Article Text

Download PDFPDF
Snare salvage technique for deformed WEB device after deployment
  1. Zaid Aljuboori1,
  2. Dale Ding1,
  3. Robert F James2
  1. 1Department of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA
  2. 2Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
  1. Correspondence to Dr Zaid Aljuboori, Department of Neurosurgery, University of Louisville, Louisville, KY 40292, USA; zaid.aljuboori{at}yahoo.com; Dr Robert F James, Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA; rfjames{at}iu.edu

Abstract

The Woven EndoBridge (WEB) device is a new endovascular technology that allows safe and effective treatment of wide-neck bifurcation aneurysms without the need for dual antiplatelet therapy.1–4 The case is presented of a patient in their 50 s with a history of systemic lupus erythematosus and receiving warfarin for recurrent deep venous thrombosis and an unruptured right middle cerebral artery bifurcation aneurysm. The aneurysm was treated with a WEB SL aneurysm embolization device (MicroVention, Tustin, California, USA). After the final deployment, a technical error (inadvertent forward movement of the pusher) led to the deformation of the device along its longitudinal axis, leaving the aneurysm partially untreated. An Amplatz Goose Neck Microsnare was used to capture the proximal detachment marker and used gentle traction to restore the original shape of the device (video 1).5–7 A follow-up angiogram revealed a restoration of the device’s shape with a similar result during the 4- month follow-up angiogram.

Video 1

  • aneurysm
  • artery
  • device

Statistics from Altmetric.com

Footnotes

  • Contributors ZA made the video and narrated it. RFJ and DD provided input to the video format.

  • 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 None declared.

  • Patient consent for publication Not required.

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

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.