Creation of a predictive calculator to determine adequacy of occlusion of the woven endobridge (WEB) device in intracranial aneurysms-A retrospective analysis of the WorldWide WEB Consortium database.

Autor:	Musmar B; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Adeeb N; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Gendreau J; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Horowitz MA; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Salim HA; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Sanmugananthan P; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Aslan A; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Brown NJ; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Cancelliere NM; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St Michael's Hospital, University of Toronto, Toronto, ON, Canada., McLellan RM; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Algin O; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey., Ghozy S; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA., Dibas M; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Orscelik A; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA., Senol YC; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA., Lay SV; Service de Neuroradiologie Diagnostique et Thérapeutique, Centre Hospitalier de Toulouse, Hôpital Purpan, Toulouse, France., Guenego A; Service de Neuroradiologie Interventionnelle, Hôpital Universitaire Erasme, Bruxelles Belgique, Belgium., Renieri L; Interventistica Neurovascolare, Ospedale Careggi di Firenze, Florence, Italy., Carnevale J; Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA., Saliou G; Service de radiodiagnostic et radiologie interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland., Mastorakos P; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA., El Naamani K; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA., Shotar E; Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France., Premat K; Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France., Möhlenbruch M; Sektion Vaskuläre und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany., Kral M; Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria., Doron O; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Chung C; Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA., Salem MM; Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA., Lylyk I; Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina., Foreman PM; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA., Vachhani JA; Neurosurgery Department, Orlando Health Neuroscience and Rehabilitation Institute, Orlando, FL, USA., Shaikh H; Departments of Radiology & Neurosurgery, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ, USA., Župančić V; Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia., Hafeez MU; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA., Catapano J; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA., Waqas M; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA., Tutino VM; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA., Gokhan Y; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey., Imamoglu C; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey., Bayrak A; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey., Rabinov JD; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Ren Y; Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Victoria, Australia., Schirmer CM; Department of Neurosurgery and Radiology, Geisinger Hospital, Danville, PA, USA., Piano M; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milano, Italy., Kühn AL; Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA., Michelozzi C; Interventistica Neurovascolare, Ospedale San Raffaele, Milano, Italy., Elens S; Interventistica Neurovascolare, Ospedale Careggi di Firenze, Florence, Italy., Starke RM; Deparment of Neurosurgery, University of Miami, Miami, FL, USA., Hassan AE; Deparment of Neuroscience, Valley Baptist Neuroscience Institute, Harlingen, TX, USA., Ogilvie M; Deparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Tuscaloosa, AL, USA., Nguyen A; Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland., Jones J; Deparments of Neurosurgery and Radiology, University of Alabama at Birmingham, Tuscaloosa, AL, USA., Brinjikji W; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA., Nawka MT; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Psychogios M; Department of Interventional Neuroradiology, Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland., Ulfert C; Sektion Vaskuläre und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany., Bengzon Diestro JD; Division of Diagnostic and Therapeutic Neuroradiology, Department of Radiology, St Michael's Hospital, University of Toronto, Toronto, ON, Canada., Pukenas B; Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA., Burkhardt JK; Department of Neurosurgery, University of Pennsylvania Medical Center, Pennsylvania, PA, USA., Huynh T; Departments of Radiology and Neurosurgery, Mayo Clinic, Jacksonville, FL, USA., Martinez-Gutierrez JC; Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA., Essibayi