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