%0 Journal Article
%T Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis.
%A Musmar B
%A Salim HA
%A Adeeb N
%A Aslan A
%A Aljeradat B
%A Diestro JDB
%A McLellan RM
%A Algin O
%A Ghozy S
%A Dibas M
%A Lay SV
%A Guenego A
%A Renieri L
%A Cancelliere NM
%A Carnevale J
%A Saliou G
%A Mastorakos P
%A El Naamani K
%A Shotar E
%A Premat K
%A Möhlenbruch M
%A Kral M
%A Vranic JE
%A Chung C
%A Salem MM
%A Lylyk I
%A Foreman PM
%A Vachhani JA
%A Shaikh H
%A Župančić V
%A Hafeez MU
%A Catapano J
%A Waqas M
%A Tutino VM
%A Ibrahim MK
%A Mohammed MA
%A Ozates MO
%A Ayberk G
%A Rabinov JD
%A Ren Y
%A Schirmer CM
%A Piano M
%A Kühn AL
%A Michelozzi C
%A Elens S
%A Starke RM
%A Hassan A
%A Ogilvie M
%A Nguyen A
%A Jones J
%A Brinjikji W
%A Nawka MT
%A Psychogios M
%A Ulfert C
%A Spears J
%A Jankowitz BT
%A Burkhardt JK
%A Domingo RA
%A Huynh T
%A Martinez-Gutierrez JC
%A Essibayi MA
%A Sheth SA
%A Spiegel G
%A Tawk R
%A Lubicz B
%A Panni P
%A Puri AS
%A Pero G
%A Nossek E
%A Raz E
%A Killer-Oberfalzer M
%A Griessenauer CJ
%A Asadi H
%A Siddiqui A
%A Brook A
%A Altschul D
%A Ducruet AF
%A Albuquerque FC
%A Regenhardt RW
%A Stapleton CJ
%A Kan P
%A Kalousek V
%A Lylyk P
%A Boddu S
%A Knopman J
%A Aziz-Sultan MA
%A Tjoumakaris SI
%A Clarençon F
%A Limbucci N
%A Cuellar-Saenz HH
%A Jabbour PM
%A Pereira VM
%A Patel AB
%A Dmytriw AA
%J Neurosurg Rev
%V 47
%N 1
%D 2024 Jul 31
%M 39083214
%F 2.8
%R 10.1007/s10143-024-02527-5
%X The Woven EndoBridge (WEB) device is primarily used for treating wide-neck intracranial bifurcation aneurysms under 10 mm. Limited data exists on its efficacy for large aneurysms. We aim to assess angiographic and clinical outcomes of the WEB device in treating large versus small aneurysms. We conducted a retrospective review of the WorldWide WEB Consortium database, from 2011 to 2022, across 30 academic institutions globally. Propensity score matching (PSM) was employed to compare small and large aneurysms on baseline characteristics. A total of 898 patients were included. There was no significant difference observed in clinical presentations, smoking status, pretreatment mRS, presence of multiple aneurysms, bifurcation location, or prior treatment between the two groups. After PSM, 302 matched pairs showed significantly lower last follow-up adequate occlusion rates (81% vs 90%, p = 0.006) and higher retreatment rates (12% vs 3.6%, p < 0.001) in the large aneurysm group. These findings may inform treatment decisions and patient counseling. Future studies are needed to further explore this area.