Evidence map›Paper›PMID 41201489›Full record

ArticleNeuroradiology2025

Woven Endobridge as a first-line strategy for posterior communicating artery aneurysms: enhanced applicability in fetal-type variants.

Jun Tanabe, Ichiro Nakahara, Kenichi Haraguchi, Akiko Hasebe, Kenichiro Suyama, Fuminari Komatsu, Yasuhiro Yamada, Riki Tanaka, Kento Sasaki, Kotaro Kihara and 1 more

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Article in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Review
4 · The record

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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

11 authors.

Jun TanabeFujita Health University Bantane Hospital, Nagoya, Japan. j.tanabe@fujita-hu.ac.jp.
Ichiro NakaharaFujita Health University Bantane Hospital, Nagoya, Japan.
Kenichi HaraguchiFujita Health University Bantane Hospital, Nagoya, Japan.
Akiko HasebeFujita Health University Bantane Hospital, Nagoya, Japan.
Kenichiro SuyamaFujita Health University, Toyoake, Japan.
Fuminari KomatsuFujita Health University Bantane Hospital, Nagoya, Japan.
Yasuhiro YamadaFujita Health University Bantane Hospital, Nagoya, Japan.
Riki TanakaFujita Health University Bantane Hospital, Nagoya, Japan.
Kento SasakiFujita Health University Bantane Hospital, Nagoya, Japan.
Kotaro KiharaFujita Health University Bantane Hospital, Nagoya, Japan.
Yoko KatoFujita Health University Bantane Hospital, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the safety and efficacy of a treatment strategy for Posterior communicating artery (PCOM) aneurysms using first-line Woven EndoBridge (WEB), supplemented by Flow diverter (FD) in selected cases.

methodsThis retrospective study included patients who underwent endovascular treatment for PCOM aneurysms between January 2021 and March 2025. Aneurysms were categorized as fetal or non-fetal. A first-line WEB strategy was adopted when morphology was suitable. Radiological and clinical outcomes were assessed.

resultsForty-six PCOM aneurysms met the criteria: 14 fetal-type and 32 non-fetal-type. All previously untreated fetal-type aneurysms were treated with WEB (n = 9). In the non-fetal group, the initial treatments included WEB (n = 14), FD (n = 10), and coiling (n = 4). All recurrent fetal-type aneurysms were retreated with FD (n = 5), whereas non-fetal recurrences were managed with FD (n = 3) or coiling (n = 1), depending on prior treatment. At a median follow-up of 21 months, complete occlusion was achieved in 66.7% of fetal-type and 59.4% of non-fetal-type aneurysms (P = 0.739), and adequate occlusion was achieved in 75.0% and 90.6%, respectively (P = 0.321). Retreatment was required in two cases (4.3%): one in the fetal group (7.1%) and one in the non-fetal group (3.1%) (p = 0.512). No modified Rankin Scale worsening or major complications occurred. No significant differences in treatment efficacy were observed among modalities selected under the WEB first-line strategy.

conclusionA first-line WEB strategy is safe and effective for PCOM aneurysms, including fetal-type variants, with outcomes for fetal-type aneurysms comparable to non-fetal-type aneurysms.

Indexed as

Embolization, TherapeuticEndovascular ProceduresIntracranial AneurysmAdultAgedCerebral AngiographyFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeCerebral aneurysmIntrasaccular flow disruptorNeuroendovascular therapyPosterior communicating arteryWoven endobridge

Identifiers

PMID41201489

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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.