PT  - JOURNAL ARTICLE
AU  - Anil, G.
AU  - Goddard, A.J.P.
AU  - Ross, S.M.
AU  - Deniz, K.
AU  - Patankar, T.
TI  - WEB in Partially Thrombosed Intracranial Aneurysms: A Word of Caution
AID  - 10.3174/ajnr.A4604
DP  - 2016 May 01
TA  - American Journal of Neuroradiology
PG  - 892--896
VI  - 37
IP  - 5
4099  - http://www.ajnr.org/content/37/5/892.short
4100  - http://www.ajnr.org/content/37/5/892.full
SO  - Am. J. Neuroradiol.2016 May 01; 37
AB  - SUMMARY: Despite the proved safety and efficacy of Woven EndoBridge (WEB) flow disruption in conventional intracranial saccular aneurysms, the literature on its use in partially thrombosed intracranial aneurysms is scarce. We report a series of 4 patients in whom partially thrombosed intracranial aneurysms were treated with the WEB. The 2 patients who received additional intraluminal treatment with conventional stents made a good clinical recovery. Meanwhile, those patients who were treated with the WEB alone had fatal rupture of the aneurysm at short- to medium-term follow-up. This small, select case series demonstrates that WEB placement with adjunctive stent placement may be an effective treatment in the management of partially thrombosed intracranial aneurysms, which merits further validation. However, exclusive intrasaccular flow disruption may have an adverse influence on the natural history of this disease.WEBWoven EndoBridgeWEB-DLWoven EndoBridge Dual-Layer