PT  - JOURNAL ARTICLE
AU  - Aguiar, Guilherme
AU  - Caroff, Jildaz
AU  - Mihalea, Cristian
AU  - Cortese, Jonathan
AU  - Girot, Jean-Baptiste
AU  - Elawady, Ahmed
AU  - Vergara Martinez, Jeickson
AU  - Ikka, Léon
AU  - Gallas, Sophie
AU  - Chalumeau, Vanessa
AU  - Ozanne, Augustin
AU  - Moret, Jacques
AU  - Spelle, Laurent
TI  - WEB device for treatment of posterior communicating artery aneurysms
AID  - 10.1136/neurintsurg-2021-017405
DP  - 2022 Apr 01
TA  - Journal of NeuroInterventional Surgery
PG  - 362--365
VI  - 14
IP  - 4
4099  - http://jnis.bmj.com/content/14/4/362.short
4100  - http://jnis.bmj.com/content/14/4/362.full
SO  - J NeuroIntervent Surg2022 Apr 01; 14
AB  - Background Woven EndoBridge (WEB) device treatment of wide-neck bifurcation aneurysms has proved to be safe and effective, but the use of these devices in sidewall aneurysms has been reported only in a small number of case series.Objective To report our results in a cohort of consecutive patients in whom a WEB device was used as first-line treatment for posterior communicating artery (PComA) aneurysms.Methods We conducted a retrospective analysis of a prospectively maintained database of PComA aneurysms treated with a WEB device in our institution from June 1, 2012 to November 15, 2020. Clinical and radiological findings were evaluated at immediate and last follow-up.Results A total of 219 aneurysms were treated with a WEB device, including 15 PComA aneurysms in 15 patients, 10 of which were ruptured. Aneurysms were wide necked, with a mean aspect ratio of 1.6 (range 0.7–3.0) and a mean neck size of 4.2 mm (range 2.6–7.4 mm). No intraoperative rupture occurred and only one thromboembolic event was noted. Among the group with at least a 3-month digital subtraction angiography (DSA) follow-up, complete and adequate occlusion were obtained in 54% and 72%, respectively (average follow-up 13 months). Re-treatment was needed for two initially ruptured aneurysms. No procedure-related morbidity or mortality was reported.Conclusion This series suggests the high safety profile of WEB devices even when used in off-label indications. Treatment with these devices seems to be a valuable strategy for ruptured wide-neck PComA aneurysms, avoiding the need for antiplatelet medication. However, occlusion rates should be investigated in further larger studies.Data are available upon reasonable request.