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Research ArticleInterventional

WEB Intrasaccular Flow Disruptor—Prospective, Multicenter Experience in 83 Patients with 85 Aneurysms

C. Papagiannaki, L. Spelle, A.-C. Januel, A. Benaissa, J.-Y. Gauvrit, V. Costalat, H. Desal, F. Turjman, S. Velasco, X. Barreau, P. Courtheoux, C. Cognard, D. Herbreteau, J. Moret and L. Pierot
American Journal of Neuroradiology November 2014, 35 (11) 2106-2111; DOI: https://doi.org/10.3174/ajnr.A4028
C. Papagiannaki
aFrom the Department of Neuroradiology (C.P., D.H.), Centre Hospitalier Universitaire (CHU) Tours, Tours, France
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L. Spelle
bDepartment of Neuroradiology (L.S., J.M.), Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris, Clichy, France
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A.-C. Januel
cDepartment of Neuroradiology (A.-C.J., C.C.), CHU Toulouse, Toulouse, France
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A. Benaissa
dDepartment of Neuroradiology (A.B., L.P.), CHU Reims, Reims, France
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J.-Y. Gauvrit
eDepartment of Neuroradiology (J.-Y.G.), CHU Rennes, Rennes, France
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V. Costalat
fDepartment of Neuroradiology (V.C.), CHU Montpellier, Montpellier, France
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H. Desal
gDepartment of Neuroradiology (H.D.), CHU Nantes, Nantes, France
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F. Turjman
hDepartment of Neuroradiology (F.T.), CHU Lyon, Lyon France
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S. Velasco
iDepartment of Neuroradiology (S.V.), CHU Poitiers, Poitiers, France
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X. Barreau
jDepartment of Neuroradiology (X.B.), CHU Bordeaux, Bordeaux, France
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P. Courtheoux
kDepartment of Neuroradiology (P.C.), CHU Caen, Caen, France.
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C. Cognard
cDepartment of Neuroradiology (A.-C.J., C.C.), CHU Toulouse, Toulouse, France
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D. Herbreteau
aFrom the Department of Neuroradiology (C.P., D.H.), Centre Hospitalier Universitaire (CHU) Tours, Tours, France
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J. Moret
bDepartment of Neuroradiology (L.S., J.M.), Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris, Clichy, France
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L. Pierot
dDepartment of Neuroradiology (A.B., L.P.), CHU Reims, Reims, France
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  • Fig 1.
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    Fig 1.

    Anterior communicating artery unruptured aneurysm with a wide neck, before (A) and immediately after (B) WEB deployment.

  • Fig 2.
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    Fig 2.

    Middle cerebral bifurcation wide-neck unruptured aneurysm before (A) and immediately after (B) WEB deployment. Eight-month follow-up DSA, working projection (C) and frontal projection (D).

  • Fig 3.
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    Fig 3.

    Failure to deploy the WEB due to the tortuous vessel anatomy. A, Unruptured AcomA aneurysm. B, WEB-DL (arrow on the second of 3 marker bands) could not be advanced through a tortuous turn by using only the delivery catheter. C, WEB-DL could not be advanced through the tortuous turn with intermediate catheter support of the delivery catheter (arrow shows the proximal marker of the WEB). D, Final result after balloon-assisted coiling of the aneurysm.

Tables

  • Figures
  • Characteristics of patients and aneurysms in patients presenting with complications

    PatientAge (yr)SexAneurysm LocationAneurysm Size (mm)StatusComplicationOutcome (1-Month mRS)
    1a50FAcomA5.6RupturedIOR3
    MCA6.0UnrupturedTE
    266FMCA6.5RecTE0
    345FMCA7.2UnrupturedTE0
    469FBA7.0UnrupturedTE1
    566MMCA9.3UnrupturedTE0
    646MMCA8.5UnrupturedTE0
    763FMCA5.6UnrupturedTE0
    853FMCA9.5RupturedTE0
    956MAcomA8.0UnrupturedTE1
    1049FBA8.0UnrupturedID0
    • Note:—BA indicates basilar artery; Rec, recanalization; IOR, intraoperative rupture; ID, inadvertent detachment; TE, thromboembolic events.

