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Technical video
Technical aspects of web device in aneurysm treatment
  1. Jeremy Peterson1,2,
  2. Nitin Goyal1,3,
  3. Adam S Arthur1,2,
  4. David Fiorella4
  1. 1 Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee, USA
  2. 2 Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
  3. 3 Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee, USA
  4. 4 Stony Brook University Hospital, Stony Brook, New York, USA
  1. Correspondence to Dr Adam S Arthur, Semmes-Murphey Neurologic and Spine Institute, Memphis, TN 38120, Tennessee, USA; aarthur{at}semmes-murphey.com

Abstract

Wide-neck bifurcation aneurysms (WNBAs) make up 26–36% of all brain aneurysms. Intrasaccular flow disruption is an innovative technique for the treatment of WNBAs. The Woven EndoBridge (WEB) device (Sequent Medical, Aliso Viejo, California USA) is the only United States Food and Drug Administration approved intrasaccular flow disruption device. In this video article, a few cases of intracranial aneurysms treated with the WEB device are presented and various aspects of treating WNBAs with the WEB device, including aneurysm/device selection strategies, and procedural technique, are discussed (video 1).

  • wide-neck bifurcation aneurysm
  • treatment
  • intrasaccular flow disruption
  • woven endobridge
  • WEB
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/neurintsurg-2019-015748

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    Video 1

    Acknowledgments

    The authors thank Andrew J. Gienapp (Neuroscience Institute, Le Bonheur Children’s Hospital and Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA) for technical and copy editing, preparation of the manuscript for publishing, and providing publication assistance.

    References

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    Footnotes

    • Twitter @AdamArthurMD

    • Contributors All authors of this work met ICMJE criteria for authorship and made substantial contributions to the conception and design, acquisition of data, analysis and interpretation of data, drafting, critical revising, and final approval of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests JP and NG report no disclosures or conflict of interests. ASA is a consultant for Balt, Johnson and Johnson, Leica, Medtronic, Microvention, Penumbra, Scientia, Siemens, and Stryker; receives research support from Microvention, Penumbra, and Siemens; and is a shareholder in Bendit, Cerebrotech, Endostream, Magneto, Marblehead, Neurogami, Serenity, Synchron, Triad Medical and Vascular Simulations outside of the submitted work. DF is a consultant for Balt, Marblehead, Medtronic, Stryker, Microvention, Stryker, Penumbra, and Cerenovus; receives research support from Cerenovus, Medtronic, Stryker, Siemens, Microvention, and Penumbra, and royalties from Codman; and is a stockholder for Marblehead, Neurogami, and Vascular Simulations outside of the submitted work.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.