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 哲学 语言学
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
小蘑菇应助儒雅致远采纳,获得30
刚刚
我是老大应助谦让之云采纳,获得10
刚刚
紫竹魔笛发布了新的文献求助10
1秒前
谢许杯商应助稳重傲柔采纳,获得10
3秒前
3秒前
伍思光发布了新的文献求助10
3秒前
ssss发布了新的文献求助10
4秒前
汤圆发布了新的文献求助10
5秒前
5秒前
小小小珂卿完成签到,获得积分10
5秒前
6秒前
时尚丹寒完成签到 ,获得积分10
6秒前
6秒前
kk完成签到,获得积分10
7秒前
7秒前
浅笑完成签到,获得积分10
7秒前
嘛嘛嘛发布了新的文献求助10
7秒前
8秒前
8秒前
YY完成签到,获得积分10
9秒前
memaclee发布了新的文献求助10
10秒前
10秒前
zwk发布了新的文献求助10
11秒前
kk发布了新的文献求助10
11秒前
ww完成签到,获得积分10
11秒前
归尘发布了新的文献求助10
11秒前
11秒前
12秒前
ash发布了新的文献求助10
12秒前
镜中月发布了新的文献求助10
12秒前
12秒前
霁星河完成签到,获得积分10
13秒前
13秒前
伍思光完成签到,获得积分10
13秒前
谦让之云发布了新的文献求助10
14秒前
14秒前
Bressanone发布了新的文献求助10
15秒前
倪倪完成签到,获得积分20
15秒前
15秒前
FashionBoy应助songvv采纳,获得10
15秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
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 3989469
求助须知:如何正确求助?哪些是违规求助? 3531722
关于积分的说明 11254409
捐赠科研通 3270221
什么是DOI,文献DOI怎么找? 1804946
邀请新用户注册赠送积分活动 882113
科研通“疑难数据库(出版商)”最低求助积分说明 809176