{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:01:01Z","timestamp":1790694061030,"version":"4.1.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"\n Background<\/jats:title>\n The Woven EndoBridge (WEB) device is increasingly used for treatment of wide-neck bifurcation aneurysms. With the newer 17 system, WEB deployment has been associated with a phenomenon known as incomplete or \u201csticky\u201d detachment from the delivery wire, which may lead to imprecise placement. Optimal techniques for WEB manipulation and delivery to avoid this problem are poorly defined. This study aimed to evaluate standard WEB deployment techniques and determine the impact of delivery techniques and WEB stickiness on procedural success.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n An\n in vitro<\/jats:italic>\n study using identical silicone middle cerebral artery aneurysm models (\n n<\/jats:italic>\n \u2009=\u200932) assessed WEB (6\u2009\u00d7\u20092 mm) deployment through a VIA 17 microcatheter via three techniques that involved: \u201cloading,\u201d \u201cneutral,\u201d and \u201ctension\u201d on the pusher wire. Microcatheter position was placed in varied positions from the WEB device. Woven EndoBridge stickiness was graded during detachment attempts. Primary outcomes were detachment stickiness and attempt number, compared between techniques using Fisher's exact test.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The tension technique resulted in significantly fewer sticky detachments and detachment attempts compared to forward load or neutral techniques (p\u2009<\u20090.001). Sticky detachment was lower with tension (0% sticky) versus forward load (42% sticky, 8% very sticky) (p\u2009<\u20090.001). Forward load had a 50% rate of stickiness versus 0% with tension and neutral (p\u2009<\u20090.001). Forward load required multiple attempts in 100%, compared to 57% with neutral and 8% with tension (p\u2009<\u20090.001). Higher stickiness grades increased the need for multiple attempts (p\u2009<\u20090.001).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The tension technique reduces incomplete WEB detachment and enables precise single-attempt detachment, optimizing delivery precision.\n In vivo<\/jats:italic>\n confirmation is needed.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/15910199241273984","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T06:48:19Z","timestamp":1724309299000},"page":"2239-2244","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of delivery technique on Woven EndoBridge deployment and detachment in an\n in vitro<\/i>\n aneurysm model"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-2382","authenticated-orcid":false,"given":"Muhammed Amir","family":"Essibayi","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5130-1378","authenticated-orcid":false,"given":"David J.","family":"Altschul","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2023-020633"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7174"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015506"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5469\/neuroint.2021.00318"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5371"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-018-0685-1"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015506"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241273984","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199241273984","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241273984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:33:21Z","timestamp":1790692401000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199241273984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,22]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15910199241273984"],"URL":"https:\/\/doi.org\/10.1177\/15910199241273984","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,22]]}}}