Evidence map›Paper›PMID 27102307›Full record

Observational studyAJNR. American journal of neuroradiology2016

WEB Treatment of Ruptured Intracranial Aneurysms.

W J van Rooij, J P Peluso, R S Bechan, M Sluzewski

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study 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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Delayed rebleeding of an Acom aneurysm treated with a web device: Endovascular management.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  9. The Woven EndoBridge for unruptured intracranial aneurysms: Results in 95 aneurysms from a single center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  10. Comparison of operating room variables, radiation exposure and implant costs for WEB versus stent assisted coiling for treatment of wide neck bifurcation aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  11. WEB Device Shape Changes in Elastase-Induced Aneurysms in Rabbits.AJNR. American journal of neuroradiology · 2021
    Article
  12. Evaluation of clinical and anatomical outcome of staged stenting after acute coiling of ruptured intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
  13. Review
  14. Review
  15. Article
  16. The Woven EndoBridge (WEB) as primary treatment for unruptured intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018
    Observational
  17. Article
  18. Observational
  19. WEB Device: Ready for Ruptured Aneurysms?AJNR. American journal of neuroradiology · 2017
    Article
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

4 authors at 2 institutions in 2 countries.

W J van RooijFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands. radiol@eztilburg.nl.ORCID 0000-0001-5931-1186
J P PelusoFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.ORCID 0000-0002-5957-9091
R S BechanFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.ORCID 0000-0002-8674-6326
M SluzewskiFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.ORCID 0000-0002-3949-5958
St. Elisabeth Hospital · CWElisabeth-TweeSteden Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe Woven EndoBridge (WEB) device was recently introduced for intrasaccular treatment of wide-neck aneurysms without the need for adjunctive support. We present our first experience in using the WEB for small ruptured aneurysms. MATERIALS AND

methodsDuring 11 months, 32 of 71 (45%) endovascularly treated acutely ruptured aneurysms were treated with the WEB. The patients were 12 men and 20 women, with a mean age of 61 years (range, 34-84 years). The mean aneurysm size was 4.9 mm, and 14 were ≤4 mm. Of 32 aneurysms, 24 (75%) had a wide neck.

resultsAll 32 aneurysms were adequately occluded after WEB placement. There were no procedural ruptures and no complications related to the WEB device. No adjunctive stents or balloons were needed. In 3 patients, thromboembolic complications occurred. One patient developed an infarction, and 2 patients were asymptomatic. The procedural complication rate was 3%. Seven patients admitted in poor clinical grade conditions died during hospital admission due to the sequelae of SAH. In 18 patients with angiographic follow-up at 3 months, 16 aneurysms remained adequately occluded. Two aneurysms showed slight compression of the WEB without reopening. Clinical follow-up in the 25 patients who survived the hospital admission period revealed mRS 1-2 in 24 and mRS 4 in 1. There were no rebleeds from the ruptured aneurysms during follow-up.

conclusionsWEB treatment of small ruptured aneurysms was safe and effective without the need for anticoagulation, adjunctive stents, or balloons. Our preliminary experience indicates that the WEB may be a valuable alternative to coils in the treatment of acutely ruptured aneurysms.

Indexed as

AdultAgedAged, 80 and overAneurysm, RupturedEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedPostoperative ComplicationsStents

Identifiers

PMID27102307
PMCPMC7984684
OpenAlexW2339494228

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.