    • ↵a Patient 1 had 2 aneurysms treated in the same session and 2 complications.

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American Journal of Neuroradiology: 35 (11)
American Journal of Neuroradiology
Vol. 35, Issue 11
1 Nov 2014
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WEB Intrasaccular Flow Disruptor—Prospective, Multicenter Experience in 83 Patients with 85 Aneurysms
C. Papagiannaki, L. Spelle, A.-C. Januel, A. Benaissa, J.-Y. Gauvrit, V. Costalat, H. Desal, F. Turjman, S. Velasco, X. Barreau, P. Courtheoux, C. Cognard, D. Herbreteau, J. Moret, L. Pierot
American Journal of Neuroradiology Nov 2014, 35 (11) 2106-2111; DOI: 10.3174/ajnr.A4028

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WEB Intrasaccular Flow Disruptor—Prospective, Multicenter Experience in 83 Patients with 85 Aneurysms
C. Papagiannaki, L. Spelle, A.-C. Januel, A. Benaissa, J.-Y. Gauvrit, V. Costalat, H. Desal, F. Turjman, S. Velasco, X. Barreau, P. Courtheoux, C. Cognard, D. Herbreteau, J. Moret, L. Pierot
American Journal of Neuroradiology Nov 2014, 35 (11) 2106-2111; DOI: 10.3174/ajnr.A4028
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  • More Transparency Is Needed in the Reporting of Clinical Research Studies
  • Efficacy and Safety of the Woven EndoBridge (WEB) Device for the Treatment of Intracranial Aneurysms: A Systematic Review and Meta-Analysis
  • Are Anatomic Results Influenced by WEB Shape Modification? Analysis in a Prospective, Single-Center Series of 39 Patients with Aneurysms Treated with the WEB
  • Contrast-Enhanced and Time-of-Flight MRA at 3T Compared with DSA for the Follow-Up of Intracranial Aneurysms Treated with the WEB Device
  • Republished: Corking the WEB and coiling through a jailed microcatheter: WEB assisted coiling, a useful technique avoiding the use of stents in treating wide-necked large intracranial aneurysms
  • Endovascular Treatment of Intracranial Aneurysms with the WEB Device: A Systematic Review of Clinical Outcomes
  • WEB in Partially Thrombosed Intracranial Aneurysms: A Word of Caution
  • WEB Treatment of Intracranial Aneurysms: Clinical and Anatomic Results in the French Observatory
  • Flow-Diverter Stents for the Treatment of Saccular Middle Cerebral Artery Bifurcation Aneurysms
  • Evaluation of the Angiographic Grading Scale in Aneurysms Treated with the WEB Device in 80 Rabbits: Correlation with Histologic Evaluation
  • 3D Printing of Intracranial Aneurysms Using Fused Deposition Modeling Offers Highly Accurate Replications
  • One-Year Angiographic Follow-Up after WEB-SL Endovascular Treatment of Wide-Neck Bifurcation Intracranial Aneurysms
  • Single-Layer WEBs: Intrasaccular Flow Disrupters for Aneurysm Treatment--Feasibility Results from a European Study
  • Intrasaccular Flow Disruption in Acutely Ruptured Aneurysms: A Multicenter Retrospective Review of the Use of the WEB
  • Woven EndoBridge Intrasaccular Flow Disrupter for the Treatment of Ruptured and Unruptured Wide-Neck Cerebral Aneurysms: Report of 55 Cases
  • Endovascular Treatment of Wide-Neck Anterior Communicating Artery Aneurysms Using WEB-DL and WEB-SL: Short-Term Results in a Multicenter Study
  • Corking the WEB and coiling through a jailed microcatheter: WEB assisted coiling, a useful technique avoiding the use of stents in treating wide-necked large intracranial aneurysms
  • Challenges of the WEB Device for Intracranial Aneurysms: How to Widen the Spectrum and Compare Favorably
  • WEB Treatment of Intracranial Aneurysms: Feasibility, Complications, and 1-Month Safety Results with the WEB DL and WEB SL/SLS in the French Observatory
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