Treatment of recurrent aneurysms using the Woven EndoBridge (WEB): anatomical and clinical results. (20th October 2017)

• Record Type: Journal Article
• Authors: Gawlitza, Matthias; Soize, Sebastien; Januel, Anne-Christine; Mihalea, Cristian; Metaxas, Georgios-Emmanouil; Cognard, Christophe; Pierot, Laurent
• Is Part Of: Journal of neurointerventional surgery. Volume 10:Number 7(2018)
• Page Start: 629
• Page End: 633
• Publication Date: 2017-10-20
• Subjects: aneurysm -- device -- intervention -- technique -- material; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2017-013287
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : Background: The safety and efficacy of the Woven EndoBridge (WEB) for the treatment of naïve intracranial aneurysms has been confirmed. Purpose: To analyze the safety and efficacy of the WEB in the treatment of recurrent aneurysms. Methods: Anatomical and clinical results in consecutive patients with a recurrent aneurysm, who were treated using the WEB device in two French neurointerventional centers, were evaluated. Results: Seventeen patients with 17 aneurysms were included. Treatment was feasible in 16 patients. In seven patients (41.2%), ancillary devices were used. Permanent morbidity due to a thromboembolic complication occurred in one patient (5.9%). There was no mortality. Follow-up angiographic studies were available for 15 patients after a mean of 12.1±6.1 months. Rates of complete occlusion, neck remnant, and aneurysm remnant were 33.3%, 40.0%, and 26.7%, respectively. Conclusions: Treatment of recurrent aneurysms using the WEB device may be reasonably safe and effective.