Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device

Nimer Adeeb; Mahmoud Dibas; Jose Danilo Bengzon Diestro; Kevin Phan; Hugo H. Cuellar-Saenz; Ahmad Sweid; Sovann V. Lay; Adrien Guenego; Assala Aslan; Leonardo Renieri; Sri Hari Sundararajan; Guillaume Saliou; Markus Möhlenbruch; Robert W. Regenhardt; Justin E. Vranic; Ivan Lylyk; Paul M. Foreman; Jay A. Vachhani; Vedran Župančić; Muhammad U. Hafeez; Caleb Rutledge; Muhammad Waqas; Vincent M. Tutino; James D. Rabinov; Yifan Ren; Clemens M. Schirmer; Mariangela Piano; Anna L. Kuhn; Caterina Michelozzi; Stephanie Elens; Robert M. Starke; Ameer Hassan; Arsalaan Salehani; Alex Brehm; Majd Eddin MohammedAli; Jesse Jones; Marios Psychogios; Julian Spears; Boris Lubicz; Pietro Panni; Ajit S. Puri; Guglielmo Pero; Christoph J. Griessenauer; Hamed Asadi; Adnan Siddiqui; Andrew Ducruet; Felipe C. Albuquerque; Rose Du; Peter Kan; Vladimir Kalousek; Pedro Lylyk; Christopher J. Stapleton; Srikanth Boddu; Jared Knopman; Mohammad A. Aziz-Sultan; Nicola Limbucci; Pascal Jabbour; Christophe Cognard; Aman B. Patel; Adam A. Dmytriw

doi:10.1136/neurintsurg-2022-018694

Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device

Nimer Adeeb, Mahmoud Dibas, Jose Danilo Bengzon Diestro, Kevin Phan, Hugo H. Cuellar-Saenz, Ahmad Sweid, Sovann V. Lay, Adrien Guenego, Assala Aslan, Leonardo Renieri, Sri Hari Sundararajan, Guillaume Saliou, Markus Möhlenbruch, Robert W. Regenhardt, Justin E. Vranic, Ivan Lylyk, Paul M. Foreman, Jay A. Vachhani, Vedran Župančić, Muhammad U. HafeezCaleb Rutledge, Muhammad Waqas, Vincent M. Tutino, James D. Rabinov, Yifan Ren, Clemens M. Schirmer, Mariangela Piano, Anna L. Kuhn, Caterina Michelozzi, Stephanie Elens, Robert M. Starke, Ameer Hassan, Arsalaan Salehani, Alex Brehm, Majd Eddin MohammedAli, Jesse Jones, Marios Psychogios, Julian Spears, Boris Lubicz, Pietro Panni, Ajit S. Puri, Guglielmo Pero, Christoph J. Griessenauer, Hamed Asadi, Adnan Siddiqui, Andrew Ducruet, Felipe C. Albuquerque, Rose Du, Peter Kan, Vladimir Kalousek, Pedro Lylyk, Christopher J. Stapleton, Srikanth Boddu, Jared Knopman, Mohammad A. Aziz-Sultan, Nicola Limbucci, Pascal Jabbour, Christophe Cognard, Aman B. Patel, Adam A. Dmytriw

Neurology

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Background The Woven EndoBridge (WEB) device has Food and Drug Administration approval for treatment of wide-necked intracranial bifurcation aneurysms. The WEB device has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. Objective To compare angiographic and clinical outcomes after treatment of bifurcation aneurysms at various locations, including anterior communicating artery (AComA), anterior cerebral artery (ACA) bifurcation distal to AComA, basilar tip, internal carotid artery (ICA) bifurcation, and middle cerebral artery (MCA) bifurcation aneurysms using the WEB device. Methods A retrospective cohort analysis was conducted at 22 academic institutions worldwide to compare treatment outcomes of patients with intracranial bifurcation aneurysms using the WEB device. Data include patient and aneurysm characteristics, procedural details, angiographic and functional outcomes, and complications. Results A total of 572 aneurysms were included. MCA (36%), AComA (35.7%), and basilar tip (18.9%) aneurysms were most common. The rate of adequate aneurysm occlusion was significantly higher for basilar tip (91.6%) and ICA bifurcation (96.7%) aneurysms and lower for ACA bifurcation (71.4%) and AComA (80.6%) aneurysms (p=0.04). Conclusion To our knowledge, this is the most extensive study to date that compares the treatment of different intracranial bifurcation aneurysms using the WEB device. Basilar tip and ICA bifurcation aneurysms showed significantly higher rates of aneurysm occlusion than other locations. No identifiable patient information was presented in the study and, thus, informed consent was not required.

