ArticleJournal of neuroendovascular therapy2025
Reduced Radiation Exposure in Treating Wide-Neck Intracranial Bifurcation Aneurysms: Woven EndoBridge versus Stent-Assisted Coiling.
Article in Journal of neuroendovascular therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Perforator-Sparing Microsurgical Clipping of Tandem Dominant-Hemisphere Middle Cerebral Artery Aneurysms: Geometry-Guided Reconstruction of a Wide-Neck Bifurcation and Dorsal M1 Fusiform Lesion.Diagnostics (Basel, Switzerland) · 2025Article
- Quantitative TOF-MRA using SYNAPSE VINCENT predicts neointimal formation after stent-assisted coiling of intracranial aneurysms.Frontiers in neurology · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Compared with stent-assisted coiling (SAC), the Woven EndoBridge (WEB; Terumo Neuro, Aliso Viejo, CA, USA) device has been reported to reduce procedural duration, suggesting the potential to reduce radiation exposure for both patients and operators. However, whether WEB treatment results in lower radiation exposure than SAC has not been fully investigated. This study therefore aimed to evaluate radiation exposure associated with WEB treatment versus SAC in the management of unruptured wide-neck bifurcation aneurysms (WNBAs). Methods: We retrospectively analyzed 46 patients treated for 47 unruptured intracranial aneurysms located at the basilar artery apex, middle cerebral artery bifurcation, or anterior communicating artery at our institution between February 2023 and April 2024. Patients were categorized into 2 groups based on the treatment modality: SAC or WEB device. Radiation exposure, fluoroscopy time, procedure duration, and number of imaging procedures were compared between groups. Results: Baseline characteristics, including age, sex, and aneurysm location, did not differ significantly between groups. However, aneurysms were significantly larger in the WEB group, with both greater median aneurysm volume (61.9 vs. 43.2 mm Conclusion: In the endovascular treatment of unruptured WNBAs, the WEB device significantly reduces radiation exposure compared with SAC, primarily by decreasing fluoroscopy time. Given this potential to minimize radiation exposure, the WEB device may be preferable when both methods are clinically viable.
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