Diverse Use of the WEB Device: A Technical Note on WEB Stenting and WEB Coiling of Complex Aneurysms

Mario Zanaty; Jorge A Roa; Sudeepta Dandapat; Edgar A Samaniego; Pascal Jabbour; David Hasan

doi:10.1016/j.wneu.2019.07.027

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Diverse Use of the WEB Device: A Technical Note on WEB Stenting and WEB Coiling of Complex Aneurysms

Journal article

Peer reviewed

Diverse Use of the WEB Device: A Technical Note on WEB Stenting and WEB Coiling of Complex Aneurysms

Mario Zanaty, Jorge A Roa, Sudeepta Dandapat, Edgar A Samaniego, Pascal Jabbour and David Hasan

World neurosurgery, Vol.130, pp.201-205

10/2019

DOI: 10.1016/j.wneu.2019.07.027

PMID: 31301439

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Abstract

The Woven EndoBridge (WEB) device, an intrasaccular flow-diverter that does not require long-term antiplatelet use, has recently emerged as an alternative to embolize complex intracranial aneurysms; however, there are limitations to the WEB device. First, it does not immediately secure the aneurysm in most subarachnoid hemorrhage cases. Second, it may not be suitable for embolization of wide-neck aneurysms with an unfavorable aspect ratio. To overcome these limitations, we have used the WEB device in conjunction with stenting and/or coiling. Here, we present a technical note with an illustrated case series and provide a detailed step-by-step description on how the WEB device can be used in adjunct to coiling and/or stenting to achieve successful angiographic results. Accurate sizing of the WEB device before deployment is critical. Larger case series are required to further assess the safety and success of these combined techniques.

Humans

Middle Aged

Postoperative Complications - surgery

Treatment Outcome

Intracranial Aneurysm - diagnosis

Cerebral Angiography - methods

Postoperative Complications - diagnosis

Intracranial Aneurysm - surgery

Endovascular Procedures - methods

Female

Aged

Retrospective Studies

Subarachnoid Hemorrhage - diagnosis

Stents

Embolization, Therapeutic - methods

Subarachnoid Hemorrhage - surgery

Details

Title: Subtitle: Diverse Use of the WEB Device: A Technical Note on WEB Stenting and WEB Coiling of Complex Aneurysms
Creators: Mario Zanaty - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Jorge A Roa - Department of Neurology and Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Sudeepta Dandapat - Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Edgar A Samaniego - Department of Neurology, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Pascal Jabbour - Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
David Hasan - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. Electronic address: david-hasan@uiowa.edu
Resource Type: Journal article
Publication Details: World neurosurgery, Vol.130, pp.201-205
Publisher: United States
DOI: 10.1016/j.wneu.2019.07.027
PMID: 31301439
ISSN: 1878-8750
eISSN: 1878-8769
Language: English
Date published: 10/2019
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984070456702771

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