Evidence map›Paper›PMID 35882550›Full record

ArticleJournal of neurointerventional surgery2023

CLinical Assessment of WEB device in Ruptured aneurYSms (CLARYS): 12-month angiographic results of 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 25 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of neurointerventional surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  11. Balloon assisted Woven endobridge deployment (BAWD): A safety and efficacy study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

35 authors at 19 institutions in 3 countries.

Laurent SpelleNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, 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, Interventional Neuroradiology, Bicetre University Hospital, Le Kremlin-Bicetre, France.ORCID http://orcid.org/0000-0002-0029-1835
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, Hôpital Gui de Chauliac, Montpellier, France.
Thomas LiebigDepartment of Neuroradiology, Ludwig Maximilians University, Munich Faculty of Medicine, Munchen, Germany.
Romain BourcierDepartment of Neuroradiology, Regional University Hospital, Nantes, France.
Markus A MöhlenbruchDepartment of Neuroradiology, UniversitätsKlinikum Heidelberg, Heidelberg, Germany.
Joachim BerkefeldInstitut für Neuroradiologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt am Main, Germany.ORCID http://orcid.org/0000-0002-3157-2453
Werner WeberDepartment of Neuroradiology, Ruhr-Universitat Bochum Medizinische Fakultat, Bochum, Germany.
Cristian MihaleaNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, Le Kremlin-Bicetre, France.ORCID http://orcid.org/0000-0002-8260-8284
Léon IkkaNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, Le Kremlin-Bicetre, France.
Augustin OzanneNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, 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, Interventional Neuroradiology, Bicetre University Hospital, Le Kremlin-Bicetre, France.ORCID http://orcid.org/0000-0002-7753-7186
Maxim BesterDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hubert DesalDepartment of Neuroradiology, Regional University Hospital, Nantes, France.
Richard du Mesnil de RochemontInstitut für Neuroradiologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt am Main, Germany.
Georg BohnerNeuroradiology, Charite Universitatsmedizin, Berlin, Germany.
Sebastian FischerDepartment of Neuroradiology, Ruhr-Universitat Bochum Medizinische Fakultat, Bochum, Germany.
Sophie GallasNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, Le Kremlin-Bicetre, France.
Alessandra BiondiDepartment of Neuroradiology and Endovascular Therapy, Jean Minjoz University Hospital, Besancon, France.ORCID http://orcid.org/0000-0002-3185-0740
Lamiae GrimaldiClinical Research Unit AP-HP, Paris-Saclay University Faculty of Medicine, Le Kremlin-Bicetre, France.
Jacques MoretNEURI Brain Vascular Center, Interventional Neuroradiology, Bicetre University Hospital, 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/0000-0002-2523-4909
Assistance Publique – Hôpitaux de Paris · FRUniversité de Rennes · FRCentre Hospitalier Universitaire de Nantes · FRGoethe University Frankfurt · DEHôpital Paule de Viguier · FRRuhr University Bochum · DEUniversität Hamburg · DEUniversité Paris-Saclay · FRAsklepios · DECentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Reims · FRCharité - Universitätsmedizin Berlin · DEHeidelberg University · DEHôpital Gui de Chauliac · FRHôpital Pellegrin · FRLudwig-Maximilians-Universität München · DEOxford University Hospitals NHS Trust · GBUniversité de Poitiers · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CLinical Assessment of WEB device in Ruptured aneurYSms (CLARYS) study has shown that the endovascular treatment of ruptured bifurcation aneurysms with the Woven EndoBridge (WEB) is safe and effective and provides protection against rebleeding at 1 month and 1 year. The 12-month angiographic follow-up is an important endpoint of the study.

methodsThe CLARYS study is a prospective multicenter study conducted in 13 European centers. The study enrolled 60 patients with 60 ruptured aneurysms of the anterior and posterior circulation. The study was conducted with an independent assessment of safety outcomes and imaging.

resultsSixty patients with 60 ruptured bifurcation aneurysms to be treated with the WEB were included. Fifty-three aneurysms (88.3%) had a broad base with a dome to neck ratio <2 (mean 1.6). Of these, 46 patients were evaluated by an independent core laboratory with follow-up imaging performed at 12 months or before eventual retreatment. At 1 year, 19/46 aneurysms (41.3%) were completely occluded (Raymond-Roy grade I), 21/46 (45.7%) had a residual neck and 6/46 (13.0%) had residual aneurysm filling. Adequate occlusion was reported in 40/46 (87%) aneurysms. Six patients underwent target aneurysm retreatment.

conclusionsThe CLARYS study has previously shown that the use of the WEB in the endovascular treatment of ruptured bifurcation aneurysms provides effective protection against rebleeding with a good safety profile. The angiographic occlusion rates at 1 year reported here are comparable to those already seen in previous multicenter studies which primarily included unruptured aneurysms.

Indexed as

Aneurysm, RupturedEndovascular ProceduresIntracranial AneurysmHumansProspective StudiesTreatment OutcomeAneurysmAngiographyDeviceInterventionSubarachnoid

Identifiers

PMID35882550
PMCPMC10314057
OpenAlexW4288074888

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