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. 2024 Oct;37(5):564-570.
doi: 10.1177/19714009241240328. Epub 2024 Mar 19.

Transradial access for the endovascular treatment of intracranial aneurysms using the Woven EndoBridge device: A systematic review and pooled analysis

Sávio Batista  1 , Filipi Fim Andreão  1 , Raphael Bertani  2 , Leonardo de Barros Oliveira  3 , Dan Zimelewicz Oberman  4 , Lucca B Palavani  5 , Cesar Augusto Ferreira Alves Filho  6 , Fausto de Oliveira Braga  6 , Elias Antônio Tanus Machado  6 , Paulo José da Mata Pereira  7 , Paulo Niemeyer Filho  7 , José Alberto Almeida Filho  6
Affiliations

Transradial access for the endovascular treatment of intracranial aneurysms using the Woven EndoBridge device: A systematic review and pooled analysis

Sávio Batista et al. Neuroradiol J. 2024 Oct.

Abstract

Background: The Woven EndoBridge (WEB) device is a minimally invasive endovascular treatment option for patients with cerebral aneurysms. Transradial access (TRA) is a technique that involves accessing the arterial system through the radial artery in the wrist rather than the femoral artery in the groin. Several studies have investigated the use of TRA for WEB device deployment in treating intracranial aneurysms.

Methods: A systematic review was conducted to evaluate the TRA for WEB device deployment in treating intracranial aneurysms. The databases PubMed, Cochrane, Embase, Scopus, and Web of Science were searched. To reduce the risk of bias, this systematic review only included studies reporting on using TRA in WEB device deployment for intracranial aneurysm treatment with a minimum of four patients.

Results: In this systematic review, 186 patients were included across five studies, with TRA used in 183 cases analyzed. The study population had a higher proportion of females (n = 118%-69%) than males, with a mean age of 62 years old. Among the aneurysms treated, 46 were ruptured, and 119 were located at bifurcation sites, with a mean maximum diameter/width of 6.6 mm and mean height of 5.9 mm. Adjunctive coiling was used in three cases, and adjunctive stenting was used in nine cases. In two cases, conversion to a femoral artery access was necessary.

Conclusion: The available results suggest TRA with the WEB device is a safe and effective alternative. However, using TRA versus TFA should be individualized based on patient factors and operator experience.

Keywords: Woven EndoBridge; Woven EndoBridge device; aneurysm; radial access; transradial.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA flow diagram.
Figure 2.
Figure 2.
Procedural success rate.
Figure 3.
Figure 3.
Total of conversions to transfemoral access.
Figure 4.
Figure 4.
Complications found in the procedure.
Figure 5.
Figure 5.
Total mortality associated with the procedure.
See this image and copyright information in PMC

References

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