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American Journal of Neuroradiology
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License: CC BY
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American Journal of Neuroradiology
Article . 2013 . Peer-reviewed
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WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

Authors: Lubicz, Boris; Mine, Benjamin; Collignon, Laurent; Brisbois, Denis; Duckwiler, Gary; Strother, Charles Milton;

WEB Device for Endovascular Treatment of Wide-Neck Bifurcation Aneurysms

Abstract

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.

Keywords

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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    Top 10%
    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
87
Top 10%
Top 1%
Top 1%
Green
hybrid