Table 2

Aneurysm metrics and outcomes in contemporary trials describing devices to treat wide necked aneurysms

Author
(No of patients)
De Vries (current study) (24)De Leacy25
(115)
Gawlitza18
(17)
Khalid8
(16)
Piotin26
(63)
Sourour27
(12)
Spiotta13
(34)
Fischer9
(25)
Adjunctive deviceeCLIPsBalloon and stentWEBWEBLunaMedinaPulseRiderpCONus
MechanismNeck bridging and extrasaccular flow diversionNeck bridgingIntrasaccular flow diversionIntrasaccular flow diversionIntrasaccular flow diversionIntrasaccular flow diversionNeck bridgingNeck briding
Aneurysms includedWide necked bifurcation: BA, ICAWide necked: BA, MCARecurrent: BA, ICA, MCA, PComALarge: BA, MCA, AcomAWide necked bifurcation or side wall: BA, ACA, ICA, MCA, AComA, PcomA, PICAWide necked bifurcation: MCA, BAWide necked bifurcation: ICA, BAWide necked bifurcation: ICA, BA, MCA, AComA
Aneurysm metrics
Neck width (mm)5.54.855.36.23.94.45.26
Dome width (mm)6.77.667.510.55.77.579
Aneurysm height (mm)4.8697.2
Dome-to-neck ratio1.201.421.41.81.461.41.341.5
Aspect ratio0.821.11.51.38
Outcomes
Good radiologic outcomes at follow-up (%)956373.380808387.981
Retreatment (%)08.711.846.76.38.32.90
Average follow-up (months)15.812.212.136365.269.5
  • ACA, anterior cerebral artery; AComA, anterior communicating artery; BA, basilar artery; ICA, internal carotid artery; MCA, middle cerebral artery; PComA, posterior communicating artery; PICA, posterior inferior cerebellary artery; WEB, Woven EndoBridge.