Universität zu Köln

Celik, Erkan ORCID: 0000-0001-5687-7707, Goertz, Lukas, Ozpeynirci, Yigit, Schlamann, Marc, Dorn, Franziska, Lehnen, Nils, Siebert, Eberhard, Liebig, Thomas and Kabbasch, Christoph (2023). Comparative assessment of woven endobridge embolization and standard coil occlusion for the treatment of ruptured basilar tip aneurysms. Neuroradiology, 65 (4). S. 765 - 774. NEW YORK: SPRINGER. ISSN 1432-1920

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Abstract

Purpose Endovascular coil occlusion represents the standard treatment for basilar tip aneurysms. Recently, this role has been rivalled by intrasaccular flow disruptors across numerous centres. We retrospectively compared WEB embolization and coiling for the treatment of ruptured basilar tip aneurysms. Methods Patients treated with WEB or coiling at four neurovascular centres were reviewed. Procedure-related complications, clinical outcome, and angiographic results were retrospectively compared. Results The study included 23 patients treated with the WEB (aneurysm size: 6.6 +/- 1.9 mm) and 56 by coiling (aneurysm size: 6.7 +/- 2.5 mm). Stent-assistance was more often necessary with coiling than with WEB embolization (32% vs. 4%, p = 0.009). A modified Rankin scale score <= 2 at discharge had 21 (37.5%) patients in the coiling group and 12 (52.2%) in the WEB group (p = 0.235). Immediate complete and adequate occlusion rates were 52% for the WEB and 87% for coiling. At short-term follow-up, these rates were 87% for the WEB and 72% for coiling, respectively. There was no delayed aneurysm re-bleeding during follow-up. Conclusion Both coiling and WEB seem to prevent rebleeding in ruptured BTA aneurysms. WEB embolization required less frequently stent-support than coiling, potentially advantageous for SAH patients to avoid anti-platelet therapy in the light of concomitant procedures like ventricular drainage.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Celik, Erkan UNSPECIFIED orcid.org/0000-0001-5687-7707 UNSPECIFIED Goertz, Lukas UNSPECIFIED UNSPECIFIED UNSPECIFIED Ozpeynirci, Yigit UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlamann, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Dorn, Franziska UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehnen, Nils UNSPECIFIED UNSPECIFIED UNSPECIFIED Siebert, Eberhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Liebig, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Kabbasch, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-681539
DOI:	10.1007/s00234-022-03096-4
Journal or Publication Title:	Neuroradiology
Volume:	65
Number:	4
Page Range:	S. 765 - 774
Date:	2023
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1920
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language STENT-ASSISTED COILING; UNRUPTURED INTRACRANIAL ANEURYSMS; ENDOVASCULAR TREATMENT; CEREBRAL ANEURYSMS; FLOW DISRUPTION; WEB; TERM; SAFETY; HEMORRHAGE; EXPERIENCE Multiple languages Clinical Neurology; Neuroimaging; Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68153