
The WEB is an intrasaccular flow disrupter dedicated to EVT of IA. We report our initial experience in a series of patients treated with this device.This prospective study was approved by the authors' ethical committees. Nineteen patients with 20 unruptured wide-neck bifurcation IAs were treated by WEB placement. Technical issues, immediate posttreatment angiographic findings, and clinical and imaging follow-up at 3, 6, and 12 months were assessed.Failure of WEB placement occurred in 1 case because of unavailability of a suitably sized device. Embolization was successful in 18 patients with 19 IAs, and it required additional stent placement and/or coiling in 3 cases at the acute phase and in 1 case at follow-up. Two patients experienced a symptomatic complication, and 16 patients had normal neurologic examination findings at discharge. Immediate anatomic outcome showed 1 complete occlusion, 13 near-complete occlusions, and 5 incomplete occlusions. At follow-up, 17 patients had normal neurologic examination findings and 1 retained a hemiparesis. Angiographic controls were obtained in all patients (mean, 6 months), and they showed stable or improved results in all except 4 cases, including 2 complete occlusions, 15 near-complete occlusions, and 2 incomplete occlusions.In this initial series of patients, EVT of wide-neck bifurcation IAa with the WEB was feasible. Further studies are needed to evaluate the indications, safety, and efficacy of this new technique.
Adult, Male, Endovascular Procedures -- instrumentation -- methods, Embolization, Alloys, Humans, Intracranial Aneurysm -- physiopathology -- radiography -- therapy, Aged, Alloys -- therapeutic use, Endovascular Procedures, Intracranial Aneurysm, Sciences bio-médicales et agricoles, Middle Aged, Surgical Mesh, Embolization, Therapeutic, Therapeutic -- instrumentation -- methods, Cerebral Angiography, Treatment Outcome, Cerebrovascular Circulation, Embolization, Therapeutic -- instrumentation -- methods, Female, Stents, Follow-Up Studies
Adult, Male, Endovascular Procedures -- instrumentation -- methods, Embolization, Alloys, Humans, Intracranial Aneurysm -- physiopathology -- radiography -- therapy, Aged, Alloys -- therapeutic use, Endovascular Procedures, Intracranial Aneurysm, Sciences bio-médicales et agricoles, Middle Aged, Surgical Mesh, Embolization, Therapeutic, Therapeutic -- instrumentation -- methods, Cerebral Angiography, Treatment Outcome, Cerebrovascular Circulation, Embolization, Therapeutic -- instrumentation -- methods, Female, Stents, Follow-Up Studies
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