WEB as part of a multimodality treatment in complex, large, and partially thrombosed intracranial aneurysms: a single-center observational study of technical success, safety, and recurrence

Journal of Neurointerventional Surgery
C KabbaschT Liebig

Abstract

Complex, large, wide-neck aneurysms, but particularly partially thrombosed intracranial aneurysms (PTIAs), have a greater tendency to recanalize after coil occlusion. The Woven Endovascular Bridge (WEB) combines shape memory wires braided to a relatively uniform, dense surface, which may limit its compaction and its incorporation into an existing aneurysm clot and may thus reduce PTIA recurrence. To carry out a retrospective analysis of our experience with the WEB as part of a complex treatment in conjunction with other implants to assess the efficacy and safety of this technique. Among 43 aneurysms treated with the WEB in our center, eight complex, large, wide-neck aneurysms were treated in conjunction with other implants (additional WEBs, coils, stents, flow diverters). Six of these eight aneurysms were PTIAs. All patients were followed up by DSA between 3½ and 38 months. All eight (100%) of the complex, large, wide-neck aneurysms were treated successfully and without periprocedural adverse events (0%). At follow-up, the two non-thrombosed aneurysms were completely occluded, but all six PTIAs recurred (75%) and were re-treated. There was no morbidity or mortality in these eight patients. Treatment of large, complex aneurysms ...Continue Reading

References

Nov 1, 1982·Journal of Neurology, Neurosurgery, and Psychiatry·I R WhittleM Besser
Sep 8, 2001·Stroke; a Journal of Cerebral Circulation·D RoyJ Raymond
Dec 21, 2002·Neurosurgery·Christopher S Ogilvy, Bob S Carter
May 22, 2003·European Journal of Radiology·In Sup Choi, Carlos David
Mar 30, 2000·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S J Kim, I S Choi

❮ Previous
Next ❯

Citations

Nov 20, 2016·World Neurosurgery·Ivo S MuskensMarike L D Broekman
Aug 30, 2018·Journal of Neurointerventional Surgery·Christoph KabbaschThomas Liebig
Oct 26, 2018·Journal of Neurointerventional Surgery·Christoph KabbaschThomas Liebig
Aug 7, 2017·Acta neurochirurgica·I S MuskensM L D Broekman
Apr 6, 2019·Frontiers in Neurology·Samantha DayawansaPatrick T Noonan
Mar 10, 2021·Clinical Neuroradiology·Elmar SpuentrupJan Walter

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Aneurysm

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