How to WEB: A practical review of methodology for the use of the Woven EndoBridge

Nitin Goyal; Daniel Hoit; Julie Dinitto; Lucas Elijovich; David Fiorella; Laurent Pierot; Saleh Lamin; Laurent Spelle; Isil Saatci; Saru Cekirge; Adam S. Arthur

doi:10.1136/neurintsurg-2019-015506

How to WEB: A practical review of methodology for the use of the Woven EndoBridge

Nitin Goyal
, Daniel Hoit
, Julie Dinitto
, Lucas Elijovich
, David Fiorella
, Laurent Pierot
, Saleh Lamin
, Laurent Spelle
, Isil Saatci
, Saru Cekirge
, Adam S. Arthur

Surgery

University of Tennessee Health Science Center
Semmes Murphey Neurologic & Spine Institute
Siemens
Université de Reims Champagne-Ardenne
University Hospitals Birmingham NHS Foundation Trust
Université Paris-Saclay
Yuksek Ihtisas Universitesi
Bayindir Hastanesi Kavaklidere

Research output: Contribution to journal › Review article › peer-review

155 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	512-520
Number of pages	9
Journal	Journal of NeuroInterventional Surgery
Volume	12
Issue number	5
DOIs	https://doi.org/10.1136/neurintsurg-2019-015506
State	Published - May 1 2020

Keywords

Aneurysm
device
flow diverter
technique

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10.1136/neurintsurg-2019-015506

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title = "How to WEB: A practical review of methodology for the use of the Woven EndoBridge",

abstract = "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.",

keywords = "Aneurysm, device, flow diverter, technique",

author = "Nitin Goyal and Daniel Hoit and Julie Dinitto and Lucas Elijovich and David Fiorella and Laurent Pierot and Saleh Lamin and Laurent Spelle and Isil Saatci and Saru Cekirge and Arthur, \{Adam S.\}",

note = "Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2020",

month = may,

day = "1",

doi = "10.1136/neurintsurg-2019-015506",

language = "English",

volume = "12",

pages = "512--520",

journal = "Journal of NeuroInterventional Surgery",

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AU - Goyal, Nitin

AU - Hoit, Daniel

AU - Dinitto, Julie

AU - Elijovich, Lucas

AU - Fiorella, David

AU - Pierot, Laurent

AU - Lamin, Saleh

AU - Spelle, Laurent

AU - Saatci, Isil

AU - Cekirge, Saru

AU - Arthur, Adam S.

N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2020/5/1

Y1 - 2020/5/1

N2 - 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.

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.

KW - Aneurysm

KW - device

KW - flow diverter

KW - technique

UR - https://www.scopus.com/pages/publications/85079062745

U2 - 10.1136/neurintsurg-2019-015506

DO - 10.1136/neurintsurg-2019-015506

M3 - Review article

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AN - SCOPUS:85079062745

SN - 1759-8478

VL - 12

SP - 512

EP - 520

JO - Journal of NeuroInterventional Surgery

JF - Journal of NeuroInterventional Surgery

IS - 5

ER -

How to WEB: A practical review of methodology for the use of the Woven EndoBridge

Abstract

Keywords

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