Evidence map›Paper›PMID 32532858›Full record

Trial reportJournal of neurointerventional surgery2021

Aneurysm treatment with WEB in the cumulative population of two prospective, multicenter series: 3-year follow-up.

Laurent Pierot, Istvan Szikora, Xavier Barreau, Markus Holtmannspoetter, Laurent Spelle, Denis Herbreteau, Jens Fiehler, Vincent Costalat, Joachim Klisch, Anne-Christine Januel and 7 more

Registry-linked trialOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of neurointerventional surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01778322 (WEB Clinical Assessment of IntraSaccular Aneurysm Therapy), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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.

NCT01778322 completednot on this map

WEB Clinical Assessment of IntraSaccular Aneurysm Therapy

TypeobservationalSponsorMicrovention-Terumo, Inc.Ran2011 to 2019Enrolled51ConditionsIntracranial AneurysmArmsIntracranial aneurysm embolization
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Long-term outcomes of the Woven EndoBridge device for treatment of intracranial aneurysms: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Pooled it
  3. Article
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  6. Geometry of intracranial aneurysms and of intrasaccular devices may influence aneurysmal occlusion rates after endovascular treatment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  7. Article
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  14. Observational
  15. WEB embolization of very broad-based intracranial aneurysms with a dome-to-neck ratio ≤ 1.1.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  16. ClippingInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
  17. A new era in the treatment of wide necked bifurcation aneurysms: Intrasaccular flow disruption.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
  18. Review
  19. Article
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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

17 authors at 16 institutions in 6 countries.

Laurent PierotNeuroradiology, CHU Reims, Reims, France lpierot@gmail.com.ORCID http://orcid.org/0000-0002-6893-661X
Istvan SzikoraNeurointerventions, National Institute of Clinical Neurosciences, Budapest, Budapest, Hungary.ORCID http://orcid.org/0000-0003-3730-3278
Xavier BarreauNeuroradiology Department, Bordeaux, Bordeaux, France.
Markus HoltmannspoetterNeuroradiology Department, Nuremberg General Hospital, Paracelsius Medical University, Nürnberg, Germany.
Laurent SpelleInterventional Neuroradiology, CHU Bicêtre, Le Kremlin-Bicetre, Île-de-France, France.
Denis HerbreteauNeuroradiology Department, CHU Tours, Tours, France.
Jens FiehlerDepartment of Neuroradiology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Hamburg, Germany.
Vincent CostalatNeuroradiology, CHU Montpellier, Montpellier, Languedoc-Roussillon, France.
Joachim KlischInstitute of Diagnostic and Intervenional Radiology and Neuroradiology, HELIOS Klinikum Erfurt Klinik für Frauenheilkunde und Geburtshilfe, Erfurt, Thuringia, Germany.
Anne-Christine JanuelNeuroradiology, CHU Toulouse, Toulouse, Midi-Pyrénées, France.
Werner WeberRadiology and Neuroradiology, Ruhr-Universitat Bochum, Bochum, Nordrhein-Westfalen, Germany.
Thomas LiebigNeuroradiology, University Hospital Munich, Munchen, Bayern, Germany.
Luc StockxNeuroradiology, Ziekenhuis Oost-Limburg, Genk, Limburg, Belgium.
Joachim BerkefeldNeuroradiology, Goethe University Frankfurt, Frankfurt am Main, Hessen, Germany.
Jacques MoretInterventional Neuroradiology, Hopital Bicetre, Le Kremlin-Bicetre, Île-de-France, France.
Andy MolyneuxNeurovascular and Neuroradiology Research Unit, Oxford University, Oxford, Oxfordshire, UK.
James ByrneDepartment of Neuroradiology, Nuffield Department of Surgical Sciences, Oxford University, Oxford, Oxfordshire, UK.
Bicêtre Hospital · FRBordeaux Population Health · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Toulouse · FRCentre Hospitalier Universitaire de Tours · FRCOMUE Languedoc-Roussillon Universités · FRGoethe University Frankfurt · DEKlinik für Frauenheilkunde · DENuffield Orthopaedic Centre · GBNuremberg Hospital · DEOrszágos Idegsebészeti Tudományos Intézet · HURuhr University Bochum · DEUniversität Bayern · DEUniversität Hamburg · DEUniversity of Oxford · GBZiekenhuis Oost-Limburg · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWEB treatment is an endovascular approach for wide-neck bifurcation aneurysms that has demonstrated high safety and good efficacy in mid-term follow-up. While evaluating safety in the long term is important to determine if delayed adverse events occur affecting late morbidity and mortality, the most important point to evaluate is the long-term stability of aneurysm occlusion. The current analysis reports the 3-year clinical and anatomical results of WEB treatment in the combined population of two European trials (WEBCAST (WEB Clinical Assessment of Intrasaccular Aneurysm Therapy) and WEBCAST-2).

methodsAneurysm occlusion was evaluated using a 3-grade scale: complete occlusion, neck remnant, and aneurysm remnant.

resultsThe safety population comprised 79 patients. The efficacy population comprised 61 aneurysms. Aneurysm locations were middle cerebral artery in 32/61 aneurysms (52.5%), anterior communicating artery in 13/61 (21.3%), basilar artery in 9/61 (14.8%), and internal carotid artery terminus in 7/61 (11.5%). No adverse events related to the device or procedure occurred between 2 and 3 years. At 3 years, complete occlusion was observed in 31/61 (50.8%) aneurysms, neck remnant in 20/61 (32.8%), and aneurysm remnant in 10/61 (16.4%). Between 1 year and 3 years, aneurysm occlusion was improved or stable in 53/61 (86.9%) aneurysms and worsened in 8/61 (13.1%). Worsening was mostly from complete occlusion to neck remnant in 6/61 (9.8%) aneurysms. The retreatment rate at 3 years was 11.4%.

conclusionsThis analysis confirms the high safety profile of WEB. Moreover, evidence demonstrates the great stability of aneurysm occlusion with adequate occlusion (complete occlusion or neck remnant) in 83.6% of aneurysms. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. WEBCAST and WEBCAST-2: Unique identifier: NCT01778322.

Indexed as

AdultAgedEndovascular ProceduresFemaleFollow-Up StudiesHumansIntracranial AneurysmMagnetic Resonance AngiographyMaleMiddle AgedProspective StudiesTreatment Outcomeaneurysm

Identifiers

PMID32532858
PMCPMC7982938
OpenAlexW3034579886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.