PT  - JOURNAL ARTICLE
AU  - Kortman, H.
AU  - van Rooij, S.B.T.
AU  - Mutlu, U.
AU  - Boukrab, I.
AU  - van Rooij, W.J.
AU  - van der Pol, B.
AU  - Burhani, B.
AU  - Peluso, J.P.P.
TI  - WEB Treatment of Ruptured Intracranial Aneurysms: Long-Term Follow-up of a Single-Center Cohort of 100 Patients
AID  - 10.3174/ajnr.A7748
DP  - 2023 Jan 01
TA  - American Journal of Neuroradiology
PG  - 60--64
VI  - 44
IP  - 1
4099  - http://www.ajnr.org/content/44/1/60.short
4100  - http://www.ajnr.org/content/44/1/60.full
SO  - Am. J. Neuroradiol.2023 Jan 01; 44
AB  - BACKGROUND AND PURPOSE: The Woven EndoBridge device (WEB) was introduced for the intrasaccular treatment of wide-neck aneurysms without the need for adjunctive devices. We used the WEB as a primary treatment for 100 ruptured aneurysms regardless of neck size or location. In this study, we present the long-term follow-up of 78 surviving patients.MATERIALS AND METHODS: Between February 2015 and April 2017, one hundred ruptured aneurysms were treated with the WEB. For surviving patients, angiographic and clinical follow-up was scheduled at 3 months, and 3T MRA and clinical follow-up, at 6, 12, 36, and 60 months. Of 100 patients, 18 died during hospital admission, and in 4, the ruptured aneurysm was additionally treated. The remaining 78 patients had a mean follow-up of 51 months (median, 52 months; range, 5–84 months). There were 57 women and 21 men, with a mean age of 58.5 years (median, 59 years; range, 24–80 years). Of 78 aneurysms with long-term follow-up, 52 (66%) had a wide neck.RESULTS: Of 78 ruptured aneurysms, 56 (72%) remained completely occluded and 17 (22%) had a stable small neck remnant. Five of 78 aneurysms (6%; 95% CI, 2.4%–14.5%) reopened during follow-up and were additionally treated. There were no rebleeds during follow-up.CONCLUSIONS: Treatment of ruptured aneurysms with the WEB was safe and effective and has long-term results comparable with those of simple coiling of small-neck aneurysms. The WEB proved to be a valuable alternative to coils for both wide- and small-neck ruptured aneurysms without the need for stents, balloons, or antiplatelet therapy.