Journal article
Multiple intra-aneurysmal WEB devices: Case discussions and operative technique
Journal of clinical neuroscience, Vol.80, pp.108-111
10/2020
DOI: 10.1016/j.jocn.2020.08.003
PMID: 33099330
Abstract
•Two Internal Carotid Artery aneurysms are treated with two separate WEB devices.•Manipulation of the WEB devices post deployment is discussed.•Intraoperative angiographic technique is detailed in live video format.
The Woven Endobridge (WEB, Sequent Medical, Aliso Viejo, California) device has emerged as an FDA approved endosaccular flow diverting alternative for patients with complex aneurysm morphology. We describe for the first time, in patients with dual anti platelet therapy (DAPT) non compliance, two cases during which multiple WEB devices were deployed within the aneurysm sac to achieve flow disruption. Two ophthalmic segment internal carotid artery aneurysms are treated by the deployment of an additional WEB device within the sac. We subsequently discuss the techniques utilized to ensure parent vessel patency. We demonstrate that patients with contraindications to endovascular modalities requiring DAPT may be candidates for a multi WEB intra-aneurysmal construct.
Details
- Title: Subtitle
- Multiple intra-aneurysmal WEB devices: Case discussions and operative technique
- Creators
- Joseph S Hudson - Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesMario Zanaty - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, United StatesJorge A Roa - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, United StatesPascal Jabbour - Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, United StatesEdgar A Samaniego - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, United StatesDavid M Hasan - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, United States
- Resource Type
- Journal article
- Publication Details
- Journal of clinical neuroscience, Vol.80, pp.108-111
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.jocn.2020.08.003
- PMID
- 33099330
- ISSN
- 0967-5868
- eISSN
- 1532-2653
- Language
- English
- Date published
- 10/2020
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984070355102771
Metrics
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