Evidence map›Paper›PMID 36066701›Full record

ArticleTranslational stroke research2023

The Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: Ten Years of Lessons Learned and Adjustments in Practice from the WorldWideWEB Consortium.

Adam A Dmytriw, Mahmoud Dibas, Sherief Ghozy, Nimer Adeeb, Jose Danilo Bengzon Diestro, Kevin Phan, Hugo H Cuellar-Saenz, Ahmad Sweid, Sovann V Lay, Adrien Guenego and 50 more

Erratum issuedAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Translational stroke research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

60 authors.

Adam A DmytriwNeurointerventional Program, Departments of Medical Imaging & Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada. adam.dmytriw@lhsc.on.ca.
Mahmoud DibasNeurointerventional Program, Departments of Medical Imaging & Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, ON, Canada.
Sherief GhozyDepartment of Neuroradiology, Mayo Clinic, Rochester, MN, USA.
Nimer AdeebDepartement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
Jose Danilo Bengzon DiestroDivision of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Kevin PhanInterventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
Hugo H Cuellar-SaenzDepartement of Neurosurgery and Neurointerventional Surgery, Louisiana State University, Shreveport, LA, USA.
Ahmad SweidDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Sovann V LayService de Neuroradiologie Diagnostique Et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France.
Adrien GuenegoDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Leonardo RenieriInterventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
Ali Al BalushiNeurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.
Guillaume SaliouService de Radiodiagnostic Et Radiologie Interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland.
Markus MöhlenbruchSektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany.
Robert W RegenhardtNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Justin E VranicNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Ivan LylykEquipo de Neurocirugía Endovascular Y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina.
Paul M ForemanNeurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
Jay A VachhaniNeurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA.
Vedran ŽupančićSubdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.
Muhammad U HafeezDepartment of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.
Caleb RutledgeDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Muhammad WaqasDepartment of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
Vincent M TutinoDepartment of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
James D RabinovNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Yifan RenInterventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
Clemens M SchirmerDepartment of Neurosurgery and Radiology, Geisinger Hospital, Danville, PA, USA.
Mariangela PianoInterventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.
Anna L KühnDepartment of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.
Caterina MichelozziInterventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.
Stéphanie ElensService de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgium.
Robert M StarkeDeparment of Neurosurgery, University of Miami, Miami, FL, USA.
Ameer HassanDeparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA.
Arsalaan SalehaniDeparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Peter SpornsDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jesse JonesDeparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Marios PsychogiosDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Julian SpearsDivision of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Boris LubiczService de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Brussels, Belgium.
Pietro PanniInterventistica Neurovascolare, Ospedale San Raffaele Milano, Milan, Italy.
Ajit S PuriDepartment of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA.
Guglielmo PeroInterventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milan, Italy.
Christoph J GriessenauerDepartment of Neurosurgery and Radiology, Geisinger Hospital, Danville, PA, USA.
Hamed AsadiInterventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia.
Christopher J StapletonNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Adnan SiddiquiDepartment of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA.
Andrew F DucruetDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Felipe C AlbuquerqueDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Rose DuNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Peter KanDepartment of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA.
Vladimir KalousekSubdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia.
Pedro LylykEquipo de Neurocirugía Endovascular Y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina.
Srikanth BodduNeurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.
Stavropoula TjoumakarisDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Jared KnopmanNeurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA.
Mohammad A Aziz-SultanNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Nicola LimbucciInterventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy.
Pascal JabbourDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Christophe CognardService de Neuroradiologie Diagnostique Et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France.
Aman B PatelNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have shown promising outcomes of the Woven EndoBridge (WEB) device for the treatment of wide-necked intracranial bifurcation aneurysms. This is a multicenter study attempts to explore the changes in trends and treatment outcomes over time for WEB embolization of intracranial aneurysms. The WorldWideWEB consortium is a retrospective multicenter collaboration of data from international centers spanning from January 2011 and June 2021, with no limitations on aneurysm location or rupture status. Both bifurcation and sidewall aneurysms were included. These patients were stratified based on treatment year into five treatment intervals: 2011-2015 (N = 66), 2016-2017 (N = 77), 2018 (N = 66), 2019 (N = 300), and 2020-2021 (N = 173). Patient characteristics and angiographic and clinical outcomes were compared between these time intervals. This study comprised 671 patients (median age 61.4 years; 71.2% female) with 682 intracranial aneurysms. Over time, we observed an increasing tendency to treat patients presenting with ruptured aneurysms and aneurysms with smaller neck, diameter, and dome widths. Furthermore, we observed a trend towards more off-label use of the WEB for sidewall aneurysms and increased adoption of transradial access for WEB deployment. Moreover, the proportion of patients with adequate WEB occlusion immediately and at last follow-up was significantly higher in more recent year cohorts, as well as lower rates of compaction and retreatment. Mortality and complications did not differ over time. This learning curve study suggests improved experience using the WEB for the treatment of intracranial aneurysms and has yielded higher rates of adequate occlusion over time.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEndovascularIntracranial aneurysmIntrasaccularLearning curveWEBWoven EndoBridge

Identifiers

PMID36066701

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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.