Evidence map›Paper›PMID 34493578›Full record

ArticleJournal of neurointerventional surgery2022

CLinical Assessment of WEB device in Ruptured aneurYSms (CLARYS): results of 1-month and 1-year assessment of rebleeding protection and clinical safety in a multicenter study.

Laurent Spelle, Denis Herbreteau, Jildaz Caroff, Xavier Barreau, Jean-Christophe Ferré, Jens Fiehler, Anne-Christine Januel, Vincent Costalat, Thomas Liebig, Romain Bourcier and 24 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of neurointerventional surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
4.6field-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

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Aneurysmal recurrence and retreatment modalities after Woven EndoBridge (WEB) device implantation: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. The Woven EndoBridge device, an effective and safe alternative endovascular treatment of intracranial aneurysm-systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  3. 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
  4. Guideline
  5. The safety and effectiveness of the Contour Neurovascular System for the treatment of wide-necked aneurysms: A systematic review and meta-analysis of early experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  6. Article
  7. Article
  8. Article
  9. Article
  10. Woven EndoBridge versus stent-assisted coil embolization for the treatment of ruptured wide-necked aneurysms: A multicentric experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  11. Article
  12. Article
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  14. Article
  15. Intra-cranial aneurysm treatment with contour or WEB - a single center comparison of intervention times and learning curves.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  16. Article
  17. Observational
  18. The impact of pre-treatment aneurysm angulation. What happens with WEB devices at follow-up?Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  19. Article
  20. Observational
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

34 authors at 19 institutions in 3 countries.

Laurent SpelleNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France laurent@spelle.fr.ORCID http://orcid.org/0000-0002-6748-8528
Denis HerbreteauDepartment of Interventional Neuroradiology, Regional University Hospital, Tours, France.
Jildaz CaroffNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.
Xavier BarreauDepartment of Neuroradiology, Pellegrin University Hospital, Bordeaux, France.
Jean-Christophe FerréDepartment of Neuroradiology, Regional University Hospital, Rennes, France.
Jens FiehlerDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-8533-7478
Anne-Christine JanuelDepartment of Diagnostic and Therapeutic Neuroradiology, Hôpital Pierre Paul Riquet, Toulouse, France.
Vincent CostalatDepartment of Neuroradiology, University Hospital Gui de Chauliac, Montpellier, France.
Thomas LiebigDepartment of Neuroradiology, University Hospital, Munchen, Germany.
Romain BourcierDepartment of Neuroradiology, Regional University Hospital, Nantes, France.
Markus MöhlenbruchDepartment of Neuroradiology, University Hospital, Heidelberg, Germany.
Joachim BerkefeldInstitut für Neuroradiologie, Universitätsklinikum, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0002-3157-2453
Werner WeberDepartment of Neuroradiology, University Hospital of the Ruhr, Bochum, Germany.
Cristian MihaleaNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.ORCID http://orcid.org/0000-0002-8260-8284
Léon IkkaNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.
Augustin OzanneNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.
Christophe CognardDepartment of Diagnostic and Therapeutic Neuroradiology, Hôpital Pierre Paul Riquet, Toulouse, France.
Ana Paula NarataDepartment of Interventional Neuroradiology, Regional University Hospital, Tours, France.
Richard Edwige BibiDepartment of Interventional Neuroradiology, Regional University Hospital, Tours, France.
Jean-Yves GauvritDepartment of Neuroradiology, Regional University Hospital, Rennes, France.
Hélène RaoultDepartment of Neuroradiology, Regional University Hospital, Rennes, France.ORCID http://orcid.org/0000-0002-0458-3309
Stéphane VelascoDepartment of Radiology, Regional University Hospital, Poitiers, France.
Jan-Hendrik BuhkDepartment of Neuroradiology, Asklepios Hospital Group, Hamburg, Germany.
Vanessa ChalumeauNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.ORCID http://orcid.org/0000-0002-7753-7186
Maxim BesterDepartment of Diagnostic and Interventional Neuroradiology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Hubert DesalDepartment of Neuroradiology, Regional University Hospital, Nantes, France.
Richard du Mesnil de RochemontInstitut für Neuroradiologie, Universitätsklinikum, Frankfurt am Main, Germany.
Georg BohnerDepartment of Neuroradiology, Charité Universitatsmedizin, Berlin, Germany.
Sebastian FischerDepartment of Neuroradiology, University Hospital of the Ruhr, Bochum, Germany.
Alessandra BiondiDepartment of Neuroradiology and Endovascular Therapy, Jean-Minjoz University Hospital, Besancon, France.
Lamiae GrimaldiAssistance Publique - Hopitaux de Paris, Paris, France.
Jacques MoretNEURI Brain Vascular Center, Bicetre Hospital Interventional Neuroradiology, Le Kremlin-Bicetre, France.
James ByrneDepartment of Neuroradiology, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
Laurent PierotDepartment of Neuroradiology, Hôpital Maison Blanche, Reims, France.ORCID http://orcid.org/0000-0002-6893-661X
Assistance Publique – Hôpitaux de Paris · FRUniversité de Rennes · FRCentre Hospitalier Universitaire de Nantes · FRGoethe University Frankfurt · DEHôpital Paule de Viguier · FRUniversität Hamburg · DEUniversité Paris-Saclay · FRUniversity Hospitals of the Ruhr-University of Bochum · DEAsklepios · DECentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Reims · FRCharité - Universitätsmedizin Berlin · DEHeidelberg University · DEHôpital Gui de Chauliac · FRHôpital Pellegrin · FRInserm · FRMünchen Klinik · DEOxford University Hospitals NHS Trust · GBUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary goal of the CLARYS study is to assess the protection against rebleeding when treating ruptured bifurcation aneurysms with the Woven EndoBridge (WEB) device.

methodsThe CLARYS study is a prospective, multicenter study conducted in 13 European centers. Patients with ruptured bifurcation aneurysms were consecutively included between February 2016 and September 2017. The primary endpoint was defined as the rebleeding rate of the target aneurysm treated with the WEB within 30 days postprocedure. Secondary endpoints included periprocedural and postprocedural adverse events, total procedure and fluoroscopy times, and modified Rankin Scale score at 1 month and 1 year.

resultsSixty patients with 60 ruptured bifurcation aneurysms to be treated with the WEB were included. A WEB device was successfully implanted in 93.3%. The rebleeding rate at 1 month and 1 year was 0%. The mean fluoroscopy time was 27.0 min. Twenty-three periprocedural complications were observed in 18 patients and resolved without sequelae in 16 patients. Two of these complications were attributed to the procedure and/or the use of the WEB, leading to a procedure/device-related intraoperative complication rate of 3.3%. Overall mortality at 1 month and 1 year was 1.7% and 3.8%, respectively and overall morbidity at 1 month and 1 year was 15% and 9.6%, respectively. WEB-related 1-month and 1-year morbidity and mortality was 0%.

conclusionsThe interim results of CLARYS show that the endovascular treatment of ruptured bifurcation aneurysms with the WEB is safe and effective and, in particular, provides effective protection against rebleeding. It may induce profound change in the endovascular management of ruptured bifurcation aneurysms.

Indexed as

Aneurysm, RupturedEmbolization, TherapeuticEndovascular ProceduresIntracranial AneurysmHumansProspective StudiesProstheses and ImplantsRetrospective StudiesTreatment Outcomeaneurysmdevicehemorrhageinterventionsubarachnoid

Identifiers

PMID34493578
PMCPMC9304095
OpenAlexW3198840437

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LicenceCC BY-NC
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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.