Article Text

Download PDFPDF
Case report
Republished: Corking the WEB and coiling through a jailed microcatheter: WEB assisted coiling, a useful technique avoiding the use of stents in treating wide-necked large intracranial aneurysms
  1. Joe Joseph Leyon,
  2. Swarupsinh Chavda,
  3. Saleh Lamin
  1. University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Dr Joe Joseph Leyon, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2WB, UK; joe.leyon{at}nhs.net

Abstract

The WEB is an endovascular flow-disrupting device used in treating wide-necked intracranial aneurysms. Although the device is available in varying sizes, large aneurysms pose a challenge with the need for custom-made devices. We describe the use of coils as an adjunct to the WEB device in successfully treating large aneurysms in two patients, one with an acutely ruptured aneurysm. This novel technique of jailing a microcatheter, deploying the WEB and then coiling the aneurysm saves the need for intracranial stenting, thereby avoiding the need for antiplatelet therapy, which is of benefit in the setting of acute aneurysm rupture.

  • Aneurysm
  • Device
  • Subarachnoid

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.