RT Journal Article
SR Electronic
T1 How to WEB: a practical review of methodology for the use of the Woven EndoBridge
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 512
OP 520
DO 10.1136/neurintsurg-2019-015506
VO 12
IS 5
A1 Nitin Goyal
A1 Daniel Hoit
A1 Julie DiNitto
A1 Lucas Elijovich
A1 David Fiorella
A1 Laurent Pierot
A1 Saleh Lamin
A1 Laurent Spelle
A1 Isil Saatci
A1 Saru Cekirge
A1 Adam S Arthur
YR 2020
UL http://jnis.bmj.com/content/12/5/512.abstract
AB Wide-necked bifurcation aneurysms (WNBAs) make up 26–36% of all brain aneurysms. Treatments for WNBAs pose unique challenges due to the need to preserve major bifurcation vessels while achieving a durable occlusion of the aneurysm. Intrasaccular flow disruption is an innovative technique for the treatment of WNBAs. The Woven EndoBridge (WEB) device is the only United States Food and Drug Administration approved intrasaccular flow disruption device. In this review article we discuss various aspects of treating WNBAs with the WEB device, including indications for use, aneurysm/device selection strategies, antiplatelet therapy requirement, procedural technique, potential complications and bailouts, and management strategies for residual/recurrent aneurysms after initial WEB treatment.