Article Figures & Data
Figures
- Fig 1.
A, Incidental finding of an aneurysm of the origin of the superior cerebellar artery (anteroposterior view). B, Implantation of a WEB SL 7–4 without flow disturbance in the parent arteries (anteroposterior view). C, Three-month follow-up angiography with complete occlusion of the aneurysm and reconstruction of the neck area (anteroposterior view).
- Fig 2.
A, Acutely ruptured broad-based ICA posterior communicating artery aneurysm (anteroposterior view). B, Catheterization followed by aneurysm rupture; VIA 27 microcatheter outside the aneurysm (roadmap in the anteroposterior view). C, Placement of a WEB SL 8–6 partly outside the aneurysm showing a constriction of the WEB at the point of rupture (single image without subtraction). D, Final complete occlusion of the aneurysm by stent-assisted coiling (lateral view).
Tables
Without Hemorrhage SAH Total 64 (100%) 37 (100%) mRS 0 52 (81.3%) HH 1 10 (27.1%) mRS 1 6 (9.4%) HH 2 9 (24.3%) mRS 2 2 (3.1%) HH 3 5 (13.5%) mRS 3 2 (3.1%) HH 4 5 (13.5%) mRS 4 2 (3.1%) HH 5 8 (21.6%) mRS 5 0 (0.0%) Note:—HH indicates Hunt and Hess.
Aneurysm No. (%) Unruptured Ruptured Total 102 (100%) 65 (100%) 37 (100%) Anterior circulation 88 (86.3%) 60 (92.3%) 28 (75.7%) Posterior circulation 14 (13.7%) 5 (7.7%) 9 (24.3%) AcomA 33 (32.4%) 21 (32.3%) 12 (32.4%) MCA 44 (43.1%) 34 (52.3%) 10 (27.1%) AchA 1 (1.0%) 0 (0.0%) 1 (2.7%) ICA-T 7 (6.9%) 5 (7.7%) 2 (5.4%) PcomA 3 (2.9%) 0 (0.0%) 3 (8.1%) BA tip 12 (11.8%) 4 (6.2%) 8 (21.6%) SCA 2 (1.9%) 1 (1.5%) 1 (2.7%) Note:—AchA indicates anterior choroidal artery; AcomA, anterior communicating artery; BA, basilar artery; ICA-T, terminus of internal carotid artery; PcomA, posterior communicating artery; SCA, superior cerebellar artery.
Immediate 3-Month Follow-Up 12-Month Follow-Up Total 37 (100%) 22 (59.5%) 12 (32.4%) Grade 1 5 (13.5%) 11 (50.0%) 6 (50.0%) 2 1 (2.7%) 2 (9.1%) 1 (8.3%) 3 2 (5.4%) 4 (18.2%) 2 (16.7%) 4 29 (78.4%) 2 (9.1%) 1 (8.3%) 5 0 (0.0%) 3 (13.6%) 2 (16.7%) Complete occlusion (grades 1 and 2) 13 (59.1%) 7 (58.3%) Sufficient occlusion (grades 1–3) 17 (77.3%) 9 (75.0%) ↵a 1 indicates no residual flow in aneurysm/WEB; 2, opacification of the proximal recess of the WEB; 3, neck remnant; 4, residual flow inside the WEB; 5, aneurysm remnant.
Immediate 3-Month Follow-Up 12-Month Follow-Up Total 61 (100%) 56 (91.8%) 37 (60.7%) Grade 1 3 (4.9%) 22 (39.4%) 15 (40.5%) 2 5 (8.2%) 12 (21.4%) 7 (18.9%) 3 0 (0.0%) 12 (21.4%) 7 (18.9%) 4 53 (86.9%) 5 (8.9%) 3 (8.2%) 5 0 (0.0%) 5 (8.9%) 5 (13.5%) Complete occlusion (grades 1 and 2) 34 (60.8%) 22 (59.4%) Sufficient occlusion (grades 1–3) 46 (82.2%) 29 (78.3%) ↵a 1 indicates no residual flow in aneurysm/WEB; 2, opacification of the proximal recess of the WEB; 3, neck remnant; 4, residual flow inside the WEB; 5, aneurysm remnant.
Immediate 3-Month Follow-Up 12-Month Follow-Up Total 98 (100%) 78 (79.6%) 49 (50.0%) Grade 1 8 (8.2%) 33 (42.3%) 21 (42.9%) 2 6 (6.1%) 14 (17.9%) 8 (16.3%) 3 2 (2.0%) 16 (20.5%) 9 (18.4%) 4 82 (83.7%) 7 (9.0%) 4 (8.1%) 5 0 (0.0%) 8 (10.3%) 7 (14.3%) Complete occlusion (grades 1 and 2) 47 (60.2%) 29 (59.2%) Sufficient occlusion (grades 1–3) 63 (80.7%) 38 (77.6%) ↵a 1 indicates no residual flow in aneurysm/WEB; 2, opacification of the proximal recess of the WEB; 3, neck remnant; 4, residual flow inside the WEB; 5, aneurysm remnant.
Jump to section
Related Articles
Cited By...
- Embolization of Ruptured and Unruptured Aneurysms with the Contour Neurovascular System--Summary of 106 Cases
- Aneurysm Treatment with Woven EndoBridge-17: Angiographic and Clinical Results at 12 Months from a Retrospective, 2-Center Series
- Intracranial aneurysm treatment with intrasaccular flow disruption: comparison of WEB-21 and WEB-17 systems
- Treatment of ruptured intracranial aneurysms with the Woven EndoBridge device: a systematic review
- Safety and Efficacy of the Woven EndoBridge Device for Treatment of Ruptured Intracranial Aneurysms: A Systematic Review and Meta-analysis
- Widening the Indications for Intrasaccular Flow Disruption: WEB 17 in the Treatment of Aneurysm Locations Different from Those in the Good Clinical Practice Trials
- Advances in endovascular aneurysm management: flow modulation techniques with braided mesh devices
- Low-Profile Intra-Aneurysmal Flow Disruptor WEB 17 versus WEB Predecessor Systems for Treatment of Small Intracranial Aneurysms: Comparative Analysis of Procedural Safety and Feasibility
- Two-Center Experience in the Endovascular Treatment of Intracranial Aneurysms Using the Woven EndoBridge 17 Device Including Midterm Follow-Up Results: A Retrospective Analysis
- Factors that determine aneurysm occlusion after embolization with the Woven EndoBridge (WEB)
- The New Low-Profile WEB 17 System for Treatment of Intracranial Aneurysms: First Clinical Experiences