Evidence map›Paper›PMID 26585260›Full record

SynthesisAJNR. American journal of neuroradiology2016

Endovascular Treatment of Intracranial Aneurysms with the WEB Device: A Systematic Review of Clinical Outcomes.

X Armoiry, F Turjman, D J Hartmann, R Sivan-Hoffmann, R Riva, P E Labeyrie, G Aulagner, B Gory

Abstract readSystematic Review
In one paragraph

Synthesis in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Woven EndoBridge device for the treatment of ruptured intracranial aneurysms: A systematic review of clinical and angiographic results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Pooled it
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  3. A systematic review and meta-analysis of Woven EndoBridge single layer for treatment of intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Pooled it
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  5. The RISE trial: A Randomized Trial on Intra-Saccular Endobridge devices.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
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  18. [Brain aneurysms treatment with pCONus2 device. Initial experience at IMSS].Revista medica del Instituto Mexicano del Seguro Social · 2023
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  19. Long-term follow-up of the pCONus device for the treatment of wide-neck bifurcation aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

X ArmoiryFrom the Délégation à la Recherche Clinique et à l'Innovation (X.A.), Hospices Civils de Lyon, Cellule Innovation, Lyon, France CNRS 5510/MATEIS (X.A., D.J.H., P.E.L., G.A.), Lyon, France.ORCID 0000-0002-2145-6723
F TurjmanService de Neuroradiologie Interventionnelle (F.T., R.S-H., R.R., B.G.), DHU IRIS, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France Université Lyon 1 (F.T., D.J.H., G.A., B.G.), Lyon, France Centre de Neurosciences Cognitives (F.T., B.G.), CNRS, UMR 5229, Lyon, France.ORCID 0000-0001-5006-2320
D J HartmannCNRS 5510/MATEIS (X.A., D.J.H., P.E.L., G.A.), Lyon, France Université Lyon 1 (F.T., D.J.H., G.A., B.G.), Lyon, France.ORCID 0000-0002-1829-4102
R Sivan-HoffmannService de Neuroradiologie Interventionnelle (F.T., R.S-H., R.R., B.G.), DHU IRIS, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0002-3757-7298
R RivaService de Neuroradiologie Interventionnelle (F.T., R.S-H., R.R., B.G.), DHU IRIS, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France Galilee Medical Center (R.S.-H.), Nahariya, Israel.ORCID 0000-0002-1520-2057
P E LabeyrieCNRS 5510/MATEIS (X.A., D.J.H., P.E.L., G.A.), Lyon, France Serine Proteases and Pathophysiology of the Neurovascular Unit (P.E.L.), INSERM UMR-S U919, Caen, France.ORCID 0000-0002-2536-6338
G AulagnerCNRS 5510/MATEIS (X.A., D.J.H., P.E.L., G.A.), Lyon, France Université Lyon 1 (F.T., D.J.H., G.A., B.G.), Lyon, France Service Pharmaceutique (G.A.), Hospices Civils de Lyon, Groupement Hospitalier Est, Lyon, France.ORCID 0000-0002-0729-9549
B GoryService de Neuroradiologie Interventionnelle (F.T., R.S-H., R.R., B.G.), DHU IRIS, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Lyon, France Université Lyon 1 (F.T., D.J.H., G.A., B.G.), Lyon, France Centre de Neurosciences Cognitives (F.T., B.G.), CNRS, UMR 5229, Lyon, France benjamin.gory@chu-lyon.fr.ORCID 0000-0001-8424-4464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDespite the improvement in technology, endovascular treatment of bifurcation intracranial wide-neck aneurysms remains challenging, mainly due to the difficulty of maintaining coils within the aneurysm sac without compromising the patency of bifurcation arteries. The Woven EndoBridge (WEB) device is a recent intrasaccular braided device specifically dedicated to treating such aneurysms with a wide neck by disrupting the flow in the aneurysmal neck and promoting progressive aneurysmal thrombosis. MATERIALS AND

methodsUsing several health data bases, we conducted a systematic review of all published studies of WEB endovascular treatment in intracranial aneurysms from 2010 onward to evaluate its efficacy and safety profile.

resultsThe literature search identified 6 relevant studies (7 articles) including wide-neck bifurcation aneurysms in ≥80% of cases. Clinical data supporting the efficacy and safety of the WEB are limited to noncomparative cohort studies with large heterogeneity from a methodologic standpoint. The WEB deployment was feasible with a success rate of 93%-100%. Permanent morbidity (mRS of >1 at last follow-up) and mortality were measured at 2.2%-6.7% and 0%-17%, respectively. The adequate occlusion rate (total occlusion or neck remnant) varied between 65% and 85.4% at midterm follow-up (range, 3.3-27.4 months).

conclusionsEndovascular treatment of bifurcation wide-neck aneurysms with the WEB device is feasible and allows an acceptably adequate aneurysm occlusion rate; however, the rate of neck remnants is not negligible. The WEB device needs further clinical and anatomic evaluation with long-term prospective studies, especially of the risk of WEB compression. Prospective controlled studies should be encouraged.

Indexed as

Blood Vessel ProsthesisEmbolization, TherapeuticEndovascular ProceduresHumansIntracranial AneurysmTreatment Outcome

Identifiers

PMID26585260
PMCPMC7960317

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.