Evidence map›Paper›PMID 35130672›Full record

ArticleNeurointervention2022

The Woven EndoBridge Device for the Treatment of Intracranial Aneurysms: Initial Clinical Experience within an Australian Population.

Jay Gajera, Julian Maingard, Michelle Foo, Yifan Ren, Anthony Lamanna, Daniel Nour, Jonathan Hall, Dylan Kurda, David Tan, Shivendra Lalloo and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Neurointervention, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

18 authors at 7 institutions in 1 country.

Jay GajeraDepartment of Radiology, Royal North Shore Hospital, Sydney, NSW, Australia.
Julian MaingardDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Michelle FooDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Yifan RenDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Anthony LamannaDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Daniel NourDepartment of Radiology, Interventional Neuroradiology Service, St. Vincent's Hospital, Melbourne, VIC, Australia.
Jonathan HallDepartment of Radiology, Interventional Neuroradiology Service, St. Vincent's Hospital, Melbourne, VIC, Australia.
Dylan KurdaDepartment of Medical Imaging, Interventional Neuroradiology Service, The Canberra Hospital, ACT Health, Canberra, NSW, Australia.
David TanDepartment of Neurosurgery, Royal Hobart Hospital, Hobart, TAS, Australia.
Shivendra LallooDepartment of Medical Imaging, Interventional Neuroradiology Service, The Canberra Hospital, ACT Health, Canberra, NSW, Australia.
Ramon Martin Francisco BañezInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, VIC, Australia.
Jeremy RussellDepartment of Neurosurgery, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Lee-Anne SlaterInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, VIC, Australia.
Ronil Vikesh ChandraInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, VIC, Australia.
Winston ChongInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, VIC, Australia.
Ashu JhambDepartment of Radiology, Interventional Neuroradiology Service, St. Vincent's Hospital, Melbourne, VIC, Australia.
Duncan Mark BrooksDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Hamed AsadiDepartment of Radiology, Interventional Neuroradiology Service, Austin Health, Melbourne, VIC, Australia.
Austin Health · AUMonash Health · AUCanberra Hospital · AUSt Vincent's Hospital Melbourne · AUDeakin University · AURoyal Hobart Hospital · AURoyal North Shore Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvances in endovascular technology have expanded the treatment options for intracranial aneurysms. Intrasaccular flow diversion is a relatively new technique that aims to disrupt blood inflow at the neck of the aneurysm, hence promoting intrasaccular thrombosis. The Woven EndoBridge device (WEB; MicroVention, Aliso Viejo, CA, USA) is an US Food and Drug Administration approved intrasaccular flow diverter for wide-necked aneurysms. We report the early interim clinical and radiological outcomes of patients with both ruptured and unruptured intracranial aneurysms (IAs) treated using the WEB device in an Australian population. MATERIALS AND

methodsA retrospective analysis was done of patients with ruptured or unruptured IAs who received treatment with WEB across 5 Australian neuroendovascular referral centers between May 2017 and November 2020. Angiographic occlusion was assessed with time-of-flight magnetic resonance angiography. Complications were recorded and clinical outcomes were assessed using the modified Rankin scale at follow-up.

resultsIn total, 66 aneurysms were treated in 63 patients, with successful deployment of the WEB device in 98.5% (n=65). Eighteen (26.9%) ruptured aneurysms were included. Failure of deployment occurred in a single case. Adjunct coiling and/or stenting was performed in 20.9% (n=14) cases. Sixty-two patients with 65 aneurysms using a WEB device were followed up (mean=9.1 months), and 89.4% of these had complete aneurysm occlusion while 1.5% remained patent. Functional independence was achieved in 93.5% of cases.

conclusionEarly results following the use of WEB devices in Australia demonstrate safety and adequate aneurysm occlusion comparable to international literature.

Indexed as

Endovascular proceduresFlow diversionIntracranial aneurysmIntrasaccularWEBWoven EndoBridge device

Identifiers

PMID35130672
PMCPMC8891585
OpenAlexW4210836474

What OpenQuestion holds

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LicenceCC BY-NC
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.