Original language	English (US)
Pages (from-to)	558-565
Number of pages	8
Journal	Journal of neurointerventional surgery
Volume	15
Issue number	6
DOIs	https://doi.org/10.1136/neurintsurg-2022-018694
State	Published - Jun 2023

ASJC Scopus subject areas

Clinical Neurology
Surgery

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10.1136/neurintsurg-2022-018694

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Adeeb, N., Dibas, M., Bengzon Diestro, J. D., Phan, K., Cuellar-Saenz, H. H., Sweid, A., Lay, S. V., Guenego, A., Aslan, A., Renieri, L., Sundararajan, S. H., Saliou, G., Möhlenbruch, M., Regenhardt, R. W., Vranic, J. E., Lylyk, I., Foreman, P. M., Vachhani, J. A., Župančić, V., ... Dmytriw, A. A. (2023). Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device. Journal of neurointerventional surgery, 15(6), 558-565. https://doi.org/10.1136/neurintsurg-2022-018694

Adeeb, N, Dibas, M, Bengzon Diestro, JD, Phan, K, Cuellar-Saenz, HH, Sweid, A, Lay, SV, Guenego, A, Aslan, A, Renieri, L, Sundararajan, SH, Saliou, G, Möhlenbruch, M, Regenhardt, RW, Vranic, JE, Lylyk, I, Foreman, PM, Vachhani, JA, Župančić, V, Hafeez, MU, Rutledge, C, Waqas, M, Tutino, VM, Rabinov, JD, Ren, Y, Schirmer, CM, Piano, M, Kuhn, AL, Michelozzi, C, Elens, S, Starke, RM, Hassan, A, Salehani, A, Brehm, A, MohammedAli, ME, Jones, J, Psychogios, M, Spears, J, Lubicz, B, Panni, P, Puri, AS, Pero, G, Griessenauer, CJ, Asadi, H, Siddiqui, A, Ducruet, A, Albuquerque, FC, Du, R, Kan, P, Kalousek, V, Lylyk, P, Stapleton, CJ, Boddu, S, Knopman, J, Aziz-Sultan, MA, Limbucci, N, Jabbour, P, Cognard, C, Patel, AB & Dmytriw, AA 2023, 'Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device', Journal of neurointerventional surgery, vol. 15, no. 6, pp. 558-565. https://doi.org/10.1136/neurintsurg-2022-018694

@article{21facce590b04fc49bfad2cf29e34d19,

title = "Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device",

abstract = "Background The Woven EndoBridge (WEB) device has Food and Drug Administration approval for treatment of wide-necked intracranial bifurcation aneurysms. The WEB device has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. Objective To compare angiographic and clinical outcomes after treatment of bifurcation aneurysms at various locations, including anterior communicating artery (AComA), anterior cerebral artery (ACA) bifurcation distal to AComA, basilar tip, internal carotid artery (ICA) bifurcation, and middle cerebral artery (MCA) bifurcation aneurysms using the WEB device. Methods A retrospective cohort analysis was conducted at 22 academic institutions worldwide to compare treatment outcomes of patients with intracranial bifurcation aneurysms using the WEB device. Data include patient and aneurysm characteristics, procedural details, angiographic and functional outcomes, and complications. Results A total of 572 aneurysms were included. MCA (36%), AComA (35.7%), and basilar tip (18.9%) aneurysms were most common. The rate of adequate aneurysm occlusion was significantly higher for basilar tip (91.6%) and ICA bifurcation (96.7%) aneurysms and lower for ACA bifurcation (71.4%) and AComA (80.6%) aneurysms (p=0.04). Conclusion To our knowledge, this is the most extensive study to date that compares the treatment of different intracranial bifurcation aneurysms using the WEB device. Basilar tip and ICA bifurcation aneurysms showed significantly higher rates of aneurysm occlusion than other locations. No identifiable patient information was presented in the study and, thus, informed consent was not required.",

