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Woven Endo Bridge Device for Recurrent Intracranial Aneurysms: A Systematic Review and Meta-Analysis Publisher



Habibi MA1 ; Rashidi F2 ; Fallahi MS3 ; Arshadi MR4 ; Mehrtabar S5 ; Ahmadi MR6 ; Shafizadeh M1 ; Majidi S7
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Authors Affiliations
  1. 1. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Iran
  2. 2. School of Medicine, Tehran University of Medical Sciences, Iran
  3. 3. Department of Neurosurgery, Tehran University of Medical Sciences, Iran
  4. 4. Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Iran
  5. 5. Immunology Research Center, Tabriz University of Medical Sciences, Iran
  6. 6. Student Research Committee, Qom University of Medical Science, Iran
  7. 7. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Source: Neuroradiology Journal Published:2024


Abstract

Background: Recurrent intracranial aneurysms present a significant clinical challenge, demanding innovative and effective treatment approaches. The Woven EndoBridge (WEB) device has emerged as a promising endovascular solution for managing these intricate cases. This study aims to assess the safety and efficacy of the WEB device in treating recurrent intracranial aneurysms. Methods: We conducted a comprehensive search across multiple databases, including PubMed, Scopus, Embase, and Web of Science, from inception to June 5, 2023. Eligible studies focused on evaluating WEB device performance and included a minimum of five patients with recurrent intracranial aneurysms. The complete and adequate occlusion rates, neck remnant rates, and periprocedural complication rates were pooled using SATA V.17. Results: Our analysis included five studies collectively enrolling 73 participants. Participant ages ranged from 52.9 to 65 years, with 64.4% being female. Aneurysms were wide-necked and predominantly located in the middle cerebral artery, basilar artery, and anterior cerebral artery. Previous treatments encompassed coiling, clipping, and the use of WEB devices. Our study found an overall adequate occlusion rate of 0.80 (95% CI 0.71–0.89), a complete occlusion rate of 0.39 (95% CI 0.28–0.50), and a neck remnant rate of 0.38 (95% CI 0.27–0.48). Periprocedural complications were reported at a rate of 0%, although heterogeneity was observed in this data. Notably, evidence of publication bias was identified in the reporting of periprocedural complication rates. Conclusion: Our findings suggest that the WEB device is associated with favorable outcomes for treating recurrent wide-neck intracranial aneurysms. © The Author(s) 2024.
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