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Research ArticleExpedited Publication
Open Access

WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study

B. Lubicz, J. Klisch, J.-Y. Gauvrit, I. Szikora, M. Leonardi, T. Liebig, N.P. Nuzzi, E. Boccardi, F.D. Paola, M. Holtmannspötter, W. Weber, E. Calgliari, V. Sychra, B. Mine and L. Pierot
American Journal of Neuroradiology March 2014, 35 (3) 432-438; DOI: https://doi.org/10.3174/ajnr.A3869
B. Lubicz
aFrom the Department of Neuroradiology (B.L., B.M.), Erasme University Hospital, Brussels, Belgium
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J. Klisch
bDepartment of Diagnostic and Interventional Radiology and Neuroradiology (J.K., V.S.), Helios General Hospital, Erfurt, Germany
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J.-Y. Gauvrit
cDepartment of Neuroradiology (J.-Y.G.), Centre Hospitalier Universitaire Rennes, Rennes, France
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I. Szikora
dDepartment of Neuroradiology (I.S.), National Institute of Neurosciences, Budapest, Hungary
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M. Leonardi
eDepartment of Neuroradiology (M.L.), Ospedale Bellaria, Bologna University, Bologna, Italy
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T. Liebig
fDepartment of Neuroradiology (T.L.), Universitaetsklinikum Koeln, Cologne, Germany
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N.P. Nuzzi
gDepartment of Neuroradiology (N.P.N.), Ospedale Galliera, Genova, Italy
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E. Boccardi
hDepartment of Neuroradiology (E.B.), Ospedale Niguarda, Milano, Italy
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F.D. Paola
iDepartment of Neuroradiology (F.D.P.), Ospedale Santa Maria, Treviso, Italy
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M. Holtmannspötter
jDepartment of Neuroradiology (M.H.), Rigshospitalet, Copenhagen, Denmark
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W. Weber
kDepartment of Neuroradiology (W.W.), Knappschaftskrankenhaus, Recklinghausen, Germany
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E. Calgliari
lDepartment of Neuroradiology (E.C.), Ospedale dell'Angelo, Mestre, Italy
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V. Sychra
bDepartment of Diagnostic and Interventional Radiology and Neuroradiology (J.K., V.S.), Helios General Hospital, Erfurt, Germany
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B. Mine
aFrom the Department of Neuroradiology (B.L., B.M.), Erasme University Hospital, Brussels, Belgium
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L. Pierot
mDepartment of Neuroradiology (L.P.), Hôpital Maison-Blanche, Université Reims-Champagne-Ardenne, Reims, France.
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    Fig 1.

    The drawings show the scale used for the anatomic results. A, Complete occlusion (grade A). There is no contrast inside the aneurysm. B, Complete occlusion with opacification of the proximal recess (grade AB). There is no contrast inside the aneurysm but contrast fills in the central area below the WEB-DL. C, Neck remnant (grade B). There is contrast at the aneurysmal wall but no contrast in the aneurysm or WEB-DL. D, Aneurysm remnant (grade C). There is contrast in the neck and in the aneurysm or WEB-DL.

  • Fig 2.
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    Fig 2.

    A 71-year-old woman with an unruptured right MCA. A, Preoperative DSA shows the wide-neck MCA aneurysm.. B, Postoperative DSA shows no more intra-aneurysmal flow. C, Six-month follow-up DSA shows the complete occlusion of the aneurysm. D, Twelve-month follow-up DSA shows the stability of the complete occlusion.

  • Fig 3.
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    Fig 3.

    A 57-year-old man with an unruptured anterior communicating artery aneurysm. A, Preoperative DSA shows the wide-neck anterior communicating artery aneurysm. B, Six-month DSA shows an opacification of the proximal recess of the device. C, Twelve-month DSA shows the stability of this opacification.

  • Fig 4.
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    Fig 4.

    A 71-year-old woman with an unruptured right MCA aneurysm. A, Preoperative DSA shows the MCA aneurysm with a wide neck. B, Postoperative DSA shows a small residual opacification of the aneurysm neck with complete disappearance of flow in the dome. C, Seven-month 3D-DSA shows an opacification of the proximal recess of the device. D, Twelve-month 3D-DSA shows that this opacification is quite stable.

  • Fig 5.
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    Fig 5.

    A 60-year-old woman with an unruptured basilar artery aneurysm. A, Preoperative 3D-DSA shows the aneurysm, which is wide-neck. B, Postoperative DSA shows contrast stagnation in the WEB and aneurysm; C, 3-month DSA shows a neck remnant. D, 9-month DSA shows the reopening of the aneurysm with a remnant.

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American Journal of Neuroradiology: 35 (3)
American Journal of Neuroradiology
Vol. 35, Issue 3
1 Mar 2014
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B. Lubicz, J. Klisch, J.-Y. Gauvrit, I. Szikora, M. Leonardi, T. Liebig, N.P. Nuzzi, E. Boccardi, F.D. Paola, M. Holtmannspötter, W. Weber, E. Calgliari, V. Sychra, B. Mine, L. Pierot
WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
American Journal of Neuroradiology Mar 2014, 35 (3) 432-438; DOI: 10.3174/ajnr.A3869

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WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
B. Lubicz, J. Klisch, J.-Y. Gauvrit, I. Szikora, M. Leonardi, T. Liebig, N.P. Nuzzi, E. Boccardi, F.D. Paola, M. Holtmannspötter, W. Weber, E. Calgliari, V. Sychra, B. Mine, L. Pierot
American Journal of Neuroradiology Mar 2014, 35 (3) 432-438; DOI: 10.3174/ajnr.A3869
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