Treatment strategies for recurrent and residual aneurysms after Woven Endobridge implantation

Journal of Neurointerventional Surgery
C KabbaschT Liebig

Abstract

Woven Endobridge (WEB) embolization is a safe and efficient technique for endovascular treatment of intracranial aneurysms. However, the management of aneurysm recurrence after WEB placement has not been well described to date. We present our multicenter experience of endovascular retreatment of aneurysm recurrence after WEB implantation. This is a multicenter study of patients who underwent endovascular retreatment after WEB implantation in three German tertiary care centers. Treatment strategies, complications, and angiographic outcome were retrospectively assessed. Among 122 aneurysms treated with the WEB device, 15 were retreated. Of these, six were initially treated with the WEB only, two were pretreated by coiling, and seven large aneurysms were treated in a multimodality approach. Ten were true aneurysm remnants and five were neck remnants. The reasons for retreatment were WEB migration (n=6), initial incomplete occlusion (n=5), and WEB compression (n=4). Retreatment strategies included coiling (n=4), stent-assisted coiling (n=7), flow diversion (n=3), and placement of an additional WEB (n=1). All procedures were technically successful and there were no procedure-related complications. Among 11 patients available for fol...Continue Reading

References

Mar 30, 2000·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S J Kim, I S Choi
Feb 19, 2011·AJNR. American Journal of Neuroradiology·Y H DingD F Kallmes
Sep 10, 2011·Neurosurgery·Christian DorferEngelbert Knosp
Jun 12, 2012·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·A K WallnerM Killer-Oberpfalzer
Aug 1, 2015·AJNR. American Journal of Neuroradiology·L PierotB Lubicz
Aug 22, 2015·AJNR. American Journal of Neuroradiology·R Sivan-HoffmannF Turjman
Sep 19, 2015·Journal of Neurosurgery·Laurent PierotLaurent Spelle
Oct 2, 2017·Journal of Neurointerventional Surgery·Laurent PierotLaurent Spelle

❮ Previous
Next ❯

Citations

May 16, 2019·Journal of Neurointerventional Surgery·Laurent PierotClaude Fabien Litre
Feb 2, 2020·Journal of Neurointerventional Surgery·Nitin GoyalAdam S Arthur
Jan 25, 2019·Journal of Neurointerventional Surgery·Christoph KabbaschThomas Liebig
Sep 10, 2020·Journal of Neurointerventional Surgery·Zaid AljubooriRobert F James
Oct 26, 2018·Journal of Neurointerventional Surgery·Christoph KabbaschThomas Liebig
Nov 7, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jean RaymondTim E Darsaut
Mar 10, 2021·Clinical Neuroradiology·Elmar SpuentrupJan Walter
Apr 6, 2021·Interdisciplinary Neurosurgery : Advanced Techniques and Case Management·Kazim H NarsinhDaniel L Cooke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

© 2022 Meta ULC. All rights reserved