说明 11373801
捐赠科研通 3305604
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022