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- W3046638048 abstract "<h3>BACKGROUND AND PURPOSE:</h3> After endovascular treatment of intracranial aneurysms with the Woven EndoBridge (WEB) device, worsening of aneurysm occlusion or re-opening was reported to be possibly associated with WEB shape modification. This study analyzed quantitatively the WEB shape modification with time in association with anatomic results. <h3>MATERIALS AND METHODS:</h3> Thirty patients with 32 WEB-treated intracranial aneurysms fulfilled the inclusion criteria of cranial CT at baseline (day of intervention) and a follow-up CT at least >1 months9 later (median follow-up time, 11.4 months; interquartile range, 6.5–21.5 months). Adequate occlusion was observed in 84.4%, and aneurysm remnant, in 15.6%. WEB shape modification was quantified by a semiautomated approach on CT scans. Time courses were evaluated graphically and analytically; association analyses were performed by linear mixed-effects regression models. <h3>RESULTS:</h3> In 29/32 WEB devices (90.6%), the reduction in height was found to be at least 5%. The decrease in height with time was significantly associated with the time interval in days since the intervention (<i>P</i> < .0001): A stronger decrease in WEB height was associated with a longer time since the intervention (median reduction in 1 year, 19.2%; range, 8.6%–52.3%). No significant association was found with the quality of aneurysm occlusion, device size, rupture status of the aneurysm, aneurysm location, and reintervention rate. <h3>CONCLUSIONS:</h3> Shape modification was common in WEB-treated intracranial aneurysms with a median height reduction of 19.2% in 1 year. The quality of aneurysm occlusion was not associated with WEB modification." @default.
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- W3046638048 date "2020-07-30" @default.
- W3046638048 modified "2023-09-23" @default.
- W3046638048 title "Shape Modification is Common in Woven EndoBridge–Treated Intracranial Aneurysms: A Longitudinal Quantitative Analysis Study" @default.
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- W3046638048 doi "https://doi.org/10.3174/ajnr.a6669" @default.
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