author = "Nimer Adeeb and Mahmoud Dibas and {Bengzon Diestro}, {Jose Danilo} and Kevin Phan and Cuellar-Saenz, {Hugo H.} and Ahmad Sweid and Lay, {Sovann V.} and Adrien Guenego and Assala Aslan and Leonardo Renieri and Sundararajan, {Sri Hari} and Guillaume Saliou and Markus M{\"o}hlenbruch and Regenhardt, {Robert W.} and Vranic, {Justin E.} and Ivan Lylyk and Foreman, {Paul M.} and Vachhani, {Jay A.} and Vedran {\v Z}upan{\v c}i{\'c} and Hafeez, {Muhammad U.} and Caleb Rutledge and Muhammad Waqas and Tutino, {Vincent M.} and Rabinov, {James D.} and Yifan Ren and Schirmer, {Clemens M.} and Mariangela Piano and Kuhn, {Anna L.} and Caterina Michelozzi and Stephanie Elens and Starke, {Robert M.} and Ameer Hassan and Arsalaan Salehani and Alex Brehm and MohammedAli, {Majd Eddin} and Jesse Jones and Marios Psychogios and Julian Spears and Boris Lubicz and Pietro Panni and Puri, {Ajit S.} and Guglielmo Pero and Griessenauer, {Christoph J.} and Hamed Asadi and Adnan Siddiqui and Andrew Ducruet and Albuquerque, {Felipe C.} and Rose Du and Peter Kan and Vladimir Kalousek and Pedro Lylyk and Stapleton, {Christopher J.} and Srikanth Boddu and Jared Knopman and Aziz-Sultan, {Mohammad A.} and Nicola Limbucci and Pascal Jabbour and Christophe Cognard and Patel, {Aman B.} and Dmytriw, {Adam A.}",

year = "2023",

month = jun,

doi = "10.1136/neurintsurg-2022-018694",

language = "English (US)",

volume = "15",

pages = "558--565",

journal = "Journal of neurointerventional surgery",

issn = "1759-8478",

publisher = "BMJ Publishing Group",

number = "6",

}

TY - JOUR

T1 - Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device

AU - Adeeb, Nimer

AU - Dibas, Mahmoud

AU - Bengzon Diestro, Jose Danilo

AU - Phan, Kevin

AU - Cuellar-Saenz, Hugo H.

AU - Sweid, Ahmad

AU - Lay, Sovann V.

AU - Guenego, Adrien

AU - Aslan, Assala

AU - Renieri, Leonardo

AU - Sundararajan, Sri Hari

AU - Saliou, Guillaume

AU - Möhlenbruch, Markus

AU - Regenhardt, Robert W.

AU - Vranic, Justin E.

AU - Lylyk, Ivan

AU - Foreman, Paul M.

AU - Vachhani, Jay A.

AU - Župančić, Vedran

AU - Hafeez, Muhammad U.

AU - Rutledge, Caleb

AU - Waqas, Muhammad

AU - Tutino, Vincent M.

AU - Rabinov, James D.

AU - Ren, Yifan

AU - Schirmer, Clemens M.

AU - Piano, Mariangela

AU - Kuhn, Anna L.

AU - Michelozzi, Caterina

AU - Elens, Stephanie

AU - Starke, Robert M.

AU - Hassan, Ameer

AU - Salehani, Arsalaan

AU - Brehm, Alex

AU - MohammedAli, Majd Eddin

AU - Jones, Jesse

AU - Psychogios, Marios

AU - Spears, Julian

AU - Lubicz, Boris

AU - Panni, Pietro

AU - Puri, Ajit S.

