Woven Endobridge (WEB) device for endovascular treatment of complex unruptured aneurysms-a single center experience

Neuroradiology
Stephanie LescherJoachim Berkefeld

Abstract

The introduction of the Woven Endobridge (WEB) device increases the feasibility of endovascular treatment of wide-neck bifurcation aneurysms with limitations given by currently available sizes and shapes of the device. Parallel to other studies, we used the new device for selected patients who were no optimal candidates for established techniques like neurosurgical clipping or endovascular coiling. We aimed to report the angiographic and clinical results of WEB implantations or combinations between WEB and coiling or intracranial stents. We reviewed the records of n = 23 interventions in 22 patients with unruptured wide-neck aneurysms (UIA) who were assigned for aneurysm treatment with the use of the WEB or adjunctive techniques. Interventional procedures and clinical and angiographic outcomes are reported for the periprocedural phase and in mid-term FU. Of the included 22 patients, six patients needed additional coiling, intracranial stenting, or implantation of a flow diverter. WEB implantation was technically feasible in 22 out of the 23 interventions. Follow-up angiographic imaging proved total or subtotal occlusion of the aneurysm in 19 of 22 cases. Two minor recurrences remained stable during a period of 15 months. One pa...Continue Reading

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Citations

Nov 20, 2016·World Neurosurgery·Ivo S MuskensMarike L D Broekman
Aug 4, 2016·Journal of Neurointerventional Surgery·Marta Aguilar PerezHans Henkes
Aug 28, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Hld MakalandaP Bhogal
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May 8, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Oktay AlginGıyas Ayberk
May 14, 2021·Curēus·Catherine Peterson, Branden J Cord

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