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Research ArticleINTERVENTIONAL
Open Access

WEB Treatment of Ruptured Intracranial Aneurysms

W.J. van Rooij, J.P. Peluso, R.S. Bechan and M. Sluzewski
American Journal of Neuroradiology September 2016, 37 (9) 1679-1683; DOI: https://doi.org/10.3174/ajnr.A4811
W.J. van Rooij
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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J.P. Peluso
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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R.S. Bechan
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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M. Sluzewski
aFrom the Department of Radiology, Sint Elisabeth Ziekenhuis, Tilburg, the Netherlands.
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Figures

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    Fig 1.

    Flow chart of all treated patients with aneurysms between February and December 2015. PVO indicates parent vessel occlusion.

  • Fig 2.
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    Fig 2.

    A 61-year-old man with a ruptured basilar tip aneurysm treated with the WEB and coils. A, CT scan with subarachnoid blood. B, 3D angiogram reveals a 13-mm basilar tip aneurysm. C, Neck measurement on a 3D angiogram. D and E, After placement of coils in the dome and a WEB-SL, 6 × 3 mm, in the neck. F, Three-month follow-up angiogram with complete occlusion.

  • Fig 3.
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    Fig 3.

    A 57-year-old woman with a ruptured anterior communicating artery aneurysm. A, 3D angiogram shows a small anterior communicating artery aneurysm. Note the spasm in the left A1. B, Measurement of the height (3.9 mm) and neck width (2.3 mm). C, Angiogram directly after placement of a 4-mm WEB-SLS. Note some opacification inside the WEB. D, Angiogram at 3 months demonstrates complete occlusion of the aneurysm.

  • Fig 4.
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    Fig 4.

    A 42-year-old man with a ruptured anterior communicating artery aneurysm. A, 3D angiogram shows a small anterior communicating artery aneurysm with a bleb pointing upward. Angiogram before (B) and after (C) placement of a 4-mm WEB-SLS inside the aneurysm. Note complete aneurysm occlusion with slight protrusion of the WEB into the parent vessel (arrow). D, Angiogram at 3 months demonstrates persistent complete occlusion.

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    Fig 5.

    A 60-year-old woman with a ruptured small-neck posterior communicating artery aneurysm. A, CT scan shows subarachnoid hemorrhage. B, 3D angiogram reveals a 6-mm posterior communicating artery aneurysm with a small neck. Angiogram before (C) and after (D and E) placement of a 6-mm WEB-SLS shows complete aneurysm occlusion.

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American Journal of Neuroradiology: 37 (9)
American Journal of Neuroradiology
Vol. 37, Issue 9
1 Sep 2016
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Cite this article
W.J. van Rooij, J.P. Peluso, R.S. Bechan, M. Sluzewski
WEB Treatment of Ruptured Intracranial Aneurysms
American Journal of Neuroradiology Sep 2016, 37 (9) 1679-1683; DOI: 10.3174/ajnr.A4811

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WEB Treatment of Ruptured Intracranial Aneurysms
W.J. van Rooij, J.P. Peluso, R.S. Bechan, M. Sluzewski
American Journal of Neuroradiology Sep 2016, 37 (9) 1679-1683; DOI: 10.3174/ajnr.A4811
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  • Analysis of Wide-Neck Aneurysms in the Barrow Ruptured Aneurysm Trial
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