P-019 Comparative effectiveness of stent-assisted coiling and woven endobridge (WEB) embolization for the treatment of unruptured wide-neck bifurcation intracranial aneurysms Article Swipe
YOU?
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· 2022
· Open Access
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· DOI: https://doi.org/10.1136/neurintsurg-2022-snis.91
Introduction Woven EndoBridge (WEB) intrasaccular flow disruptors and stent-assisted coiling (SAC) are viable endovascular treatment options for wide-neck bifurcation intracranial aneurysms (WNBAs). Data directly comparing the two treatment options are limited. We aim to compare radiographic occlusion rates and the complication profile between both. Methods Retrospective review of a prospectively maintained cerebrovascular procedural database was performed at a single academic medical center between 2017 and 2021. Patients were included if they underwent WEB-embolization or SAC of an unruptured WNBA. SAC patients were propensity-matched to WEB-embolized patients based on aneurysm morphology. Complete and adequate (complete occlusion or residual neck remnant) occlusion rates at last angiographic follow-up as well as periprocedural complications were compared between the two groups. Results Twenty-seven WEB and 54 SAC patients were included. Aneurysm width, neck size, and dome-to-neck ratio (DNR) were comparable between groups. Follow-up duration was significantly higher in the SAC group (median 504 [interquartile range, 196–791] vs. 203 [113–494] days, p=0.001, Mann Whitney U-test). Complete (WEB 67%, stent-coil 65%) and adequate (WEB 93%, stent-coil 91%) occlusion rates were similar between groups at last available angiographic follow-up (p=1.000, Chi-square test). Complete occlusion rates were comparable on Cox regression analysis after correction for follow-up duration (hazard ratio 1.3 [95% CI: 0.6–2.9]). Periprocedural complications trended higher in the SAC group (WEB 0% vs. stent-coil 13%, p=0.089, Fisher Exact test). Conclusion Mid-term complete and adequate occlusion rates were similar between patients treated with WEB and SAC. Given the comparable outcomes, there may be equipoise in treatment options for WNBAs. Disclosures A. Kashkoush: None. A. Desai: None. M. Davison: None. R. Achey: None. A. Mahapatra: None. T. Patterson: None. N. Moore: None. M. Bain: 2; C; Stryker Corporation.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/neurintsurg-2022-snis.91
- https://jnis.bmj.com/content/neurintsurg/14/Suppl_1/A60.full.pdf
- OA Status
- gold
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4286702285
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4286702285Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/neurintsurg-2022-snis.91Digital Object Identifier
- Title
-
P-019 Comparative effectiveness of stent-assisted coiling and woven endobridge (WEB) embolization for the treatment of unruptured wide-neck bifurcation intracranial aneurysmsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-01Full publication date if available
- Authors
-
Ahmed Kashkoush, A Desai, M Davison, R Achey, A Mahapatra, T Patterson, N Moore, M BainList of authors in order
- Landing page
-
https://doi.org/10.1136/neurintsurg-2022-snis.91Publisher landing page
- PDF URL
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https://jnis.bmj.com/content/neurintsurg/14/Suppl_1/A60.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://jnis.bmj.com/content/neurintsurg/14/Suppl_1/A60.full.pdfDirect OA link when available
- Concepts
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Medicine, Stent, Interquartile range, Occlusion, Aneurysm, Exact test, Surgery, Hazard ratio, Embolization, Retrospective cohort study, Radiology, Mann–Whitney U test, Confidence interval, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2023: 1Per-year citation counts (last 5 years)
- Related works (count)
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10Other works algorithmically related by OpenAlex
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