Evidence map›Paper›PMID 32357228›Full record

ArticleNeurosurgery2020

Treatment of Acutely Ruptured Cerebral Aneurysms With the Woven EndoBridge Device: Experience Post-FDA Approval.

Fadi Al Saiegh, David Hasan, Nikolaos Mouchtouris, Mario Zanaty, Ahmad Sweid, Omaditya Khanna, Nohra Chalouhi, Ritam Ghosh, Stavropoula Tjoumakaris, M Reid Gooch and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Impact of aneurysm diameter, angulation, and device sizing on complete occlusion rates using the woven endobridge (WEB) device: Single center United States experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  9. Article
  10. Long-term efficacy and safety of WovenEndoBridge (WEB)-assisted cerebral aneurysm embolization.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. A comparison between the CS-TOF and the CTA/DSA for WEB device management.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  15. The Woven Endobridge as a treatment for acutely ruptured aneurysms: A review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Review
  16. Article
  17. The next step in balloon assisted endovascular neurosurgical procedures: A case series of initial experience with the Scepter Mini balloon microcatheter.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  18. 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

12 authors at 2 institutions in 1 country.

Fadi Al SaieghDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
David HasanDepartment of Neurological Surgery, University of Iowa Hospitals, Iowa City, Iowa.
Nikolaos MouchtourisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Mario ZanatyDepartment of Neurological Surgery, University of Iowa Hospitals, Iowa City, Iowa.
Ahmad SweidDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Omaditya KhannaDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Nohra ChalouhiDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Ritam GhoshDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Stavropoula TjoumakarisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
M Reid GoochDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Robert RosenwasserDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Pascal JabbourDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Thomas Jefferson University Hospital · USUniversity of Iowa Hospitals and Clinics · US

Funding

PROGRAM IN HEMOSTASIS AND THROMBOSIS FOR ACADEMICT32HL007344 · NHLBI · UNIVERSITY OF IOWA · PI Anil Kumar Chauhan, Steven R Lentz · 1985 to 2026
$6.5M
NHLBI NIH HHS T32 HL007344
6 · The paper itself

Abstract

backgroundCoil embolization of ruptured bifurcation aneurysms is challenging and often necessitates adjunctive stenting, which requires antiplatelet therapy in the setting of subarachnoid hemorrhage (SAH). The Woven EndoBridge (WEB; Terumo) device is an alternative self-expanding 3D mesh that does not require antiplatelet agents. However, its use has been mostly reserved for unruptured aneurysms.

objectiveTo assess the safety and feasibility of ruptured aneurysm treatment with the WEB.

methodsRetrospective analysis of 9 SAH patients with 11 aneurysms that were treated with the WEB device at 2 institutions after FDA approval.

resultsHunt and Hess grades were III and IV in 4 (44%) each and V in 1 (11%). All patients were treated within 24 h of hospitalization, and a single WEB was used in all but one aneurysm. Aneurysms treated were 3 basilar tip, 2 anterior communicating artery, 2 posterior inferior cerebellarartery, 1 middle cerebral artery, 1 carotid-ophthalmic artery, 1 posterior communicating artery, and 1 vertebrobasilar junction. Mean aneurysm height and width were 6.2 ± 2.2 mm (range: 3-10) and 5.6 ± 3.0 mm (range: 3.3-14), respectively. Mean dome-to-neck ratio was 1.7 ± 0.8 (range: 1.0-3.8). There was one intraoperative rupture that occurred because of device dislodgement and was managed with embolization. There were no treatment-related mortalities and no re-rupture after securement of the aneurysms with the WEB.

conclusionOur preliminary experience indicates that the WEB device can be used safely for ruptured aneurysms of various sizes in the anterior and posterior circulation. Larger series with long-term follow-up are necessary to confirm our findings.

Indexed as

AgedAged, 80 and overAneurysm, RupturedBlood Vessel ProsthesisEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedRetrospective StudiesStentsTreatment OutcomeCerebral aneurysmEmbolizationEndovascularSubarachnoid hemorrhageWEB device

Identifiers

PMID32357228
PMCPMC8929032
OpenAlexW3023734954

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.