Clinical application of WEB device in the treatment of intracranial bifurcation wide-neck aneurysms
Objective To preliminarily explore the efficacy and safety of the Woven EndoBridge (WEB) device in the treatment of intracranial bifurcation wide-neck aneurysms. Methods A retrospective analysis was conducted on the clinical data of 12 patients with intracranial bifurcation wide-neck aneurysms trea...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tianjin Huanhu Hospital
2025-07-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/3068 |
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| Summary: | Objective To preliminarily explore the efficacy and safety of the Woven EndoBridge (WEB) device in the treatment of intracranial bifurcation wide-neck aneurysms. Methods A retrospective analysis was conducted on the clinical data of 12 patients with intracranial bifurcation wide-neck aneurysms treated with the WEB device in Ruijin Hospital, Shanghai Jiaotong University School of Medicine between January and June 2024. The aneurysms were located at the bifurcation of middle cerebral artery (MCA) in 7 cases, the apex of basilar artery (BA) in 4 cases, and the anterior communicating artery complex (ACoAC) in one case. Neurological functional prognosis was assessed at discharge using the modified Rankin Scale (mRS), and complications occurring immediately after operation, within 24-48 h postoperatively, during hospitalization, and at 30 d postoperatively were recorded. Results A total of 12 aneurysms in 12 patients were included. Preoperatively, 11 cases were unruptured aneurysms (mRS scores of 0), and one case was a ruptured aneurysm (mRS score of 1). All 12 patients underwent treatment with a single WEB device, which was successfully delivered and deployed in one attempt, achieving a technical success rate of 12/12. At discharge, 11 cases had an mRS score of 0, and one case had a score of 1. Immediately postoperative CT revealed no evidence of new cerebral ischemia or hemorrhage. No new intracranial hemorrhage, subarachnoid hemorrhage (SAH), or new cerebral infarction related to the aneurysm was observed within 24-48 h postoperatively, and no complications such as puncture site bleeding occurred during hospitalization. At 30 d postoperatively, there were no neurological ischemic or hemorrhagic adverse events and complications such as puncture site bleeding. Conclusions Preliminary findings suggest that the WEB device is safe and effective for treating intracranial bifurcation wide-neck aneurysms. |
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| ISSN: | 1672-6731 |