AU - Pero, Guglielmo

AU - Griessenauer, Christoph J.

AU - Asadi, Hamed

AU - Siddiqui, Adnan

AU - Ducruet, Andrew

AU - Albuquerque, Felipe C.

AU - Du, Rose

AU - Kan, Peter

AU - Kalousek, Vladimir

AU - Lylyk, Pedro

AU - Stapleton, Christopher J.

AU - Boddu, Srikanth

AU - Knopman, Jared

AU - Aziz-Sultan, Mohammad A.

AU - Limbucci, Nicola

AU - Jabbour, Pascal

AU - Cognard, Christophe

AU - Patel, Aman B.

AU - Dmytriw, Adam A.

PY - 2023/6

Y1 - 2023/6

N2 - Background The Woven EndoBridge (WEB) device has Food and Drug Administration approval for treatment of wide-necked intracranial bifurcation aneurysms. The WEB device has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. Objective To compare angiographic and clinical outcomes after treatment of bifurcation aneurysms at various locations, including anterior communicating artery (AComA), anterior cerebral artery (ACA) bifurcation distal to AComA, basilar tip, internal carotid artery (ICA) bifurcation, and middle cerebral artery (MCA) bifurcation aneurysms using the WEB device. Methods A retrospective cohort analysis was conducted at 22 academic institutions worldwide to compare treatment outcomes of patients with intracranial bifurcation aneurysms using the WEB device. Data include patient and aneurysm characteristics, procedural details, angiographic and functional outcomes, and complications. Results A total of 572 aneurysms were included. MCA (36%), AComA (35.7%), and basilar tip (18.9%) aneurysms were most common. The rate of adequate aneurysm occlusion was significantly higher for basilar tip (91.6%) and ICA bifurcation (96.7%) aneurysms and lower for ACA bifurcation (71.4%) and AComA (80.6%) aneurysms (p=0.04). Conclusion To our knowledge, this is the most extensive study to date that compares the treatment of different intracranial bifurcation aneurysms using the WEB device. Basilar tip and ICA bifurcation aneurysms showed significantly higher rates of aneurysm occlusion than other locations. No identifiable patient information was presented in the study and, thus, informed consent was not required.

AB - Background The Woven EndoBridge (WEB) device has Food and Drug Administration approval for treatment of wide-necked intracranial bifurcation aneurysms. The WEB device has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. Objective To compare angiographic and clinical outcomes after treatment of bifurcation aneurysms at various locations, including anterior communicating artery (AComA), anterior cerebral artery (ACA) bifurcation distal to AComA, basilar tip, internal carotid artery (ICA) bifurcation, and middle cerebral artery (MCA) bifurcation aneurysms using the WEB device. Methods A retrospective cohort analysis was conducted at 22 academic institutions worldwide to compare treatment outcomes of patients with intracranial bifurcation aneurysms using the WEB device. Data include patient and aneurysm characteristics, procedural details, angiographic and functional outcomes, and complications. Results A total of 572 aneurysms were included. MCA (36%), AComA (35.7%), and basilar tip (18.9%) aneurysms were most common. The rate of adequate aneurysm occlusion was significantly higher for basilar tip (91.6%) and ICA bifurcation (96.7%) aneurysms and lower for ACA bifurcation (71.4%) and AComA (80.6%) aneurysms (p=0.04). Conclusion To our knowledge, this is the most extensive study to date that compares the treatment of different intracranial bifurcation aneurysms using the WEB device. Basilar tip and ICA bifurcation aneurysms showed significantly higher rates of aneurysm occlusion than other locations. No identifiable patient information was presented in the study and, thus, informed consent was not required.

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U2 - 10.1136/neurintsurg-2022-018694

DO - 10.1136/neurintsurg-2022-018694

M3 - Article

C2 - 35483912

AN - SCOPUS:85130858865

SN - 1759-8478

VL - 15

SP - 558

EP - 565

JO - Journal of neurointerventional surgery

JF - Journal of neurointerventional surgery

IS - 6

ER -

Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device

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