Initial and Mid-term Results from 108 Consecutive Patients with Cerebral Aneurysms Treated with the WEB Device

Overview

Journal J Neurointerv Surg

Publisher BMJ Publishing Group

Specialty Neurology

Date 2016 Apr 15

PMID 27075486

Citations 26

Authors

Christin Clajus

Christoph Strasilla

Tom Fiebig

Vojtech Sychra

David Fiorella

Joachim Klisch

Affiliations

Soon will be listed here.

Abstract

Introduction: The Woven EndoBridge (WEB) is a novel device for the treatment of wide-necked intracranial bifurcation aneurysms. The present series demonstrates our 'real-world experience' in the use of all iterations of WEB devices (available in Europe) in ruptured and unruptured aneurysms.

Methods: We analyzed our all-inclusive cerebrovascular database for patients treated with the WEB device between October 2010 and May 2015. Anatomic and clinical results are reported for all patients.

Results: One hundred and eight patients with 114 intracranial aneurysms were included in the series. Forty-seven aneurysms (41.2%) were ruptured. Eighty-six patients received angiographic and clinical follow-up after a mean of 13.4 months. One hundred and ten of 114 WEB devices (96.5%) were deployed successfully. Thromboembolic complications occurred in 11 of 110 interventions (10.0%), with a new permanent deficit in one patient. Re-rupture after WEB treatment was detected in two aneurysms (4.3%), which had both initially presented with subarachnoid hemorrhage. Angiographic follow-up revealed adequate occlusion in 68 of 90 aneurysms (75.6%). Fifteen aneurysms required retreatment.

Conclusions: This series confirms a high level of safety and efficacy of the WEB device for the treatment of wide-necked intracranial aneurysms.

Citing Articles

Endovascular Treatment of Bifurcation Aneurysms with the Woven EndoBridge: Product Features and Selected Results of Off-Label Use.

Teranishi K, Ikemura R, Arai S, Mitome-Mishima Y, Kitamura T, Kondo A J Neuroendovasc Ther. 2024; 18(3):65-74.

PMID: 38559453 PMC: 10973567. DOI: 10.5797/jnet.ra.2023-0086.

Dual Layer vs Single Layer Woven EndoBridge Device in the Treatment of Intracranial Aneurysms: A Propensity Score-Matched Analysis.

Dmytriw A, Salim H, Musmar B, Aslan A, Cancelliere N, McLellan R Neurosurg Rev. 2024; 47(1):116.

PMID: 38483647 DOI: 10.1007/s10143-024-02341-z.

A systematic review of the Woven EndoBridge device-do findings in pre-clinical animal models compare to clinical results?.

Aquarius R, Elbertsen D, de Vries J, Boogaarts H, Wever K Acta Neurochir (Wien). 2023; 165(7):1869-1879.

PMID: 37289301 PMC: 10319665. DOI: 10.1007/s00701-023-05638-y.

Trends of Expanding Indications of Woven EndoBridge Devices for the Treatment of Intracranial Aneurysms: A Systematic Review and Meta-analysis.

Lee K, Suh C, Song Y, Kwon B, Kim M, Yoon J Clin Neuroradiol. 2022; 33(1):227-235.

PMID: 36036257 DOI: 10.1007/s00062-022-01207-5.

Shape Memory Polymer-Based Endovascular Devices: Design Criteria and Future Perspective.

Pineda-Castillo S, Stiles A, Bohnstedt B, Lee H, Liu Y, Lee C Polymers (Basel). 2022; 14(13).

PMID: 35808573 PMC: 9269599. DOI: 10.3390/polym14132526.