The Woven EndoBridge (WEB) as primary treatment for unruptured intracranial aneurysms

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Sanne Bt van RooijMenno Sluzewski

Abstract

Purpose The intrasaccular flow disruptor Woven EndoBridge (WEB) device is developed for the treatment of wide-necked aneurysms without supportive devices. We used the WEB as primary treatment for unruptured aneurysms suitable for the device, regardless of neck size. Methods Between February 2015 and June 2017, 59 aneurysms in 51 patients were selectively treated with the WEB. There were 15 men and 36 women with a mean age of 59 years. Mean aneurysm size was 7.0 mm (range 3-22 mm). Of 59 aneurysms, 45 (76%) had a wide neck defined as ≥4 mm or dome-neck ratio ≤1.5. No stents or supporting balloons were used. Results Initial WEB position was judged good in all 59 unruptured aneurysms. One patient with a basilar tip aneurysm had a late thrombotic posterior cerebral artery occlusion by protrusion of the WEB over the artery. There were no procedural ruptures. Overall complication rate was 2.0% (1 of 51, 95% CI 0.01-11.3%). Imaging follow-up was available in 55 of 59 aneurysms (93%). At 3 months, 41 of 57 aneurysms (72%) were completely occluded, 12 (21%) had a neck remnant and 4 (7%) were incompletely occluded. Conclusion WEB treatment is safe and effective in selected unruptured aneurysms suitable for the device, regardless of neck ...Continue Reading

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Citations

Oct 26, 2018·Journal of Neurointerventional Surgery·Christoph KabbaschThomas Liebig
May 1, 2019·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Yigit OzpeynirciBernd Schmitz
Feb 8, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Sbt van RooijC B Majoie
Oct 13, 2018·AJNR. American Journal of Neuroradiology·W J van RooijJ P Peluso
Jul 29, 2020·Journal of Neurointerventional Surgery·Patrick P YoussefAdam S Arthur
Mar 23, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Tom De BeuleLuc Stockx
Jun 6, 2021·Clinical Neuroradiology·Marie Teresa NawkaMaxim Bester
Oct 7, 2021·Journal of Neurointerventional Surgery·Paolo PaganoLaurent Pierot
Dec 25, 2021·Journal of Neurosurgery·Ching-Jen ChenDale Ding

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