MA; Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA., Sheth SA; Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA., Spiegel G; Departments of Radiology, Neurology, and Neurosurgery, University of Texas Health Science Center at Houston, Houston, TX, USA., Tawk R; Departments of Radiology and Neurosurgery, Mayo Clinic, Jacksonville, FL, USA., Lubicz B; Interventistica Neurovascolare, Ospedale Careggi di Firenze, Florence, Italy., Panni P; Interventistica Neurovascolare, Ospedale San Raffaele, Milano, Italy., Puri AS; Department of Neurointerventional Radiology, UMass Memorial Hospital, Worcester, MA, USA., Pero G; Interventistica Neurovascolare, Ospedale Niguarda Cà Granda, Milano, Italy., Nossek E; Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA., Raz E; Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA., Killer-Oberfalzer M; Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria., Griessenauer CJ; Department of Neurosurgery, Christian Doppler University Hospital & Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria., Asadi H; Departments of Radiology & Neurosurgery, NYU Langone Health Center, New York, NY, USA., Siddiqui A; Department of Neurosurgery, State University of New York at Buffalo, Buffalo, NY, USA., Brook AL; Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA., Altschul D; Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA., Ducruet AF; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA., Albuquerque FC; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA., Regenhardt RW; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Stapleton CJ; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Kan P; Department of Neurosurgery, UTMB and Baylor School of Medicine, Houston, TX, USA., Kalousek V; Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center 'Sisters of Mercy', Zagreb, Croatia., Lylyk P; Equipo de Neurocirugía Endovascular y Radiología Intervencionista, Clínica La Sagrada Familia, Buenos Aires, Argentina., Boddu S; Service de radiodiagnostic et radiologie interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland., Knopman J; Service de radiodiagnostic et radiologie interventionnelle, Centre Hospitalier Vaudois de Lausanne, Lausanne, Switzerland., Aziz-Sultan MA; Department of Radiology, Medical Faculty of Ankara University, Ankara, Turkey., Tjoumakaris SI; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA., Clarençon F; Department de Neuroradiologie, Hôpital Pitié-Salpêtrière. Université Sorbonne, Paris, France., Limbucci N; Neurosurgery & Interventional Neuroradiology, New York Presbyterian Hospital, Weill Cornell School of Medicine, New York, NY, USA., Bydon M; Departments of Radiology and Neurosurgery, Mayo Clinic, Rochester, MN, USA., Hasan D; Department of Neurosurgery, Duke University Hospital, Durham, NC, USA., Cuellar-Saenz HH; Departement of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA., Jabbour PM; Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA., Pereira VM; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Patel AB; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA., Dmytriw AA; Neuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 2024 Aug 10, pp. 15910199241267320. Date of Electronic Publication: 2024 Aug 10.
DOI:	10.1177/15910199241267320
Abstrakt:	Background: Endovascular treatment with the woven endobridge (WEB) device has been widely utilized for managing intracranial aneurysms. However, predicting the probability of achieving adequate occlusion (Raymond-Roy classification 1 or 2) remains challenging. Objective: Our study sought to develop and validate a predictive calculator for adequate occlusion using the WEB device via data from a large multi-institutional retrospective cohort. Methods: We used data from the WorldWide WEB Consortium, encompassing 356 patients from 30 centers across North America, South America, and Europe. Bivariate and multivariate regression analyses were performed on a variety of demographic and clinical factors, from which predictive factors were selected. Calibration and validation were conducted, with variance inflation factor (VIF) parameters checked for collinearity. Results: A total of 356 patients were included: 124 (34.8%) were male, 108 (30.3%) were elderly (≥65 years), and 118 (33.1%) were current smokers. Mean maximum aneurysm diameter was 7.09 mm (SD 2.71), with 112 (31.5%) having a daughter sac. In the multivariate regression, increasing aneurysm neck size (OR 0.706 [95% CI: 0.535-0.929], p  = 0.13) and partial aneurysm thrombosis (OR 0.135 [95% CI: 0.024-0.681], p  = 0.016) were found to be the only statistically significant variables associated with poorer likelihood of achieving occlusion. The predictive calculator shows a c -statistic of 0.744. Hosmer-Lemeshow goodness-of-fit test indicated a satisfactory model fit with a p -value of 0.431. The calculator is available at: https://neurodx.shinyapps.io/WEBDEVICE/. Conclusion: The predictive calculator offers a substantial contribution to the clinical toolkit for estimating the likelihood of adequate intracranial aneurysm occlusion by WEB device embolization. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu