Journal article
Woven EndoBridge versus stent-assisted coil embolization for the treatment of ruptured wide-necked aneurysms: A multicentric experience
Interventional neuroradiology, Vol.32(3), pp.582-590
06/2026
DOI: 10.1177/15910199231223538
PMCID: PMC11569807
PMID: 38166487
Abstract
The potentially higher risk of hemorrhagic complications is of concern in stent-assisted coiling (SAC) of ruptured wide-necked intracranial aneurysms (IAs). The Woven EndoBridge (WEB) is considered an appealing alternative since antiplatelet therapy is not required. Herein, we aimed to compare the safety and effectiveness of WEB vs. SAC for the treatment of ruptured wide-necked IAs.
This was an international cross-sectional study of consecutive patients treated for ruptured wide-neck IAs with WEB or SAC at four high-volume neurovascular centers between 2019 and 2022. Primary and secondary efficacy outcomes were radiographic aneurysm occlusion at follow-up and functional status at last follow-up. Safety outcomes included periprocedural hemorrhagic/ischemia-related complications.
One hundred five patients treated with WEB and 112 patients treated with SAC were included. The median procedure duration of endovascular treatment was shorter for WEB than for SAC (69 vs. 76 min;
= 0.04). There were no significant differences in complete aneurysm occlusion rates (SAC: 64.5% vs. WEB: 60.9%; adjusted OR [aOR] = 0.70; 95%CI 0.34-1.43;
= 0.328). SAC had a significantly higher risk of complications (23.2% vs. 9.5%,
= 0.009), ischemic events (17% vs. 6.7%,
= 0.024), and EVD hemorrhage (16% vs. 0%,
= 0.008). The probability of procedure-related complications across procedure time was significantly lower with WEB compared with SAC (aOR = 0.40; 95%CI 0.20-1.13;
= 0.03).
WEB and SAC demonstrated similar obliteration rates at follow-up when used for embolization of ruptured wide-necked IAs. However, SAC showed higher rates of procedure-related complications primarily driven by ischemic events and higher rates of EVD hemorrhage. The overall treatment duration was shorter for WEB than for SAC.
Details
- Title: Subtitle
- Woven EndoBridge versus stent-assisted coil embolization for the treatment of ruptured wide-necked aneurysms: A multicentric experience
- Creators
- Aaron Rodriguez-Calienes - University of Iowa Hospitals and ClinicsJuan Vivanco-Suarez - Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USAYujing Lu - Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USAMilagros Galecio-Castillo - University of IowaBradley Gross - University of Pittsburgh Medical CenterMudassir Farooqui - University of IowaOktay Algin - Ankara UniversityChaim Feigen - Montefiore Medical CenterDavid J Altschul - Montefiore Medical CenterSantiago Ortega-Gutierrez - Department of Neurology, Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Interventional neuroradiology, Vol.32(3), pp.582-590
- DOI
- 10.1177/15910199231223538
- PMID
- 38166487
- PMCID
- PMC11569807
- NLM abbreviation
- Interv Neuroradiol
- eISSN
- 2385-2011
- Publisher
- Mary Ann Liebert
- Language
- English
- Electronic publication date
- 01/02/2024
- Date published
- 06/2026
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984539442102771
Metrics
5 Record Views