The Woven EndoBridge (WEB) versus Conventional Coiling for Treatment of Patients with Aneurysmal Subarachnoid Haemorrhage: Propensity Score-Matched Analysis of Clinical and Angiographic Outcome Data.

payth.elady61 shared this article with you from Inoreader The Woven EndoBridge (WEB) versus Conventional Coiling for Treatment of Patients with Aneurysmal Subarachnoid Haemorrhage: Propensity Score-Matched Analysis of Clinical and Angiographic Outcome Data. Via pubmed: "world neurosurg"[jo... The Woven EndoBridge (WEB) versus Conventional Coiling for Treatment of Patients with Aneurysmal Subarachnoid Haemorrhage: Propensity Score-Matched Analysis of Clinical and Angiographic Outcome Data. World Neurosurg. 2020 Dec 05;: Authors: Pennig L, Goertz L, Cornelia Isabel Hoyer U, Dorn F, Siebert E, Herzberg M, Borggrefe J, Schlamann M, Liebig T, Kabbasch C Abstract OBJECTIVE: Conventional coiling is standard for treatment of ruptured intracranial aneurysms. We compared clinical and angiographic outcomes between intrasaccular flow-disruption with the Woven EndoBridge (WEB) and conventional coiling in patients with aneurysmal subarachnoid haemorrhage (aSAH) using a propensity score-matched analysis. METHODS: This is a retrospective study of consecutive patients with aSAH treated with the WEB or conventional coiling between 2010 and 2019. Baseline characteristics, procedural complications, angiographic results, and functional outcome were compared between both groups. RESULTS: Fifty-two patients treated with the WEB and 236 patients treated by coiling were included. The WEB group was characterized by a higher patient age (P=.024), a wider aneurysm neck (P<.001), and more frequent location at the posterior circulation (P=.004). Procedural complications were comparable between WEB (19.2%) and coiling (22.7%, P=.447). In-hospital mortality rates were higher in the coiling group (WEB: 5.8%, coiling: 17.8%; P=.0034). Favourable outcome (modified Rankin Scale ≤2) was obtained in 51.3% after WEB embolization and in 55.0% after coiling (P=.653). Retreatment was performed in 26.4% of patients after WEB and in 25.8% after coiling (P=.935). Propensity score analysis confirmed these results and revealed higher adequate occlusion rates at mid-term follow-up for WEB-treated aneurysms (WEB: 93.9%, coiling: 76.2%, P=.058). CONCLUSIONS: Compared to conventional coiling, aSAH patients treated with the WEB have a similar clinical and potentially improved angiographic outcome at mid-term follow-up. The WEB might be considered as an alternative to conventional coiling for the treatment of RIAs, in particular for those with wide-necked and thus challenging anatomy. PMID: 33290897 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.